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Title: Risk and safety requirements for diagnostic and therapeutic procedures in allergology: World Allergy Organization Statement
Authors: Marek L. Kowalski
Ignacio Ansotegui
Werner Aberer
Mona Al-Ahmad
Mubeccel Akdis
Barbara K. Ballmer-Weber
Kirsten Beyer
Miguel Blanca
Simon Brown
Chaweewan Bunnag
Arnaldo Capriles Hulett
Mariana Castells
Hiok Hee Chng
Frederic De Blay
Motohiro Ebisawa
Stanley Fineman
David B.K. Golden
Tari Haahtela
Michael Kaliner
Connie Katelaris
Bee Wah Lee
Joanna Makowska
Ulrich Muller
Joaquim Mullol
John Oppenheimer
Hae Sim Park
James Parkerson
Giovanni Passalacqua
Ruby Pawankar
Harald Renz
Franziska Rueff
Mario Sanchez-Borges
Joaquin Sastre
Glenis Scadding
Scott Sicherer
Pongsakorn Tantilipikorn
James Tracy
Vera Van Kempen
Barbara Bohle
G. Walter Canonica
Luis Caraballo
Maximiliano Gomez
Komei Ito
Erika Jensen-Jarolim
Mark Larche
Giovanni Melioli
Lars K. Poulsen
Rudolf Valenta
Torsten Zuberbier
Medical University of Lodz
Clinica Quiron
Medizinische Universitat Graz
Health Sciences Center Kuwait Faculty of Medicine
Swiss Institute of Allergy and Asthma Research
UniversitatsSpital Zurich
Charité – Universitätsmedizin Berlin
Hospital Regional Universitario Carlos Haya
Royal Perth Hospital
Mahidol University
Hospital San Juan de Dios, Caracas
Brigham and Women's Hospital
Tan Tock Seng Hospital
CHU Strasbourg
National Sagamihara Hospital
Emory University
Johns Hopkins University
Helsingin Yliopisto
Institute for Asthma and Allergy
Westmead Centre
Yong Loo Lin School of Medicine
Spitalnetz Bern AG
Hospital Clinic Barcelona
Rutgers Robert Wood Johnson Medical School
Ajou University
University of South Florida, Tampa
Ospedale Policlinico San Martino
Nippon Medical School
Universitatsklinikum Giessen und Marburg, Standort Marburg
Klinikum der Universität München
Centro Medico Docente La Trinidad
Universidad Autónoma de Madrid
RNTNE Hospital
Icahn School of Medicine at Mount Sinai
University of Nebraska at Omaha
Institut fur Pravention und Arbeitsmedizin der Deutschen Gesetzlichen Unfallversicherung
Medizinische Universitat Wien
Universidad de Cartagena
Hospital San Bernardo
Aichi Children's Health and Medical Center
McMaster University, Faculty of Health Sciences
IRCCS Istituto Giannina Gaslini - Ospedale Pediatrico
Amtssygehuset i Gentofte
Allgemeines KrankenHaus Wien
Keywords: Immunology and Microbiology;Medicine
Issue Date: 12-Oct-2016
Citation: World Allergy Organization Journal. Vol.9, No.1 (2016), 1-42
Abstract: © 2016 The Author(s). One of the major concerns in the practice of allergy is related to the safety of procedures for the diagnosis and treatment of allergic disease. Management (diagnosis and treatment) of hypersensitivity disorders involves often intentional exposure to potentially allergenic substances (during skin testing), deliberate induction in the office of allergic symptoms to offending compounds (provocation tests) or intentional application of potentially dangerous substances (allergy vaccine) to sensitized patients. These situations may be associated with a significant risk of unwanted, excessive or even dangerous reactions, which in many instances cannot be completely avoided. However, adverse reactions can be minimized or even avoided if a physician is fully aware of potential risk and is prepared to appropriately handle the situation. Information on the risk of diagnostic and therapeutic procedures in allergic diseases has been accumulated in the medical literature for decades; however, except for allergen specific immunotherapy, it has never been presented in a systematic fashion. Up to now no single document addressed the risk of the most commonly used medical procedures in the allergy office nor attempted to present general requirements necessary to assure the safety of these procedures. Following review of available literature a group of allergy experts within the World Allergy Organization (WAO), representing various continents and areas of allergy expertise, presents this report on risk associated with diagnostic and therapeutic procedures in allergology and proposes a consensus on safety requirements for performing procedures in allergy offices. Optimal safety measures including appropriate location, type and required time of supervision, availability of safety equipment, access to specialized emergency services, etc. for various procedures have been recommended. This document should be useful for allergists with already established practices and experience as well as to other specialists taking care of patients with allergies.
ISSN: 19394551
Appears in Collections:Scopus 2016-2017

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