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Table 2 Summary of Safety Recommendations for Therapeutic 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

Subcutaneous immunotherapy with inhalant allergens

Both O and H

(a) mandatory

(a) available on site (in less than 5 min), or (b) available within 30 min, depending on risk assessment and the immunotherapy protocol used

30 min

 

Venom immunotherapy

Both O and H

(a) mandatory

(b) should be available on site, (in less than 5 min) or within 30 min, depending on the risk assessment and the immunotherapy protocol used

30 min

 

Drug desensitization procedures

O or H depending on risk assessment

(a) mandatory

(a) available on site (in less than 5 min)

30 min after acute reactions

Waiting time can be extended to 24-98 h for delayed reactions

Oral immunotherapy for food allergy

Both O and H

(a) mandatory

available within 5 minutess (a) or available within 30 min (b) depending on risk assessment

2 h

Currently not recommended for routine clinical use

Treatment with Anti-IgE and other biologicals

 

(a) mandatory

(b) available within 30 min

2 h for the first administration;30 min for succesive administration

 

Treatment with products from human plasma

 

(a) mandatory

(b) available within 30 min

30 min

 
  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