COVID-19 pandemic: Practical considerations on the organization of an allergy clinic-An EAACI/ARIA Position Paper.

COVID-19 Position Paper SARS-CoV-2 allergen immunotherapy allergy clinic anaphylaxis asthma clinical trials psychological impact

Journal

Allergy
ISSN: 1398-9995
Titre abrégé: Allergy
Pays: Denmark
ID NLM: 7804028

Informations de publication

Date de publication:
03 2021
Historique:
received: 18 05 2020
revised: 08 06 2020
accepted: 10 06 2020
pubmed: 13 6 2020
medline: 19 3 2021
entrez: 13 6 2020
Statut: ppublish

Résumé

The coronavirus disease 2019 (COVID-19) has evolved into a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Allergists and other healthcare providers (HCPs) in the field of allergies and associated airway diseases are on the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics. The scientific information on COVID-19 was analysed by a literature search in MEDLINE, PubMed, the National and International Guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library, and the internet. Based on the diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations, and on previous experience, a panel of experts including clinicians, psychologists, IT experts, and basic scientists along with EAACI and the "Allergic Rhinitis and its Impact on Asthma (ARIA)" initiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies. This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients while ensuring the necessary safety measures in the current COVID-19 pandemic.

Sections du résumé

BACKGROUND
The coronavirus disease 2019 (COVID-19) has evolved into a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Allergists and other healthcare providers (HCPs) in the field of allergies and associated airway diseases are on the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics.
METHOD
The scientific information on COVID-19 was analysed by a literature search in MEDLINE, PubMed, the National and International Guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library, and the internet.
RESULTS
Based on the diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations, and on previous experience, a panel of experts including clinicians, psychologists, IT experts, and basic scientists along with EAACI and the "Allergic Rhinitis and its Impact on Asthma (ARIA)" initiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies.
CONCLUSIONS
This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients while ensuring the necessary safety measures in the current COVID-19 pandemic.

Identifiants

pubmed: 32531110
doi: 10.1111/all.14453
pmc: PMC7323448
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

648-676

Informations de copyright

© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

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Auteurs

Oliver Pfaar (O)

Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.

Ludger Klimek (L)

Center for Rhinology and Allergology, Wiesbaden, Germany.

Marek Jutel (M)

Department of Clinical Immunology, Wrocław Medical University, and ALL-MED Medical Research Institute, Wrocław, Poland.

Cezmi A Akdis (CA)

Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.

Jean Bousquet (J)

Department of Dermatology and Allergy, Comprehensive Allergy Center Charité, Charité Universitaetsmedizin Berlin, a Member of GA2LEN, Berlin, Germany.
University Hospital Montpellier, Montpellier, France.
MACVIA-France, Montpellier, France.

Heimo Breiteneder (H)

Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.

Sharon Chinthrajah (S)

Sean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.

Zuzana Diamant (Z)

Department of Respiratory Medicine & Allergology, Institute for Clinical Science, Skane University Hospital, Lund University, Lund, Sweden.
Department of Respiratory Medicine, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic.
Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Thomas Eiwegger (T)

Translational Medicine Program, Peter Gilgan Centre for Research and Learning, Hospital for Sick Children, Toronto, ON, Canada.
Departments of Paediatrics and Immunology, Division of Immunology and Allergy, Food Allergy and Anaphylaxis Program, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Department of Immunology, University of Toronto, Toronto, ON, Canada.

Wytske J Fokkens (WJ)

Department of Otorhinolaryngology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.

Hans-Walter Fritsch (HW)

Department of Information-Technology (IT), University Hospital Marburg, Marburg, Germany.

Kari C Nadeau (KC)

Sean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.

Robyn E O'Hehir (RE)

Allergy, Asthma & Clinical Immunology, Alfred Health, Melbourne, VIC, Australia.
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC, Australia.

Liam O'Mahony (L)

Departments of Medicine and Microbiology, APC Microbiome Ireland, University College Cork, Cork, Ireland.

Winfried Rief (W)

Department of Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany.

Vanitha Sampath (V)

Sean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.

