Some individuals are hypersensitive the insect sting and may develop anaphylaxis. The American Academy of Allergy, Asthma and Immunology (AAAAI) and the American College of Allergy, Asthma and Immunology (ACAAI) have jointly provided an updated guideline for the management of this condition. This article highlights the diagnosis and treatment algorithm as provided in the guideline.
The Algorithm: Take accurate and specific detailed history and examine the patient If there is an anaphylactic r eaction, then prescribe self-administrable adrenaline injection and recommend avoiding insects. If there is NO anaphylactic reaction but you observed dermal reaction (systemic or local) then in special circumstances follow step-2 (prescribe adrenaline self-injection); otherwise, it is unnecessary to perform skin test or immunotherapy If positive for anaphylaxis, skin test should be performed. If…
