PMID- 27224630
OWN - NLM
STAT- MEDLINE
DCOM- 20170412
LR  - 20170412
IS  - 2047-9018 (Electronic)
IS  - 0029-6570 (Linking)
VI  - 30
IP  - 39
DP  - 2016 May 25
TI  - Identifying and managing Hymenoptera venom allergy.
PG  - 44-51
LID - 10.7748/ns.30.39.44.s44 [doi]
AB  - Hymenoptera venom allergy is an immunoglobulin E (IgE)-mediated hypersensitivity 
      to the venom of insects from the Hymenoptera order and is a common cause of 
      anaphylaxis. A diagnosis of venom allergy is made by taking an accurate medical, 
      family and social history, alongside specific allergy testing. Systemic reactions 
      to Hymenoptera venom occur in a small proportion of the population; these range 
      from mild to life-threatening in severity. Treatment for local reactions involves 
      the use of cold packs, antihistamines, analgesia and topical corticosteroids to 
      help alleviate swelling, pain and pruritus. Venom immunotherapy is the treatment 
      of choice for reducing the incidence of future anaphylactic reactions in 
      individuals who have signs of respiratory obstruction or hypotension. Venom 
      immunotherapy is the most effective treatment in reduction of life-threatening 
      reactions to venom, and can improve quality of life for individuals. Treatment 
      should only be provided by experienced staff who are able to provide emergency 
      care for anaphylaxis and life-threatening episodes. A risk assessment to deliver 
      treatment should be undertaken before treatment is commenced.
FAU - Matron, Patricia Kane
AU  - Matron PK
AD  - St Thomas' Hospital, Guys and St Thomas' NHS Foundation Trust, London, England.
FAU - Timms, Victoria
AU  - Timms V
AD  - St Thomas' Hospital, Guys and St Thomas' NHS Foundation Trust, London, England.
FAU - Fitzsimons, Roisin
AU  - Fitzsimons R
AD  - St Thomas' Hospital, Guys and St Thomas' NHS Foundation Trust, London, England.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Nurs Stand
JT  - Nursing standard (Royal College of Nursing (Great Britain) : 1987)
JID - 9012906
RN  - 0 (Arthropod Venoms)
RN  - 37341-29-0 (Immunoglobulin E)
MH  - Anaphylaxis/drug therapy/immunology
MH  - Animals
MH  - Arthropod Venoms/*adverse effects/immunology
MH  - Humans
MH  - Hymenoptera/*immunology
MH  - Hypersensitivity/*drug therapy/immunology
MH  - Immunoglobulin E/blood
MH  - Insect Bites and Stings
MH  - Treatment Outcome
MH  - United Kingdom
OTO - NOTNLM
OT  - Hymenoptera
OT  - allergy
OT  - anaphylaxis
OT  - immunoglobulin E-mediated hypersensitivity
OT  - immunotherapy
OT  - systemic allergic reactions
OT  - venom allergy
EDAT- 2016/05/26 06:00
MHDA- 2017/04/13 06:00
CRDT- 2016/05/26 06:00
PHST- 2016/05/26 06:00 [entrez]
PHST- 2016/05/26 06:00 [pubmed]
PHST- 2017/04/13 06:00 [medline]
AID - 10.7748/ns.30.39.44.s44 [doi]
PST - ppublish
SO  - Nurs Stand. 2016 May 25;30(39):44-51. doi: 10.7748/ns.30.39.44.s44.