Open AccessStinging insect hypersensitivity: Evaluation and management in children and youth
Author(s) -
Elissa M. Abrams,
Edmond S. Chan
Publication year - 2018
Publication title -
paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 43
eISSN - 1918-1485
pISSN - 1205-7088
DOI - 10.1093/pch/pxy140
Subject(s) - epinephrine , medicine , local reaction , immunotherapy , anaphylaxis , venom , systemic reaction , allergic reaction , allergy , intensive care medicine , anesthesia , immunology , dermatology , biology , immune system , ecology
There are two types of IgE-mediated reactions to stinging insects: large local reactions and systemic reactions. Acute management of large local reactions is symptomatic and a patient history of a large local reaction does not indicate need for an epinephrine auto-injector or venom immunotherapy. By contrast, acute management of systemic reactions requires intramuscular epinephrine. Long-term management includes prescribing an epinephrine auto-injector and consideration for venom immunotherapy by a paediatric allergist.
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