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Table 1 Summary of Safety Recommendations for Diagnostic Allergy Procedures (for details, see the text)

From: Risk and safety requirements for diagnostic and therapeutic procedures in allergology: World Allergy Organization Statement

Section subtitle Recommended site Emergency equipment availability Emergency staff (ICU) availability Duration of supervised follow-up in the office after procedure Comments
Skin testing (SPT and IDST)
With Inhalant and food allergens Both O and H (a) mandatory (c) not required 20 min Field skin testing (prick test only), for epidemiology studies, may also be carried out by trained medical personnel.
Skin testing with hymenoptera venoms Both O and H (a) mandatory (c) not required 20 min  
Skin testing with drugs O or H depending on the risk assessment (a) mandatory Comment: not applicable for patch testing available on site (a) or available within 30 min (b) depending on the risk assessment 20 min Patients at risk: Patients who are tested for anaphylactic reactions, or with a history of complicating conditions such as asthma, mastocytosis and severe cardiac disease
Skin testing with occupational allergens Both O and H (a) mandatory (c) not required 20 min  
Skin testing with latex Both O and H (a) mandatory (b) available within 30 min 20 min For some patients waiting time should be extended to 40 min
Bronchial challenge with allergen Both O and Ha (a) mandatory (b) available within 30 min 7 h aalthough outpatient clinic is acceptable the hospital setting is recommended
Bronchial challenge with lysine aspirin (Lys ASA BPT) Both O and H (a) mandatory (b) available within 30 min 1 h  
Nonspecific bronchial provocation tests (NS-BPT) Both O and H (a) mandatory (c) not required not required  
Nasal allergen provocation tests Both O and H (a) mandatory (b) available within 30 min 30 min  
Nasal aspirin provocation tests Both O and H (a) mandatory (b) available within 30 min 30 min  
Nasal endoscopy Both O and H (d) not required (c) not required not required unless complications occur  
Food challenges Both O and H (a) mandatory (a) available on site or (b) available within 30 min, depending on risk assessment 1-2 h after negative and 4 h after positive food challenge  
Oral drug provocation test O or H depending on risk assessment (a) mandatory (a) available within 5 min, or (b) available within 30 min, depending on risk assessment at least 2 h; hospitalization is recommended after severe reaction  
Insect sting challenge Both O and H (a) mandatory (b) available within 30 min at least 2 h until symptoms have disappeared  
  1. O: Outpatient clinic
  2. (a) mandatory
  3. (b) recommended
  4. (c) suggested
  5. (d) not required
  6. H: Hospital setting
  7. (a) available on site (in less than 5 min)
  8. (b) available within 30 min
  9. (c) not required