来自德语国家过敏反应注册的数据表明，食物是儿童严重过敏反应的最常见诱因，昆虫毒液是成人中最常见的激发子。过敏反应登记处考虑来自过敏中心患者的数据。本研究的目的是收集有关激发者的数据，私人执业过敏症专家看到的严重过敏反应患者以及急诊医生看到的患者的辅助因素和医疗护理。从2008年6月至2009年12月，在柏林登记了70例私人执业变态反应专家和154例急诊医生的严重过敏反应。我们的数据表明，在报告组之间，激发者的概况有所不同。过敏症专家报告的原因是对食物的严重反应，昆虫毒液和皮下免疫疗法，急诊医生报告说，昆虫毒液是最常见的激发子。我们的数据表明，对严重过敏反应的系统评估可以提供有关引发剂和过敏反应情况的重要数据。通过与来自过敏反应登记的数据的比较,来自急诊医生的数据的分析将允许确定有多少患有严重过敏反应的患者被过敏症专科医生用于进一步的诊断检查和后续治疗。
Data from the anaphylaxis registry of German-speaking countries indicate that food is the most frequent elicitor of severe allergic reactions in children, insect venom is the most frequent elicitor in adults. The anaphylaxis registry considers data from patients of allergy centers. The aim of the present study was to collect data regarding elicitors, cofactors and the medical care of patients with severe allergic reactions seen by private practice allergists but also patients seen by emergency doctors. From June 2008 to December 2009 70 cases of severe allergic reactions from private practice allergists and 154 from emergency doctors in Berlin were registered. Our data show that the profile of elicitors differs among the reporting groups. The reported causes from allergists were severe reactions to food, insect venom and subcutaneous immunotherapy, the emergency doctors reported insect venom as the most frequent elicitor. Our data show that a systematic evaluation of severe allergic reactions can provide important data about elicitors and circumstances of anaphylaxis. Through a comparison with data from the anaphylaxis registry the analysis of the data from the emergency doctors will allow to determine how many patients with severe allergic reactions are seen by an allergist for further diagnostic work-up and subsequent therapy.
PDF(Pubmed)