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Results for “ANAPHYLAXIS AND ALLERGY”

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At least 19 recordsLinked to original sources
PubMedDate not supplied

Latex allergy anaphylaxis in a spina bifida patient with a pressure ulcer.

At a Memphis, Tenn., children's hospital, latex-free surgery is mandated for patients with spina bifida or for those who have had multiple surgeries to correct congenital urinary anomalies. Even in the absence of a positive clinical history, both categories of patients are presumed to have a latex allergy or sensitivity. This case report illustrates the severe anaphylactic reaction that may occur with exposure to latex gloves or glove powder that transfers the antigen. The increasing incidence of latex rubber allergy for patients and health care workers is reviewed. Screening for patients at risk for allergy is outlined. These allergic patients can undergo safe operations if precautions are undertaken to avoid latex exposure. Precautions must also be initiated and enforced throughout the hospital for treatment of the patient in the pre- and post-operative period.

Adolescent↗
PubMed1996

Laboratory animal allergy: anaphylaxis from a needle injury.

A 32 year old male research physician accidentally received a minor wound from a needle which had been previously used on rabbit tissue. Within 15 minutes serious anaphylactic reactions started and he was taken to hospital where his condition stabilised within five hours. Serum immunoglobulin E antibodies to rabbit epithelium were high (16.2 U/ml), although other antibody titres were low. Allergy tests were not carried out before employment, so this alarming scenario could not have been predicted. People with confirmed laboratory animal allergy should be warned of the dangers of continued unprotected exposure and avoidance of the allergen should be encouraged by good laboratory practice and respiratory protective equipment.

Adult↗
PubMed2004

Allergy and anaphylaxis in anaesthesia.

Immediate hypersensitivity reactions to anaesthetic and associated agents used during the perioperative period have been reported with increasing frequency in most developed countries. Most reactions are of immunologic origin (IgE mediated, anaphylaxis) or related to direct stimulation of histamine release (anaphylactoid reactions). The incidence of anaphylaxis is estimated between 1 in 10000 and 1 in 20000 anaesthesia, and any drug administered in the perioperative period can potentially produce life-threatening immune-mediated hypersensitivity reactions. Neuromuscular blocking agents (NMBAs), latex and antibiotics represent the most frequently involved substances. However, anaphylactic reactions cannot be clinically distinguished from non-immune mediated reactions which account for 30% to 40% of hypersensitivity reactions. Therefore, any suspected anaphylactic reaction must be extensively investigated using combined peroperative and postoperative testing to confirm the nature of the reaction, the responsibility of suspected drugs and to provide precise recommendations for future anaesthetic procedures. These investigations include plasma histamine, tryptase and specific IgE concentration determination at the time of the reaction, and skin tests 6 weeks later. In addition, since no specific treatment has been shown to reliably prevent the occurrence of anaphylaxis, allergy assessment must be performed in all high-risk patients. The need for proper epidemiological studies and the relative complexity of allergy investigation should be underscored. They represent an incentive for further development of allergo-anaesthesiology clinical networks to provide expert advice for anaesthetists and allergologists.

Anaphylaxis↗
PubMed1993

Latex allergy and anaphylaxis.

Latex allergy is a potential cause of unexplained intraoperative anaphylaxis. Latex allergic reactions range from mild wheal and flare episodes to cardiovascular collapse. High-risk patient populations merit latex allergy testing. Preoperative prophylactic regimens may prevent or attenuate serious intraoperative latex allergic reactions in susceptible individuals. Additional work is needed to better characterize and understand latex allergy.

Anaphylaxis↗
PubMed2007

Human seminal plasma allergy--a rare cause of recurrent anaphylaxis.

