Management of anaphylaxis due to COVID-19 vaccines in the elderly.
COVID-19 vaccines
adrenaline
anaphylaxis
older (adults/people)
Journal
Allergy
ISSN: 1398-9995
Titre abrégé: Allergy
Pays: Denmark
ID NLM: 7804028
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
19
03
2021
received:
09
02
2021
accepted:
29
03
2021
pubmed:
4
4
2021
medline:
6
10
2021
entrez:
3
4
2021
Statut:
ppublish
Résumé
Older adults, especially men and/or those with diabetes, hypertension, and/or obesity, are prone to severe COVID-19. In some countries, older adults, particularly those residing in nursing homes, have been prioritized to receive COVID-19 vaccines due to high risk of death. In very rare instances, the COVID-19 vaccines can induce anaphylaxis, and the management of anaphylaxis in older people should be considered carefully. An ARIA-EAACI-EuGMS (Allergic Rhinitis and its Impact on Asthma, European Academy of Allergy and Clinical Immunology, and European Geriatric Medicine Society) Working Group has proposed some recommendations for older adults receiving the COVID-19 vaccines. Anaphylaxis to COVID-19 vaccines is extremely rare (from 1 per 100,000 to 5 per million injections). Symptoms are similar in younger and older adults but they tend to be more severe in the older patients. Adrenaline is the mainstay treatment and should be readily available. A flowchart is proposed to manage anaphylaxis in the older patients.
Identifiants
pubmed: 33811358
doi: 10.1111/all.14838
pmc: PMC8251336
doi:
Substances chimiques
COVID-19 Vaccines
0
Epinephrine
YKH834O4BH
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2952-2964Subventions
Organisme : ARIA
ID : N/A
Informations de copyright
© 2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
Références
Allergy. 2021 Jun;76(6):1624-1628
pubmed: 33378789
Allergy. 2021 Jun;76(6):1629-1639
pubmed: 33452689
Resuscitation. 2021 Feb;159:137-149
pubmed: 33068641
J Allergy Clin Immunol Pract. 2019 Nov - Dec;7(8):2888-2890
pubmed: 31078763
J Med Virol. 2020 Jul;92(7):919-923
pubmed: 32297983
J Allergy Clin Immunol Pract. 2019 Mar;7(3):879-897.e5
pubmed: 30408615
N Engl J Med. 2020 May 21;382(21):2005-2011
pubmed: 32220208
Eur Ann Allergy Clin Immunol. 2021 Jan;53(1):4-17
pubmed: 32550734
Hypertension. 2020 Aug;76(2):366-372
pubmed: 32564693
JAMA. 2020 Jul 7;324(1):23-24
pubmed: 32442303
Ann Allergy Asthma Immunol. 2011 May;106(5):401-6
pubmed: 21530872
Int J Public Health. 2020 Apr;65(3):235-236
pubmed: 32277247
Allergy. 2008 Feb;63(2):226-32
pubmed: 18186813
Heliyon. 2020 Dec;6(12):e05684
pubmed: 33344791
J Am Med Dir Assoc. 2020 Jul;21(7):905-908
pubmed: 32674817
Front Immunol. 2019 Apr 24;10:750
pubmed: 31068925
Arch Gerontol Geriatr. 2021 Mar-Apr;93:104324
pubmed: 33352430
Int J Epidemiol. 2021 Jan 23;49(6):1909-1917
pubmed: 33053172
Allergy. 2014 Aug;69(8):1026-45
pubmed: 24909803
Allergy. 2018 Sep;73(9):1792-1800
pubmed: 29331045
Proc Natl Acad Sci U S A. 2020 Jul 14;117(28):16118-16120
pubmed: 32576696
Age Ageing. 2020 Aug 24;49(5):701-705
pubmed: 32402088
Curr Opin Allergy Clin Immunol. 2010 Aug;10(4):354-61
pubmed: 20543673
Int J Gen Med. 2012;5:117-21
pubmed: 22319249
Allergy. 2018 Jun;73(6):1322-1330
pubmed: 29318637
Lancet Public Health. 2020 Aug;5(8):e444-e451
pubmed: 32619408
Allergy. 2021 Jun;76(6):1617-1618
pubmed: 33320974
Lancet. 1977 Feb 26;1(8009):466-9
pubmed: 65572
World Allergy Organ J. 2015 Oct 28;8(1):32
pubmed: 26525001
Allergo J Int. 2014;23(3):96-112
pubmed: 26120521
Clin Exp Allergy. 2015 Aug;45(8):1288-95
pubmed: 25711241
Am J Ther. 2019 Nov/Dec;26(6):e755-e756
pubmed: 30648988
J Allergy Clin Immunol. 2019 Apr;143(4):1465-1473
pubmed: 30654049
Vaccine. 2007 Aug 1;25(31):5675-84
pubmed: 17448577
PLoS Pathog. 2020 Jun 22;16(6):e1008570
pubmed: 32569293
J Allergy Clin Immunol. 2019 Nov;144(5):1448-1450.e1
pubmed: 31415784
JAMA. 2021 Feb 23;325(8):780-781
pubmed: 33475702
J Allergy Clin Immunol Pract. 2021 Apr;9(4):1423-1437
pubmed: 33388478
Biol Sex Differ. 2020 May 25;11(1):29
pubmed: 32450906
Front Public Health. 2020 May 12;8:184
pubmed: 32574288
Br J Anaesth. 2021 Mar;126(3):e106-e108
pubmed: 33386124
J Am Med Dir Assoc. 2020 Jul;21(7):933-936
pubmed: 32674822
Eur Geriatr Med. 2020 Dec;11(6):899-913
pubmed: 33141405
Allergy. 2021 Nov;76(11):3307-3313
pubmed: 33657648
J Allergy Clin Immunol. 2014 Dec;134(6):1318-1328.e7
pubmed: 25280385
Allergy. 2016 Jul;71(7):931-43
pubmed: 27060567
Clin Mol Allergy. 2018 Apr 02;16:7
pubmed: 29618951
Allergy. 2016 Feb;71(2):135-6
pubmed: 26381421
Am J Med. 2014 Jan;127(1 Suppl):S6-11
pubmed: 24384138
J Allergy Clin Immunol Pract. 2015 Jan-Feb;3(1):76-80
pubmed: 25577622