Manfred Schedlowski (M)

Institute of Medical Psychology and Behavioral Immunobiology, University Clinic Essen, Essen, Germany.

María José Torres (MJ)

Allergy Unit, Malaga Regional University Hospital-UMA-ARADyAL, Málaga, Spain.

Claudia Traidl-Hoffmann (C)

Chair and Institute of Environmental Medicine, UNIKA-T, Technical University of Munich and Helmholtz Zentrum München, Augsburg, Germany.
Outpatient Clinic for Environmental Medicine, University Hospital, Augsburg, Germany.

De Yun Wang (Y)

Department of Otolaryngology, National University of Singapore, Singapore, Singapore.

Luo Zhang (L)

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Beijing, China.
Department of Allergy, Beijing Tongren Hospital, Beijing, China.

Matteo Bonini (M)

Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
National Heart and Lung Institute (NHLI), Imperial College London, London, UK.

Randolf Brehler (R)

Department of Allergology, Occupational Dermatology and Environmental Medicine, University Hospital Münster, Münster, Germany.

Helen Annaruth Brough (HA)

Children's Allergy Service, Evelina Children's Hospital, Guy's and St. Thomas' Hospital NHS Foundation Trust, London, UK.
Paediatric Allergy Group, Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.

Tomás Chivato (T)

School of Medicine, University CEU San Pablo, Madrid, Spain.

Stefano R Del Giacco (SR)

Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Stephanie Dramburg (S)

Department of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité Universitaetsmedizin, Berlin, Germany.

Radoslaw Gawlik (R)

Department of Internal Medicine, Allergology, Clinical Immunology Medical University of Silesia, Katowice, Poland.

Aslı Gelincik (A)

Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Karin Hoffmann-Sommergruber (K)

Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.

Valerie Hox (V)

Department of Otorhinolaryngology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.

Edward F Knol (EF)

Departments of Immunology and Dermatology/Allergology, University Medical Center Utrecht, Utrecht, The Netherlands.

Antti Lauerma (A)

Department of Dermatology and Allergology, Helsinki University Hospital Inflammation Centre, University of Helsinki, Helsinki, Finland.

Paolo M Matricardi (PM)

Department of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité Universitaetsmedizin, Berlin, Germany.

Charlotte G Mortz (CG)

Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark.

Markus Ollert (M)

Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg.

Oscar Palomares (O)

Department of Biochemistry and Molecular Biology, Chemistry School, Complutense University of Madrid, Spain.

Carmen Riggioni (C)

Pediatric Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Barcelona, Spain.
Institut de Recerca Sant Joan de Déu, Barcelona, Spain.

Jürgen Schwarze (J)

Centre for Inflammation Research and Child Life and Heath, the University of Edinburgh, Edinburgh, UK.

Isabel Skypala (I)

National Heart and Lung Institute (NHLI), Imperial College London, London, UK.
Royal Brompton and Harefield NHS Foundation Trust, London, UK.

Eva Untersmayr (E)

Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.

Jolanta Walusiak-Skorupa (J)

Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland.

Ignacio J Ansotegui (IJ)

Department of Allergy and Immunology, Hospital Quironsalud Bizkaia, Erandio, Spain.

Claus Bachert (C)

ENT Department, Upper Airways Research Laboratory, Ghent University Hospital, Ghent, Belgium.
International Airway Research Center, First Affiliated Hospital Guangzou, Sun Yat-sen University, Guangzou, China.
Division of ENT Diseases, CLINTEC, Karolinska Institutet, Stockholm, Sweden.

Anna Bedbrook (A)

MACVIA-France, Montpellier, France.

Sinthia Bosnic-Anticevich (S)

Woolcock Institute of Medical Research, Woolcock Emphysema Centre, University of Sydney, Glebe, NSW, Australia.

Luisa Brussino (L)

Department of Medical Sciences, Allergy and Clinical Immunology Unit, University of Torino & Mauriziano Hospital, Torino, Italy.

Giorgio Walter Canonica (GW)

Personalized Medicine Asthma & Allergy Clinic Humanitas University & Research Hospital-IRCCS, Milano, Italy.

