Allergy and coronavirus disease (COVID-19) international survey: Real-life data from the allergy community during the pandemic.

Allergen immunotherapy Allergy Asthma Biological agents COVID-19 Coronavirus Inhaled steroids Prevention Treatment

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:
Feb 2021
Historique:
received: 17 09 2020
revised: 17 01 2021
accepted: 22 01 2021
pubmed: 9 2 2021
medline: 9 2 2021
entrez: 8 2 2021
Statut: ppublish

Résumé

The COVID-19 outbreak brought an unprecedented challenge to the world. Knowledge in the field has been increasing exponentially and the main allergy societies have produced guidance documents for better management of allergic patients during this period. However, few publications so far have provided real-life data from the allergy community concerning allergy practice during the COVID-19 outbreak. Therefore, we proposed an international survey on the management of allergic patients during the current pandemic. We performed an online survey undertaken to reach out the worldwide allergy community by e-mail and social media. The web-based questionnaire contained 24 questions covering demographic data from the participants, clinical practice during this period, and questions related to the new international classification and coding tools addressed for COVID-19. It was circulated for 8 weeks and had anonymous and volunteer context. Data are presented for 635 participants from 78 countries of all continents. Allergists with long-term professional experience were the main audience. As expected, we received many responses as "I have no data" or "I don't know" to the questions of the survey. However, most with more experience on managing allergic patients during the pandemic agreed that patients suffering from allergic or hypersensitivity conditions have no increased risk of contracting COVID-19 or developing SARS CoV-2. Also, participants mentioned that none of the allergy treatments (inhaled corticosteroids, allergen immunotherapy, biological agents) increased the risk of contracting COVID-19 infection including severe presentations. The data presented are a starting point in the process of getting feedback on all the recommendations provided by the allergy societies; it could also be the basis of new strategies to support health professionals while new COVID-19 specific treatments and vaccines are being explored. The information here presented intends to be helpful to the community but represents a course of action in a highly specific situation due to the state of emergency, and it should be helpful to health systems.

Sections du résumé

BACKGROUND BACKGROUND
The COVID-19 outbreak brought an unprecedented challenge to the world. Knowledge in the field has been increasing exponentially and the main allergy societies have produced guidance documents for better management of allergic patients during this period. However, few publications so far have provided real-life data from the allergy community concerning allergy practice during the COVID-19 outbreak. Therefore, we proposed an international survey on the management of allergic patients during the current pandemic.
METHODS METHODS
We performed an online survey undertaken to reach out the worldwide allergy community by e-mail and social media. The web-based questionnaire contained 24 questions covering demographic data from the participants, clinical practice during this period, and questions related to the new international classification and coding tools addressed for COVID-19. It was circulated for 8 weeks and had anonymous and volunteer context.
RESULTS RESULTS
Data are presented for 635 participants from 78 countries of all continents. Allergists with long-term professional experience were the main audience. As expected, we received many responses as "I have no data" or "I don't know" to the questions of the survey. However, most with more experience on managing allergic patients during the pandemic agreed that patients suffering from allergic or hypersensitivity conditions have no increased risk of contracting COVID-19 or developing SARS CoV-2. Also, participants mentioned that none of the allergy treatments (inhaled corticosteroids, allergen immunotherapy, biological agents) increased the risk of contracting COVID-19 infection including severe presentations.
CONCLUSION CONCLUSIONS
The data presented are a starting point in the process of getting feedback on all the recommendations provided by the allergy societies; it could also be the basis of new strategies to support health professionals while new COVID-19 specific treatments and vaccines are being explored. The information here presented intends to be helpful to the community but represents a course of action in a highly specific situation due to the state of emergency, and it should be helpful to health systems.

Identifiants

pubmed: 33552380
doi: 10.1016/j.waojou.2021.100515
pii: S1939-4551(21)00009-0
pmc: PMC7847410
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100515

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they do not have conflict of interests related to the contents of this article.

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Auteurs

Luciana Kase Tanno (LK)

Hospital Sírio-Libanês, Brazil.
University Hospital of Montpellier, Montpellier, France.
Sorbonne Université, INSERM UMR-S 1136, IPLESP, Equipe EPAR, 75013, Paris, France.
WHO Collaborating Centre on Scientific Classification Support, Montpellier, France.

Pascal Demoly (P)

University Hospital of Montpellier, Montpellier, France.
Sorbonne Université, INSERM UMR-S 1136, IPLESP, Equipe EPAR, 75013, Paris, France.
WHO Collaborating Centre on Scientific Classification Support, Montpellier, France.

Bryan Martin (B)

Medicine and Pediatrics, The Ohio State University in Columbus, Ohio, USA.

Jonathan Berstein (J)

Department of Internal Medicine, Division of Immunology/Allergy Section at the University of Cincinnati Medical Center, USA.

Mario Morais-Almeida (M)

Allergy Centre, CUF Descobertas Hospital, Lisbon, Portugal.

Michael Levin (M)

Division Paediatric Allergology, University of Cape Town, Cape Town, South Africa.

Alessandro Fiocchi (A)

Predictive and Preventive Medicine Research Unit, Multifactorial and Systemic Diseases Research Area, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Mario Sánchez-Borges (M)

Allergy and Clinical Immunology Department, Centro Medico Docente la Trinidad and Clinica El Avila, Caracas, Venezuela.

Luis R Caraballo (LR)

Institute for Immunological Research, University of Cartagena, Cartagena de Indias, Colombia.

Gary Wong (G)

Department of Paediatrics, Chinese University of Hong Kong, Hong Kong.

José Antonio Ortega-Martell (JA)

School of Medicine, Autonomous University of Hidalgo State, Pachuca, Hidalgo, Mexico.

Philip Rouadi (P)

Department of Otolaryngology-Head and Neck Surgery, Eye and Ear University Hospital, Beirut, Lebanon.

Anahí Yáñez (A)

INAER-Investigaciones en Alergia y Enfermedades Respiratorias, Buenos Aires, Argentina.

Liang Lu Wang (LL)

Department of Allergy, Peking Union Medical College Hospital, Beijing, China.

David B Peden (DB)

Division of Allergy, Immunology & Rheumatology, Department of Pediatrics, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Manana Chikhladze (M)

Medical Faculty at Akaki Tsereteli State University, Tskaltubo, KuTaisi, Georgia.

Sandra N González-Díaz (SN)

Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico.

Jean-François Fontaine (JF)

Département des Maladies Allergiques et Respiratoires, University Hospital of Reims, Reims, France.

James Sublett (J)

Pediatric Allergy & Immunology, University of Louisville School of Medicine, Louisville, KY, USA.

Yoon-Seok Chang (YS)

Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Giovanni Passalacqua (G)

Allergy and Respiratory Diseases, IRCCS Policlinico San Martino, University of Genoa, Genoa, Italy.

Ignacio J Ansotegui (IJ)

Hospital Quironsalud Bizkaia, Erandio, Bilbao, Spain.

Motohiro Ebisawa (M)

National Hospital Organization, Sagamihara National Hospital, Sagamihara, Kanagwa, Japan.

Gianenrico Senna (G)

Department of Medicine, Allergy Asthma and Clinical Immunology Section, University Hospital of Verona, Verona Italy.

Marco Caminati (M)

Department of Medicine, Allergy Asthma and Clinical Immunology Section, University Hospital of Verona, Verona Italy.
Department of Medicine, University of Verona, Italy.

Classifications MeSH