2015 update of the evidence base: World Allergy Organization anaphylaxis guidelines

被引:392
作者
Simons, F. Estelle R. [1 ,2 ]
Ebisawa, Motohiro [3 ]
Sanchez-Borges, Mario [4 ]
Thong, Bernard Y. [5 ]
Worm, Margitta [6 ]
Tanno, Luciana Kase [7 ,8 ]
Lockey, Richard F. [9 ]
El-Gamal, Yehia M. [10 ]
Brown, Simon G. A. [11 ,12 ,13 ]
Park, Hae-Sim [14 ]
Sheikh, Aziz [15 ]
机构
[1] Univ Manitoba, Dept Pediat & Child Hlth, Coll Med, Fac Hlth Sci, Room FE125,820 Sherbrook St, Winnipeg, MB R3A 1R9, Canada
[2] Univ Manitoba, Dept Immunol, Coll Med, Fac Hlth Sci, Winnipeg, MB R3A 1R9, Canada
[3] Sagamihara Natl Hosp, Dept Allergy, Clin Res Ctr Allergy & Rheumatol, Sagamihara, Kanagawa, Japan
[4] Ctr Med Docente La Trinidad, Allergy & Clin Immunol Dept, Caracas, Venezuela
[5] Tan Tock Seng Hosp, Dept Rheumatol Allergy & Immunol, Singapore, Singapore
[6] Univ Med, Klin Dermatol Venerol & Allergol, Allergie Ctr Charite, Berlin, Germany
[7] Hosp Serv Publ Estadual Sao Paulo, Dept Allergy & Clin Immunol, Sao Paulo, Brazil
[8] Hosp Sirio Libanes, Sao Paulo, Brazil
[9] Univ S Florida, Coll Med, Tampa, FL USA
[10] Ain Shams Univ, Childrens Hosp, Pediat Allergy & Immunol Unit, Cairo, Egypt
[11] Royal Hobart Hosp, Hobart, Tas, Australia
[12] Univ Western Australia, Perth, WA 6009, Australia
[13] Royal Perth Hosp, Perth, WA 6001, Australia
[14] Ajou Univ, Sch Med, Dept Allergy & Clin Immunol, Seoul, South Korea
[15] Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Allergy & Resp Res Grp, Edinburgh, Midlothian, Scotland
关键词
Anaphylaxis; Epinephrine; Auto-injector; Food allergy; Stinging insect venom allergy; Drug allergy; Latex allergy; Exercise-induced anaphylaxis; Systemic allergic reaction; Adrenaline; FOOD-INDUCED ANAPHYLAXIS; DRUG-INDUCED ANAPHYLAXIS; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; HYMENOPTERA VENOM IMMUNOTHERAPY; IGE-MEDIATED HYPERSENSITIVITY; LIFE-THREATENING ANAPHYLAXIS; EXERCISE-INDUCED ANAPHYLAXIS; QUALITY-OF-LIFE; EMERGENCY-DEPARTMENT; SERUM TRYPTASE;
D O I
10.1186/s40413-015-0080-1
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The World Allergy Organization (WAO) Guidelines for the assessment and management of anaphylaxis provide a unique global perspective on this increasingly common, potentially life-threatening disease. Recommendations made in the original WAO Anaphylaxis Guidelines remain clinically valid and relevant, and are a widely accessed and frequently cited resource. In this 2015 update of the evidence supporting recommendations in the Guidelines, new information based on anaphylaxis publications from January 2014 through mid-2015 is summarized. Advances in epidemiology, diagnosis, and management in healthcare and community settings are highlighted. Additionally, new information about patient factors that increase the risk of severe and/or fatal anaphylaxis and patient co-factors that amplify anaphylactic episodes is presented and new information about anaphylaxis triggers and confirmation of triggers to facilitate specific trigger avoidance and immunomodulation is reviewed. The update includes tables summarizing important advances in anaphylaxis research.
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页数:16
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