ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : -13 مورد

Indications for indefinite venom immunotherapy

Indications for indefinite venom immunotherapy
Life-threatening pretreatment SAR
High likelihood of recurrent stings in the future due to occupational or recreational activities*
Honey bee venom allergy and a high likelihood of recurrent stings in the future (eg, beekeepers and their family members)
Significant cardiovascular disease and/or concomitant use of ACE inhibitors or beta blockers
Recurrent SARs to VIT injections or recurrent SARs to re-stings during maintenance VIT
Requirement for higher venom doses to achieve adequate protection
Limitations in work or leisure activities due to anxiety concerning the residual risk of a repeat reaction
Known mast cell disorders or an elevated baseline level of serum tryptase
Patients with one or more of the above characteristics are at increased risk for recurrent SARs after stopping VIT or for a poor outcome resulting from anaphylaxis and are therefore candidates for indefinite therapy. The decision to continue or stop VIT should also incorporate the patient's comfort with risk and other preferences.

ACE: angiotensin-converting enzyme; SAR: systemic allergic reaction; VIT: venom immunotherapy.

* May not be an independent indication if initial SAR was mild.
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