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  Authority of Polish Society of Allergology

vol 15. no 3. September 2010  

 Expert presents
Insect-sting challenge in patients with hymenoptera venom allergy. Polish Allergy Society Expert Group Position Paper
Maryta Nittner-Marszalska, Andrzej Bant, Anna Bodzenta-Łukaszyk, Anna Bręborowicz, Ewa Cichocka-Jarosz, Ewa Jassem, Piotr Kuna, Jerzy Kruszewski, Barbara Rogala, Wiesław Szymański, Damian Tworek, Jerzy Wilde, Magdalena Zakrzewska, Aleksander Zakrzewski

Insect-sting challenge is a trial of wasp or bee-sting in the restrained conditions when the patient safety is secured. The trial is not a routine procedure, and in practice it is rarely conducted. The position paper presents potential benefits related to diagnostics and monitoring of treatment which can justify the trial of wasp or bee-sting challenge, as well as give recommendation and contraindication for conducting the trial. It is underlined that thorough assessment of the anticipated balance of benefits and risk of an occurrence of the significant undesired effect is a prerequisite of the case verification, being part of the decision making process. The paper covers the issues of detailed measures to be undertaken during the work with insects, it discusses the rules and conditions of the trial and interpretation of the result, as well as the way of using the result in practice, particularly in the assessment of the result of immunotherapy with the venom of the hymenoptera insects. Considering ethical aspects, it is underlined that the trial is not a routine procedure and it should not be conducted only on a patient demand.

keywords: próba prowokacyjna, użądlenie prowokacyjne, jad pszczoły, jad osy, sting challenge, bee venom, wasp venom, insect sting

pages: from 134 to 138

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