Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines

Summary This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both a...

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Bibliographic Details
Published in:Clinical and experimental allergy 2011-09, Vol.41 (9), p.1201-1220
Main Authors: Krishna, M. T., Ewan, P. W., Diwakar, L., Durham, S. R., Frew, A. J., Leech, S. C., Nasser, S. M.
Format: Article
Language:English
Subjects:
ACE inhibitor
Adult
Allergies
anaphylaxis
Animals
Arthropod Venoms - immunology
Arthropod Venoms - therapeutic use
baseline tryptase
bee
Child
Children
Desensitization, Immunologic
Epidemiology
Hirudinea
hornet
Humans
Hymenoptera
Hymenoptera - classification
Hymenoptera - immunology
Hypersensitivity
Hypersensitivity - diagnosis
Hypersensitivity - immunology
Hypersensitivity - therapy
IgE
Immunotherapy
Mastocytosis
Risk Factors
Society
Tryptase
Venom
wasp
β-blocker
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Summary:Summary This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and pediatricians practising allergy. During the development of these guidelines, all BSACI members were included in the consultation process using a web‐based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are epidemiology, risk factors, clinical features, diagnostic tests, natural history of hymenoptera venom allergy and guidance on undertaking venom immunotherapy (VIT). There are also separate sections on children, elevated baseline tryptase and mastocytosis and mechanisms underlying VIT. Finally, we have made recommendations for potential areas of future research. Cite this as: M. T. Krishna, P. W. Ewan, L. Diwakar, S. R. Durham, A. J. Frew, S. C. Leech and S. M. Nasser, Clinical & Experimental Allergy, 2011 (41) 1201–1220.
ISSN:0954-7894
1365-2222
DOI:10.1111/j.1365-2222.2011.03788.x