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Title: International survey on skin patch test procedures, attitudes and interpretation.
Authors: Tanno, Luciana K
Darlenski, Razvigor
Sánchez-Garcia, Silvia
Bonini, Matteo
Vereda, Andrea
Kolkhir, Pavel
Antolin-Amerigo, Dario
Dimov, Vesselin
Gallego-Corella, Claudia
Aldave Becerra, Juan Carlos
Diaz, Alexander
Bellido Linares, Virginia
Villa, Leonor
Rosenwasser, Lanny J
Sanchez-Borges, Mario
Ansotegui, Ignacio
Pawankar, Ruby
Bieber, Thomas
metadata.dc.contributor.authoraffiliation: [Tanno,LK] Hospital Sírio Libanês and Post-graduation Program in Health Sciences of IAMSPE, São Paulo, SP Brazil. [Darlenski,R] Department of Dermatolgy and Venereology, Tokuda Hospital Sofia, Sofia, Bulgaria. [Sánchez-Garcia,S] Allergy Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain. [Vereda,A] Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy. [Bonini,M] Allergy Clinic, Paris, France. [Kolkhir,P] Department of Dermatology and Venereology, Sechenov First Moscow State Medical University, Moscow, Russia. [Antolin-Amerigo,D] Immune System Diseases and Oncology Service-Allergy Unit, Hospital Universitario Príncipe de Asturias. Medicine and Medical Specialities Department, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain. [Dimov,V] Department of Allergy and Immunology, Cleveland Clinic Florida. Cleveland Clinic Blvd Weston, Florida, USA. [Gallego-Corella,C] Medicine Faculty, Xochicalco University, Tijuana, Mexico. [Aldave Becerra,JC] Allergy and Immunology Division, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. [Diaz,A] Department of Allergy, Medical Center, Guira de Melena, Havana, Cuba. [Bellido Linares,V] Intercenter Allergy Unit, Virgen Macarena University Hospital, Seville, Spain. [Villa,L] Sanatorio Privado San Roque, Marcos Juárez, Córdoba Argentina. [Rosenwasser,LJ] Department of Pediatrics, Division of Immunology Research, Children's Mercy Hospitals & Clinics, Kansas City, USA. [Sanchez-Borges,M] Allergy and Clinical Immunology Department, Centro Medico Docente La Trinidad, Caracas, Venezuela. [Ansotegui,I] Department of Allergy and Immunology, Hospital Quirón Bizkaia, Bizkaia, Spain. [Pawankar,R] Division of Allergy, Department of Pediatrics, Nippon Medical School, Tokyo, Japan. [Bieber,T] Department of Dermatology and Allergy, Rheinische Friedrich-Wilhelms-University Bonn, Bonn, Germany. WAO Junior Members Group.
Keywords: Allergy;Contact dermatitis;Sensitization;Skin patch test;Survey;Alérgenos;Dermatitis alérgica por contacto;Dermatitis exfoliativa;Haptenos
metadata.dc.subject.mesh: Medical Subject Headings::Chemicals and Drugs::Biological Factors::Antigens::Allergens
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Sociology::Social Control, Formal::Jurisprudence::Informed Consent::Consent Forms
Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis::Dermatitis, Contact::Dermatitis, Allergic Contact
Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Dermatitis::Dermatitis, Exfoliative
Medical Subject Headings::Chemicals and Drugs::Biological Factors::Antigens::Epitopes::Haptens
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Diseases::Immune System Diseases
Medical Subject Headings::Chemicals and Drugs::Chemical Actions and Uses::Specialty Uses of Chemicals::Laboratory Chemicals::Indicators and Reagents
Medical Subject Headings::Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Clinical Laboratory Techniques::Immunologic Tests::Skin Tests::Patch Tests
Medical Subject Headings::Health Care::Health Services Administration::Organization and Administration::Professional Practice::Private Practice
Issue Date: 4-Mar-2016
Publisher: BioMed Central
Citation: Tanno LK, Darlenski R, Sánchez-Garcia S, Bonini M, Vereda A, Kolkhir P, et al. International survey on skin patch test procedures, attitudes and interpretation. World Allergy Organ J.2016; 9:8
Abstract: BACKGROUND Skin patch test is the gold standard method in diagnosing contact allergy. Although used for more than 100 years, the patch test procedure is performed with variability around the world. A number of factors can influence the test results, namely the quality of reagents used, the timing of the application, the patch test series (allergens/haptens) that have been used for testing, the appropriate interpretation of the skin reactions or the evaluation of the patient's benefit. METHODS We performed an Internet -based survey with 38 questions covering the educational background of respondents, patch test methods and interpretation. The questionnaire was distributed among all representatives of national member societies of the World Allergy Organization (WAO), and the WAO Junior Members Group. RESULTS One hundred sixty-nine completed surveys were received from 47 countries. The majority of participants had more than 5 years of clinical practice (61 %) and routinely carried out patch tests (70 %). Both allergists and dermatologists were responsible for carrying out the patch tests. We could observe the use of many different guidelines regardless the geographical distribution. The use of home-made preparations was indicated by 47 % of participants and 73 % of the respondents performed 2 or 3 readings. Most of the responders indicated having patients with adverse reactions, including erythroderma (12 %); however, only 30 % of members completed a consent form before conducting the patch test. DISCUSSION The heterogeneity of patch test practices may be influenced by the level of awareness of clinical guidelines, different training backgrounds, accessibility to various types of devices, the patch test series (allergens/haptens) used for testing, type of clinical practice (public or private practice, clinical or research-based institution), infrastructure availability, financial/commercial implications and regulations among others. CONCLUSION There is a lack of a worldwide homogeneity of patch test procedures, and this raises concerns about the need for standardization and harmonization of this important diagnostic procedure.
Description: Journal Article;
metadata.dc.identifier.doi: 10.1186/s40413-016-0098-z
ISSN: 1939-4551 (Online)
1939-4551 (Print)
Appears in Collections:01- Artículos - Hospital Virgen Macarena

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