Features of patients with anaphylaxis admitted to a university hospital

Jirapongsananuruk, Orathai; Bunsawansong, Wicharn; Piyaphanee, Nuntawan; Visitsunthorn, Nualanong; Thongngarm, Torpong; Vichyanond, Pakit

doi:10.1016/s1081-1206(10)60689-8

Cited by 67 publications

(66 citation statements)

References 15 publications

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“…Porter et al [10] reported an incidence of 2 cases per 5,000 admissions, whereas the International Collaborative Study of Severe Anaphylaxis [11] reported 1 case per 5,000 admissions (these figures are very similar to ours). A Thai series [19] including patients discharged with anaphylaxis codes from ICD-10 revealed a cumulative incidence of 0.3 episodes of anaphylaxis per 5,000 admissions. The first two studies applied a similar methodology [10,11] (prospective and research staff actively searching for cases of anaphylaxis in hospitalization wards), whereas the Thai study [19] used a retrospective design as we did.…”

Section: Discussionmentioning

confidence: 99%

“…A Thai series [19] including patients discharged with anaphylaxis codes from ICD-10 revealed a cumulative incidence of 0.3 episodes of anaphylaxis per 5,000 admissions. The first two studies applied a similar methodology [10,11] (prospective and research staff actively searching for cases of anaphylaxis in hospitalization wards), whereas the Thai study [19] used a retrospective design as we did. Although the two prospective studies provide an exhaustive list of all cases, our incidence rate, which was even higher than that found in the International Collaborative Study [11], and the high sensitivity of our search strategy lead us to believe that our figures are very close to the real figures in our institution.…”

Section: Discussionmentioning

confidence: 99%

“…By contrast, few reports [10,11,12] have analyzed the incidence of anaphylaxis during admission to hospital. Most studies analyze patients who have been admitted after attending the emergency room due to an episode of anaphylaxis [13,14,15,16,17,18,19,20,21,22]. …”

Section: Introductionmentioning

confidence: 99%

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Incidence of Anaphylaxis in Hospitalized Patients

Tejedor-Alonso

Moro²,

Hernández³

et al. 2011

Int Arch Allergy Immunol

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Background: Only two studies have analyzed the incidence of anaphylaxis during admission to hospital. We have analyzed the incidence of anaphylaxis among hospitalized patients and determined the timing of and risk factors for episodes of anaphylaxis. Methods: Our study was performed between 1999 and 2005. We used the definition of anaphylaxis of the NIAID-FAAN symposium. Cases of anaphylaxis were extracted from an official database of discharge diagnoses coded according to the International Classification of Diseases, Clinical Modification, Ninth Revision (ICD-9-CM), Sixth Edition. Specific and generic codes related to anaphylaxis were chosen. This strategy revealed 83.3% (95% confidence interval, CI, 47–99%) of all episodes of anaphylaxis in a pilot study. The incidence of episodes of anaphylaxis and the hazard ratios were calculated for the different variables. Results: We observed a crude cumulative incidence of 1.5 episodes of anaphylaxis (95% CI, 0.9–1.9) in 5,000 admissions. The cumulative incidence according to the Standardized European Population was 1.6 cases in 5,000 admissions (95% CI, 0.8–2.3). Cox regression analysis showed that anaphylaxis occurs mainly in young people (0.97; 95% CI, 0.95–0.99) and its incidence differs according to the clinical unit. The Vascular Surgery Unit had the highest incidence rate (hazard ratio 7.7; 95% CI, 2.1–28.6). Males had a lower risk of suffering from anaphylaxis than females (0.5; 95% CI, 0.2–0.9). Conclusions: Anaphylaxis is a very rare event among hospitalized patients. Female gender, young age and admission to the Vascular Surgery Unit favored the occurrence of episodes of anaphylaxis among hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence of Anaphylaxis in Hospitalized Patients

Tejedor-Alonso

Moro²,

Hernández³

et al. 2011

Int Arch Allergy Immunol

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“…This notion, however, has not been well documented formally with population-based studies. In contrast with peanut allergy, shellfish has been found to be one of the most common causes of food-induced anaphylaxis in several Asian populations, [12][13][14][15] indicating that the pattern of food allergy may vary between populations. This study set out to evaluate on a population basis the prevalence of peanut, tree nut, and seafood allergy among schoolchildren in 2 Asian populations.…”

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confidence: 99%

A population-based questionnaire survey on the prevalence of peanut, tree nut, and shellfish allergy in 2 Asian populations

Shek

Cabrera-Morales

Soh

et al. 2010

Journal of Allergy and Clinical Immunology

180

138

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“…Surprisingly, there is no report of M. rosenbergii allergy in any medical literature. From the anaphylaxis study at the Siriraj hospital, Thailand, there were subpopulations of shrimp allergic patients who developed anaphylaxis to freshwater shrimp but could tolerate seawater shrimp or vice versa (Jirapongsananuruk et al, 2007). The specific role of egg ovalbumin has been found in patients allergic to cow milk, casein, along with other two milk proteins immunoreacted with IgE antibody (Szabo and Eigenmann, 2000).…”

Section: Introductionmentioning

confidence: 99%

In Silico Characterization and Comparative Analysis of Allergenicity of Allergic Proteins from Different Food Sources

Chakraborty¹,

Foysal²,

Hasan³

et al. 2015

American Journal of Biochemistry and Biotechnology

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Allergy is a steadily increasing health problem for all age groups. In general, it's recommended that 10-35% of our daily calories come from protein. A complete protein source is one that provides all of the essential amino acids called high quality proteins. Although animalbased foods; for example, meat, poultry, fish, milk, eggs, are considered complete protein sources these are the common sources of causing allergenicity. In case of meat Bos taurus, prawn Penaeus monodon and egg Gallus gallus are found to be the most responsible for triggering allergenicity. The current study has disclosed the best alternative sources for meat, prawn and egg through in silico characterization and comparative analysis of allergic proteins (Myoglobin Ovomucoid, Lysozyme, Ovalbumin, Ovotransferrin, Tropomyosin) with other common sources of meat (Capra hircus, Ovis aries, Gallus gallus, Sus scrofa), prawn (Fenneropenaeus merguiensis, Macrobrachium rosenbergii, Metapenaeus ensis, Pandalus borealis) and egg (Anas platyrhynchos). Analyzing the results we found that Gallus gallus, Macrobrachium rosenbergii, Anas platyrhynchos would be the safe source for meat, prawn and egg respectively.

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Features of patients with anaphylaxis admitted to a university hospital

Cited by 67 publications

References 15 publications

Incidence of Anaphylaxis in Hospitalized Patients

Incidence of Anaphylaxis in Hospitalized Patients

A population-based questionnaire survey on the prevalence of peanut, tree nut, and shellfish allergy in 2 Asian populations

In Silico Characterization and Comparative Analysis of Allergenicity of Allergic Proteins from Different Food Sources

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