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 Vol. 15 No. 1, January 2006
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AAP Grand Rounds 15:1-2 (2006)
© 2006 American Academy of Pediatrics

ALLERGY AND IMMUNOLOGY

Care for Insect Sting Anaphylaxis Inadequate

Source: Clark S, Long AA, Gaeta TJ, et al. Multicenter study of emergency department visits for insect stings. J Allergy Clin Immunol. 2005;116:643–649.[Medline]

The first 20% of the full text of this article appears below.

Hymenoptera stings are a common cause of anaphylaxis1 and result in up to 100 deaths each year in the United States.2 Investigators from the emergency departments (EDs) at Massachusetts General Hospital, Boston, and the New York Methodist Hospital in Brooklyn assessed ED compliance with practice parameters (use of epinephrine, teaching the use of self-injectable epinephrine, referral to an allergist3) for the management of anaphylaxis in patients with hymenoptera venom-induced reactions. Data were collected from 15 EDs in the US and Canada.

ED records were screened for a diagnosis of insect allergy as well as for more general codes of allergic reactions without a specific cause listed. Records of 1523 patients were identified in the initial screen, of which 617 met criteria as a reaction to insect stings. Sting reactions were classified as local (cutaneous reactions confined to areas contiguous with the sting site), mild systemic (rash, hives, or angioedema at more than 1 site), or anaphylaxis (potentially life-threatening reaction with involvement of at least 2 organ . . . [Full Text of this Article]

Mitchell R. Lester, MD, FAAP
Fairfield County Allergy, Asthma, and Immunology Associates, Norwalk, CT

 





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