Victoria Cardona (V)

Department of Internal Medicine, Allergy Section, Hospital Vall d'Hebron & ARADyAL Research Network, Barcelona, Spain.

Pedro Carreiro-Martins (P)

Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
NOVA Medical School/Comprehensive Health Research Center (CHRC), Universidade Nova de Lisboa, Lisbon, Portugal.

Alvaro A Cruz (AA)

ProAR - Nucleo de Excelencia em Asma, Federal University of Bahia, Bahia, Brasil.
GARD/WHO Executive Committee, Bahia, Brazil.

Wienczyslawa Czarlewski (W)

MACVIA-France, Montpellier, France.
Medical Consulting Czarlewski, Levallois-Perret, France.

João A Fonseca (JA)

Faculdade de Medicina da Universidade do Porto, CINTESIS, Center for Research in Health Technologies and Information Systems, Porto, Portugal.
MEDIDA, Lda, Porto, Portugal.

Maia Gotua (M)

Center of Allergy and Immunology, Tbilisi, Georgia.
David Tvildiani Medical University in Tbilisi, Tbilisi, Georgia.

Tari Haahtela (T)

Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Juan Carlos Ivancevich (JC)

Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina.

Piotr Kuna (P)

Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland.

Violeta Kvedariene (V)

Department of Pathology, Faculty of Medicine, Institute of Biomedical Sciences, Vilnius University, Vilnius, Lithuania.
Faculty of Medicine, Institute of Clinical medicine, Clinic of Chest Diseases and Allergology, Vilnius University, Vilnius, Lithuania.

Désirée Erlinda Larenas-Linnemann (DE)

Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico.

Amir Hamzah Abdul Latiff (AH)

Allergy & Immunology Centre, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.

Mika Mäkelä (M)

Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Mário Morais-Almeida (M)

Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal.

Joaquim Mullol (J)

ENT Department, Rhinology Unit & Smell Clinic, Hospital Clinic - Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Catalonia, Spain.

Robert Naclerio (R)

Johns Hopkins School of Medicine, Baltimore, MD, USA.

Ken Ohta (K)

Japan Anti-Tuberculosis Association (JATA), Fukujuji Hospital, and National Hospital Organization (NHO), Tokyo National Hospital, Tokyo, Japan.

Yoshitaka Okamoto (Y)

Chiba University and Chiba Rosai Hospital, Chiba, Japan.

Gabrielle L Onorato (GL)

MACVIA-France, Montpellier, France.

Nikolaos G Papadopoulos (NG)

Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK.
Allergy Department, 2nd Pediatric Clinic, Athens General Children's Hospital "P&A Kyriakou", University of Athens, Athens, Greece.

Vincenzo Patella (V)

Allergy and Clinical Immunology, Department of Internal Medicine, Santa Maria della Speranza Hospital, Salerno, Italy.

Frederico S Regateiro (FS)

Allergy and Clinical Immunology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Institute of Immunology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
ICBR - Coimbra Institute for Clinical and Biomedical Research, CIBB, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

Bolesław Samoliński (B)

Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.

Charlotte Suppli Ulrik (C)

Department of Respiratory Medicine, Hvidovre Hospital, Hvidovre, Denmark.
Faculty of Health Sciences, Institute of Clinical Medicine, University of Copenhagen, Denmark.

Sanna Toppila-Salmi (S)

Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Arunas Valiulis (A)

Faculty of Medicine, Institute of Clinical Medicine & Institute of Health Sciences, Vilnius University, Vilnius, Lithuania.

Maria-Teresa Ventura (MT)

Interdisciplinary Department of Medicine, Unit of Geriatric Immunoallergology, University of Bari Medical School, Bari, Italy.

Arzu Yorgancioglu (A)

Department of Pulmonary Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.

Torsten Zuberbier (T)

Department of Dermatology and Allergy, Comprehensive Allergy Center Charité, Charité Universitaetsmedizin Berlin, a Member of GA2LEN, Berlin, Germany.

Ioana Agache (I)

Transylvania University, Brasov, Romania.
Theramed Medical Center, Brasov, Romania.

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