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Title: Risk and safety requirements for diagnostic and therapeutic procedures in allergology: World Allergy Organization Statement.
Authors: Kowalski, Marek L
Ansotegui, Ignacio
Aberer, Werner
Al-Ahmad, Mona
Akdis, Mubeccel
Ballmer-Weber, Barbara K
Beyer, Kirsten
Blanca, Miguel
Brown, Simon
Bunnag, Chaweewan
Capriles Hulett, Arnaldo
Castells, Mariana
Chng, Hiok Hee
De Blay, Frederic
Ebisawa, Motohiro
Fineman, Stanley
Golden, David B K
Haahtela, Tari
Kaliner, Michael
Katelaris, Connie
Lee, Bee Wah
Makowska, Joanna
Muller, Ulrich
Mullol, Joaquim
Oppenheimer, John
Park, Hae-Sim
Parkerson, James
Passalacqua, Giovanni
Pawankar, Ruby
Renz, Harald
Rueff, Franziska
Sanchez-Borges, Mario
Sastre, Joaquin
Scadding, Glenis
Sicherer, Scott
Tantilipikorn, Pongsakorn
Tracy, James
van Kampen, Vera
Bohle, Barbara
Canonica, G Walter
Caraballo, Luis
Gomez, Maximiliano
Ito, Komei
Jensen-Jarolim, Erika
Larche, Mark
Melioli, Giovanni
Poulsen, Lars K
Valenta, Rudolf
Zuberbier, Torsten
metadata.dc.contributor.authoraffiliation: [Kowalski,M] Department of Immunology, Rheumatology & Allergy, Medical University of Lodz, Lodz, Poland. [Ansotegui,I] Department of Allergy and Immunology, Hospital Quiron Bizkaia, Bilbao, Spain. [Aberer,W] Department of Dermatology, Medical University of Graz, Graz, Austria. [Al-Ahmad,M] Microbiology Department, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait. [Akdis,M] Swiss institute of Allergy & Asthma research, Davos, Switzerland. [Ballmer-Weber,BK] Allergy Unit, Dermatology Clinic, University Hospital Zürich, University Zürich, Zürich, Switzerland. [Beyer,K] Kirsten Beyer, Charité Universitätsmedizin Berlin, Klinik für Pädiatrie m.S. Pneumologie und Immunologie, Berlin, Germany. [Blanca,M] Hospital Reg. Univ. Carlos Haya, Allergy Serv, Malaga, Spain. [Brown,S] Royal Perth Hospital, Department of Emergency Medicine, Perth, WA Australia. [Bunnag,C; Tantilipikorn,P] Department of Otolaryngology, Siriraj Hospital, Mahidol University, Bangkok, Thailand. [Capriles Hulett,A] Allergology Unit, Hospital San Juan de Dios, Caracas, Venezuela. [Castells,M] Brigham & Women's Hospital, Harvard Medical School, Boston, MA USA. [Chng,HH] Department of Rheumatology, Allergy & Immunology, Tan Tock Seng Hospital, Singapore, Singapore. [De Blay,F] Hôpitaux Universitaires de Strasbourg, Chest Diseases Department, Strasbourg, France. [Ebiwa,M] Department of Allergy, Clinical Research Center for Allergology and Rheumatology, Sagamihara National Hospital, Sagamihara, Kanagawa Japan. [Fineman,S] Emory University School of Medicine, Atlanta Allergy & Asthma, Atlanta, Georgia. [Golden,DBK] Johns Hopkins University, Baltimore, MD USA. [Haahtela,T] Helsinki University Central Hospital, Helsinki, Finland. [Kaliner,M] Institute for Asthma & Allergy, Bethesda, MD USA. [Katelaris,C] Westmead Medical Centre, Westmead, NSW Australia. [Lee,BW] Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. [Makowska,J] CSK, Department of Allergy & Clinical Immunology, Lodz, Poland. [Muller,U] Spitalnetz, Bern, Switzerland. [Mullol,J] Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic, Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, and CIBERES, Barcelona, Spain. [Oppenheimer,J] UMDNJ - Rutgers Medical School, c/o Pulmonary and Allergy Associates, Summit, New Jersey, USA. [Park,HS] Department of Internal Medicine, Ajou University School of Medicine, Suwon, South Korea. [Parkerson,J] University of South Florida, Tampa, FL USA. [Passalacqua,G] Allergy and Respiratory