Adverse events associated with rush hymenoptera venom immunotherapy.
Med J Aust
; 174(5): 227-30, 2001 Mar 05.
Article
em En
| MEDLINE
| ID: mdl-11280693
ABSTRACT
OBJECTIVES:
To determine the incidence and nature of adverse events associated with the induction of rush Hymenoptera venom immunotherapy.DESIGN:
Retrospective descriptive case study.SETTING:
The asthma and allergy unit at a major metropolitan teaching hospital, between 1 January 1989 and 30 June 1999. PATIENTS All patients with anaphylaxis to stings of Hymenoptera insects who received rush venom immunotherapy as inpatients. OUTCOMEMEASURES:
Hypersensitivity reactions to venom administration, including angioedema, skin rashes, hypotension and asthma, as well as any other adverse events related to the inpatient stay.RESULTS:
68 venom-allergic patients received 73 courses of rush immunotherapy; 89% were desensitised to honey bee venom, 10% to yellow jacket wasp venom, and one to paper wasp venom. Hypersensitivity reactions occurred after 36 subcutaneous injections (3.8% of all injections given) in 26 patients (38%).CONCLUSION:
In our cohort, immunotherapy was accompanied by a high incidence of adverse systemic events during the induction phase. Immunotherapy should only be given by experienced staff in centres where there are facilities for resuscitation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Venenos de Abelha
/
Dessensibilização Imunológica
/
Hipersensibilidade a Drogas
/
Himenópteros
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Animals
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Med J Aust
Ano de publicação:
2001
Tipo de documento:
Article