Consultation and referral guidelines citing the evidence: how the allergist-immunologist can help.
Consultation and referral guidelines citing the evidence: how the allergist-immunologist can help.
1st February 2006
American Academy of Allergy, Asthma and Immunology - Medical Specialty Society
Summary,
DISEASE/CONDITION(S)
Allergies and allergic reactions, including:
Allergic bronchopulmonary aspergillosis
Anaphylaxis
Asthma
Conjunctivitis
Cough
Dermatitis (atopic and contact)
Drug allergy
Food allergy
Hypersensitivity pneumonitis
Insect hypersensitivity
Occupational allergic diseases
Primary immune deficiency
Rhinitis, sinusitis, & rhinosinusitis
Urticaria with or without angioedema (e.g., caused by ingestants, contactants, C1 esterase inhibitor deficiency)
GUIDELINE CATEGORY
Diagnosis
Evaluation
Management
Treatment
CLINICAL SPECIALTY
Allergy and Immunology
INTENDED USERS
Allied Health Personnel
Health Care Providers
Health Plans
Patients
Physicians
GUIDELINE OBJECTIVE(S)
To define both the expertise of the allergist-immunologist and under what circumstances they can be of added value in the treatment of patients
To assist patients and health care professionals in determining when referral to an allergist-immunologist could be helpful
TARGET POPULATION
Adults and children with allergies or asthma
INTERVENTIONS AND PRACTICES CONSIDERED
Diagnosis/Evaluation
Allergen skin testing for specific immunoglobulin E (IgE)
In vitro tests for specific IgE
History-specific IgE correlation
Allergy challenges (e.g., to methacholine, histamine, cold air, exercise, food ingestion, drug challenges)
Pulmonary function tests (e.g., spirometry, peak flow)
Immune competence
Nonpharmacologic Management
Education regarding appropriate avoidance behavior
Written management plan
Industrial hygiene survey assistance
Education regarding self-monitoring
Education regarding self-treatmentv Pharmacologic and Immunologic Management
Inhaled and oral corticosteroids
Immunomodulator therapy
Inhalant immunotherapy
Venom immunotherapy
Desensitization therapy (e.g., to antibiotics, insulin, aspirin and other nonsteroidal anti-inflammatory drugs)
MAJOR OUTCOMES CONSIDERED
Sensitivity/specificity of diagnostic tests
Accuracy of diagnosis
Direct and indirect outcomes of interventions performed by the allergist/immunologist
American Academy of Allergy, Asthma and Immunology - Medical Specialty Society
Summary,
DISEASE/CONDITION(S)Allergies and allergic reactions, including:
Allergic bronchopulmonary aspergillosis
Anaphylaxis
Asthma
Conjunctivitis
Cough
Dermatitis (atopic and contact)
Drug allergy
Food allergy
Hypersensitivity pneumonitis
Insect hypersensitivity
Occupational allergic diseases
Primary immune deficiency
Rhinitis, sinusitis, & rhinosinusitis
Urticaria with or without angioedema (e.g., caused by ingestants, contactants, C1 esterase inhibitor deficiency)
GUIDELINE CATEGORY
Diagnosis
Evaluation
Management
Treatment
CLINICAL SPECIALTY
Allergy and Immunology
INTENDED USERS
Allied Health Personnel
Health Care Providers
Health Plans
Patients
Physicians
GUIDELINE OBJECTIVE(S)
To define both the expertise of the allergist-immunologist and under what circumstances they can be of added value in the treatment of patients
To assist patients and health care professionals in determining when referral to an allergist-immunologist could be helpful
TARGET POPULATION
Adults and children with allergies or asthma
INTERVENTIONS AND PRACTICES CONSIDERED
Diagnosis/Evaluation
Allergen skin testing for specific immunoglobulin E (IgE)
In vitro tests for specific IgE
History-specific IgE correlation
Allergy challenges (e.g., to methacholine, histamine, cold air, exercise, food ingestion, drug challenges)
Pulmonary function tests (e.g., spirometry, peak flow)
Immune competence
Nonpharmacologic Management
Education regarding appropriate avoidance behavior
Written management plan
Industrial hygiene survey assistance
Education regarding self-monitoring
Education regarding self-treatmentv Pharmacologic and Immunologic Management
Inhaled and oral corticosteroids
Immunomodulator therapy
Inhalant immunotherapy
Venom immunotherapy
Desensitization therapy (e.g., to antibiotics, insulin, aspirin and other nonsteroidal anti-inflammatory drugs)
MAJOR OUTCOMES CONSIDERED
Sensitivity/specificity of diagnostic tests
Accuracy of diagnosis
Direct and indirect outcomes of interventions performed by the allergist/immunologist