Diseases, IRCCS San Martino Hospital IST, University of Genoa, Genoa, Italy. [Pawankar,R] Department of Pediatrics, Nippon Medical School, Tokyo, Japan. [Renz,H] Universitatsklinikum GI & MR GmbH, Institut fur Laboratoriumsmedizin & Path, Standort Marburg, Marburg, Germany. [Rueff,F] Klinikum der Ludwig-Maximilians-Universitat, Klinik & Poliklinik fur Dermatologie & Allergologie, Munchen, Germany. [Sanchez-Borges,M] Allergy and Clinical Immunology Department, Centro Medico-Docente La Trinidadad, Caracas, Venezuela. [Sastre,J] Allergy Department, Fundacion Jimenez Diaz, Universidad Autonoma de Madrid, CIBER de Enfermedades Respiratorias (CIBERES), Institute Carlos III, Madrid, Spain. [Scadding,G] RNTNE Hospital, London, UK. [Sicherer,S] Division of Allergy and Immunology, Department of Pediatrics, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY USA. [Tracy,J] University of Nebraska, Omaha, NE USA. [van Kempen,V] Institute for Prevention and Occupational Medicine, German Social Accident Insurance, Ruhr-University Bochum (IPA), Bochum, Germany. [Bohle,B] Division of Experimental Allergology, Department of Pathophysiology, Allergy Research Center of Pathophysiology, Infectiology & Immunology, Medical University of Vienna, Vienna, Austria. [Canonica,GW] Allergy & Respiratory Disease Clinic, DIMI - Department Int Med, University of Genoa, IRCCS AOU, San Martino - IST, Genoa, Italy. [Caraballo,L] Immunology Department, Universidad De Cartagena, Cartagena, Colombia. [Gomez,M] Hospital San Bernardo, Salta, Argentina. [Ito,K] Department of Allergy, Aichi Children's Health and Medical Center, Aichi, Japan. [Jensen-Jarolim,E] Messerli Research Institute, Medical University Vienna, University Vienna, Vienna, Austria. [Larche,M] Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Canada. [Melioli,G] Istituto Giannina Gaslini, Genoa, Italy. [Poulsen,LK] Gentofte University Hospital, Lab for Allergology, Allergy Clinic, Hellerup, Denmark. [Valenta,R] Department of Pathophysiology, AKH, Wien, Austria. [Zuberbier,T] Campus Charite Mitte, Klinik fur Dermatologie & Allergologie, Berlin, Germany.
Keywords: Alérgenos;Consenso;Desensibilización inmunológica;Humanos;Hipersensibilidad;Pruebas cutáneas;Especialización;Vacunas
metadata.dc.subject.mesh: Medical Subject Headings::Chemicals and Drugs::Biological Factors::Antigens::Allergens
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Thinking::Decision Making::Consensus
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Biological Therapy::Immunomodulation::Immunotherapy::Immunosuppression::Desensitization, Immunologic
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Diseases::Immune System Diseases::Hypersensitivity
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Clinical Laboratory Techniques::Immunologic Tests::Skin Tests
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Specialization
Medical Subject Headings::Chemicals and Drugs::Complex Mixtures::Biological Agents::Vaccines
Issue Date: 12-Oct-2016
Publisher: Biomed Central
Citation: Kowalski ML, Ansotegui I, Aberer W, Al-Ahmad M, Akdis M, Ballmer-Weber BK, et al. Risk and safety requirements for diagnostic and therapeutic procedures in allergology: World Allergy Organization Statement. World Allergy Organ J. 2016; 9(1):33
Abstract: 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.
metadata.dc.identifier.doi: 10.1186/s40413-016-0122-3
ISSN: 1939-4551 (Online)
Appears in Collections:01- Artículos - Hospital Regional de Málaga

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