Development of algorithms for the diagnosis and management of acute allergy in primary practice.

AMSS, Allergy management support system Allergy Diagnosis EAACI, European Academy of Allergy and Clinical Immunology GP, General practitioner NICE, National Institute for Health and Care Excellence Primary care

Journal

The World Allergy Organization journal
ISSN: 1939-4551
Titre abrégé: World Allergy Organ J
Pays: United States
ID NLM: 101481283

Informations de publication

Date de publication:
2019
Historique:
received: 28 09 2018
revised: 30 01 2019
accepted: 05 02 2019
entrez: 3 4 2019
pubmed: 3 4 2019
medline: 3 4 2019
Statut: epublish

Résumé

Most patients presenting with allergies are first seen in the primary care setting. However, inadequacies in training and available guidance for general practitioners (GP) have been identified as significantly impacting the quality of care for these patients, resulting in inefficient use of healthcare resources. To address the lack of available guidance, a working group of French allergists has developed a series of online tools aimed at GPs. The expert panel developed algorithms for the diagnosis and treatment of common allergies by incorporating deliberations based on clinical guidelines and experience. In addition, they developed tables of common symptoms and detailed clinical cases that guide GPs through the typical decisions they are faced with in line with current best practice. These tools translate evidence-based recommendations from international clinical guidelines, outlining the key steps involved and assisting the physician in making decisions at each step. In addition to targeting improvements in diagnosis and standard of primary care, the tools also aim to reduce the burden on specialist allergy services by enabling GPs to diagnose and treat mild and moderate allergies, referring only severe and/or atypical cases to secondary care. The tools are adapted to the high primary care workload, enabling the physician to access essential information rapidly without unnecessary referrals to specialist allergy services.

Identifiants

pubmed: 30937144
doi: 10.1016/j.waojou.2019.100022
pii: S1939-4551(19)30110-3
pii: 100022
pmc: PMC6439400
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100022

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Auteurs

Pascal Demoly (P)

Division of Allergy, Department of Pulmonology, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Montpellier, France.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Department of Pediatrics, Hôpital Delafontaine, Saint Denis, France.
Service des Maladies Respiratoires et Allergiques, Centre Hospitalier Universitaire, 45 rue Cognacq Jay, 51092, Reims Cedex, France.
Service de Pneumologie et Allergologie Pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Habib Chabane (H)

Department of Pediatrics, Hôpital Delafontaine, Saint Denis, France.
Service des Maladies Respiratoires et Allergiques, Centre Hospitalier Universitaire, 45 rue Cognacq Jay, 51092, Reims Cedex, France.
Service de Pneumologie et Allergologie Pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Jean-François Fontaine (JF)

Service des Maladies Respiratoires et Allergiques, Centre Hospitalier Universitaire, 45 rue Cognacq Jay, 51092, Reims Cedex, France.
Service de Pneumologie et Allergologie Pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Delphine de Boissieu (D)

Service de Pneumologie et Allergologie Pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Dermot Ryan (D)

Allergy and Respiratory Research Group, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Elizabeth Angier (E)

Department of Clinical Immunology and Allergy, Northern General Hospital, Sheffield Teaching Hospital, Herries Road, Sheffield S5 7AU, UK.
INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Jocelyne Just (J)

INSERM UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Université, Paris, France.
Allergology Department, Centre de l'Asthme et des Allergies, Hôpital d'Enfants Armand-Trousseau - APHP, 26, Paris Cedex 12, France.

Classifications MeSH