Allergies to sperm are very uncommon. A 23-year old woman with atopic dermatitis complained of three attacks of angioedema, urticaria, wheezing and weakness. When questioned about factors causing exercise-induced anaphylaxis, the patient reported having had sexual intercourse with the same partner one hour before each event. When using condoms, no symptoms occurred. Human seminal plasma allergy was confirmed by positive skin testing with the partner's sperm. Specific IgE-antibodies against human seminal plasma were not found. The patient received an emergency kit for anaphylaxis.

Adult↗
PubMed1995

Latex allergy in a child with banana anaphylaxis.

Allergy to latex and to banana is probably uncommon. Cross-reactivity between these two antigens has been recently demonstrated, but the clinical association of allergic reactions to latex contact and banana ingestion is extremely rare. We report a 3-year-old boy who developed an anaphylactic reaction following banana ingestion and who presented an associated immediate hypersensitivity to latex.

Anaphylaxis↗
PubMed2006

Second symposium on the definition and management of anaphylaxis: summary report--second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium.

There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis. In July 2005, the National Institute of Allergy and Infectious Disease and Food Allergy and Anaphylaxis Network convened a second meeting on anaphylaxis, which included representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition of anaphylaxis, establish clinical criteria that would accurately identify cases of anaphylaxis with high precision, further review the evidence on the most appropriate management of anaphylaxis, and outline the research needs in this area.

Journal Article↗
PubMed2006

Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium.

There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis. In July 2005, the National Institute of Allergy and Infectious Disease and Food Allergy and Anaphylaxis Network convened a second meeting on anaphylaxis, which included representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition of anaphylaxis, establish clinical criteria that would accurately identify cases of anaphylaxis with high precision, further review the evidence on the most appropriate management of anaphylaxis, and outline the research needs in this area.

Anaphylaxis↗
PubMedDate not supplied

Managing childhood food allergies and anaphylaxis.

BACKGROUND: Food allergies in children are becoming more common causing concern for parents, child carers, teachers and school principals. OBJECTIVE: This article aims to provide practical information on childhood food allergies and their ongoing management including assessment, prescription of self or carer administered adrenaline, emergency action plans, patient education, school based strategies, and family support. DISCUSSION: With most schools, preschools and child care centres having at least one child with food allergies, general practitioners are increasingly likely to be involved in school liaison and education, as well as caring for families with food allergic children.

Anaphylaxis↗
PubMedDate not supplied

Making the grade with asthma, allergies, and anaphylaxis.

For some students with asthma, allergies, or anaphylaxis, school attendance can be risky. School administrators and educators are ill prepared to address medical challenges of students with chronic illness. Yet, the number of school nurses employed in the United States and the nurse-student ratio is uncertain. An unknown number of schools restrict children's rights to carry prescribed lifesaving medications while at or traveling to and from school or on field trips. Additionally, school indoor air quality is often poor and adversely affects students' health. Nurses are natural educators and advocates. Both of these roles are instrumental in empowering families to ensure the health of their children with asthma and allergies while in school.

Absenteeism↗
PubMed2000

Parent reported allergy and anaphylaxis in 4173 South Australian children.

OBJECTIVES: To determine the prevalence of parent reported allergy and anaphylaxis in a sample of children and to investigate the first aid management of anaphylaxis in the schools and preschools that these children attend. METHODS: The study sample comprised 4173 South Australian children aged 3-17 years. Information was collected regarding parent-reported allergy and anaphylaxis. All children with known anaphylaxis were contacted and an attempt was made to contact those with reports of allergy to ascertain if these children had anaphylaxis. A telephone questionnaire was used to verify reports of anaphylaxis and determine the cause, severity and school first aid management of anaphylaxis. RESULTS: The rate of parent reported allergy and anaphylaxis was 7.3 and 0.59 per 100 children, respectively. Two-thirds of children with anaphylaxis did not have emergency medication available at school, an emergency action plan, or a teacher on site able to administer adrenaline for first aid use. CONCLUSIONS: Children attending preschool or school may have had a past history of anaphylaxis. Arrangements for first aid management of these children while in this environment are often inadequate.

Adolescent↗