The HIT study: Hymenoptera Identification Test—how accurate are people at identifying stinging insects?

Baker, Troy W.; Forester, Joseph P.; Johnson, Monica L.; Stolfi, Adrienne; Stahl, Mark C.

doi:10.1016/j.anai.2014.05.029

Cited by 42 publications

(27 citation statements)

References 10 publications

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“…Most sting‐related anaphylaxis deaths occurred in amateur bee‐keepers or involved disturbing nests, with implications for greater sting‐related morbidity and perhaps mortality if the practice of locating hives in urban and city areas becomes more popular. The higher fatality rates observed for honeybees compared to wasps is better explained by the relative frequency of interaction between humans and stinging insects, than the relative allergenicity of the venoms although in interpreting our data one needs be aware that attributing the cause of death relies on patient or eye witness reports of insect identification, which has been shown to not always be reliable . That tick bite anaphylaxis usually occurs within minutes of accidental disturbance or attempts at manual removal has prompted Australian recommendations to instead freeze (and thus kill) the tick in situ with an ether‐containing spray , shown in one pilot study to reduce anaphylaxis risk compared with manual removal .…”

Section: Discussionmentioning

confidence: 95%

Increases in anaphylaxis fatalities in Australia from 1997 to 2013

Mullins

Wainstein

Barnes

et al. 2016

Clin Experimental Allergy

231

252

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Section: Discussionmentioning

confidence: 95%

Increases in anaphylaxis fatalities in Australia from 1997 to 2013

Mullins

Wainstein

Barnes

et al. 2016

Clin Experimental Allergy

231

252

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“…The frequency of clinical cross-reactions in people with symptoms is higher than the frequency of individuals with IgE to both bee and wasp venoms. This most likely reflects difficulties in identification of the insects [18] as well as the fact that some of the reactions were not allergic ones. IgE to the major venom allergens rApi m 1, rVes v 1 and rVes v 5 have been shown to have a very high sensitivity and specificity when investigating DS patients [19,20,21,22].…”

Section: Discussionmentioning

confidence: 99%

Insect Sting Reactions and Specific IgE to Venom and Major Allergens in a General Population

Mosbech

Tang²,

Linneberg³

2016

Int Arch Allergy Immunol

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Background: Insect sting reactions are frequently reported, but population studies documenting the frequency and the relation to IgE-sensitization and serum tryptase are scarce. Methods: Questionnaire data and results from measurements of specific IgE against venom, major allergens and cross-reacting carbohydrate determinants (CCDs) were collected from 2,090 adult participants in a cross-sectional survey. Results: 13% of the population reported symptoms of sting reactions and about half were systemic in nature. In all, 15% were sensitized to venom but only 31% of these had reacted to stings and only 38% of those with reactions had IgE to venom. In addition, 12% with IgE to venom were double-sensitized (DS), i.e. to both bee and wasp venom. Among DS IgE to major venom allergens, rApi m 1, rVes v 1 and rVes v 5 were negative and of no help in 31%, but 59% could be identified as likely sensitized to bee or wasp. IgE to CCDs occurred in only 0.7%, but 80% of these were DS. Finally, 36% with IgE to CCDs had had symptoms, mostly local. Serum tryptase was not associated with a history of sting reactions. Conclusions: In a temperate climate, self-reported insect sting reactions and sensitization to venom are frequent, but in most cases, these are not seen in the same individual. In DS individuals, measurements of IgE to major allergens can be helpful in some but not all cases and additional analyses are needed. IgE to CCDs may have some clinical relevance.

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“…It may be useful to show the patient an entomological notice board to facilitate the identification of the stinging insect; 73% of Vespula-allergic patients accurately identify this kind of hymenoptera on the board [88].…”

Section: Diagnostic Criteriamentioning

confidence: 99%

Hymenoptera Venom Allergy: Management of Children and Adults in Clinical Practice

Bilò

Pravettoni

Bignardi

et al. 2019

J Investig Allergol Clin Immunol

115

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Hymenoptera venom allergy is an epidemiologically underestimated condition representing an important cause of morbidity worldwide. Preventing future allergic reactions in patients who have developed a systemic reaction is based on the correct management of emergency followed by a correct diagnosis, prescription of adrenaline autoinjectors and, where indicated, specific venom immunotherapy (VIT). Some epidemiological studies highlight the poor knowledge of this disease and the frequent inadequacy of its management. Moreover, they emphasize the importance of such a life-saving treatment as specific immunotherapy. The availability of high quality Hymenoptera venom extracts for diagnostic and therapeutic use has dramatically improved the prognosis and the quality of life of allergic patients. The subcutaneous VIT represents the most effective form of immunotherapy with allergen presently available, with a carry-over effect lasting up to several years after its interruption. This report on the management of children and adults allergic to Hymenoptera venom was drawn up by a panel of Italian experts. The main objective of this consensus is to review the scientific evidences related to diagnosis, therapy and management of patients allergic to Hymenoptera venom and is aimed to improve the knowledge about this disease and promote good clinical practices. Practical suggestions for a correct diagnosis, prescription of emergency therapy and immunotherapy, as well as strategies for taking care of patients´ management are included.

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The HIT study: Hymenoptera Identification Test—how accurate are people at identifying stinging insects?

Cited by 42 publications

References 10 publications

Increases in anaphylaxis fatalities in Australia from 1997 to 2013

Increases in anaphylaxis fatalities in Australia from 1997 to 2013

Insect Sting Reactions and Specific IgE to Venom and Major Allergens in a General Population

Hymenoptera Venom Allergy: Management of Children and Adults in Clinical Practice

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