Survey on the proper use of an adrenaline auto-injector in 551 Japanese outdoor workers after Hymenoptera stings

Dear Editor, Hymenoptera stings are an occupational hazard for forest workers and beekeepers, and often lead to allergic reactions. Specific immunoglobulin E (sIgE) antibodies to Hymenoptera venom are present in approximately 40% of Japanese forestry workers and 72% of Japanese beekeepers. Administr...

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Bibliographic Details
Published in:Allergology International 2018-01, Vol.67 (1), p.153-155
Main Authors: Hirata, Hirokuni, Yoshida, Naruo, Tatewaki, Masamitsu, Shiromori, Sadaaki, Sato, Kozo, Wakayama, Tomoshige, Tokita, Shingo, Sugiyama, Kumiya, Arima, Masafumi, Kurasawa, Kazuhiro, Fukuda, Takeshi, Shima, Daisuke, Fukushima, Yasutsugu
Format: Article
Language:English
Subjects:
Anaphylaxis - epidemiology
Anaphylaxis - ethnology
Anaphylaxis - prevention & control
Animals
Epinephrine - administration & dosage
Health Surveys
Humans
Hymenoptera - immunology
Insect Bites and Stings - immunology
Japan - epidemiology
Pre-Exposure Prophylaxis
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Summary:Dear Editor, Hymenoptera stings are an occupational hazard for forest workers and beekeepers, and often lead to allergic reactions. Specific immunoglobulin E (sIgE) antibodies to Hymenoptera venom are present in approximately 40% of Japanese forestry workers and 72% of Japanese beekeepers. Administration of adrenaline is vital for prevention of anaphylactic shock after Hymenoptera stings. Recently, we reported that around 6-33% of Japanese outdoor workers (forestry workers, building contractors, and electrical facility field workers) and 11% of Japanese beekeepers with sIgE antibodies to Hymenoptera venom had been prescribed an adrenaline auto-injector. In addition, only 23-57% of Japanese outdoor workers and 29% of Japanese beekeepers with a history of a systemic reaction to a Hymenoptera sting and positive sIgE to Hymenoptera venom had been prescribed adrenaline auto-injectors. Furthermore, only 30-50% of Japanese outdoor workers and 30% of Japanese beekeepers with a history of a systemic reaction to a Hymenoptera sting usually carried an adrenaline auto-injector.
ISSN:1323-8930
1440-1592
DOI:10.1016/j.alit.2017.06.009