Conlon N P, Abramovitch A, Murray G, O'Hanrahan A, Wallace D, Holohan K, Cleary N, Feighery C, Lee-Brennan C
Central Pathology Laboratory, Department of Immunology, St. James's Hospital, James Street, Dublin 8, Ireland,
Ir J Med Sci. 2015 Jun;184(2):349-52. doi: 10.1007/s11845-014-1117-0. Epub 2014 Apr 18.
There is an increasing demand for specialist public allergy services across Ireland. Little data exist on the patterns of allergic disease in Irish adults. The limited resources available require innovative strategies to ensure quality care delivery.
This study aimed to review the types of allergy referrals and diagnostic outcomes at a major Irish centre, and to establish an efficient method of communication with non-specialist practitioners.
Demographic data, referral characteristics and diagnostic outcomes from one hundred consecutive new allergy referrals were identified. Additionally, communications to a pilot email service were reviewed over a 12-month period and user satisfaction assessed.
Requests for the investigation of food allergy accounted for 71% of referrals. Despite this, the main diagnostic outcome in this cohort was a non-allergic condition, chronic spontaneous urticaria (56%). immunoglobulin E (IgE)-mediated food allergy was definitively diagnosed in only 9% of patients, with the majority of these presenting with anaphylaxis. The allergy advice email service received 43 requests for assistance over 12 months, mainly for help in the interpretation of an allergy clinical history. Feedback on the email service was universally positive.
The majority of patients in this cohort did not have IgE-mediated allergic disease. Increased awareness of the features that differentiate allergy from non-allergic conditions such as food intolerance or chronic spontaneous urticaria is required. The allergy advice email service should be developed further to play a key role in education and care delivery in partnership primary care.
爱尔兰对专科公共过敏服务的需求日益增加。关于爱尔兰成年人过敏性疾病模式的数据很少。可用资源有限，需要创新策略以确保提供高质量的护理。
本研究旨在回顾爱尔兰一家主要中心的过敏转诊类型和诊断结果，并建立与非专科医生的有效沟通方法。
确定了连续100例新的过敏转诊患者的人口统计学数据、转诊特征和诊断结果。此外，对一项试点电子邮件服务在12个月期间的通信情况进行了审查，并评估了用户满意度。
食物过敏调查请求占转诊的71%。尽管如此，该队列中的主要诊断结果是非过敏性疾病，即慢性自发性荨麻疹（56%）。仅9%的患者被明确诊断为免疫球蛋白E（IgE）介导的食物过敏，其中大多数表现为过敏反应。过敏咨询电子邮件服务在12个月内收到43次援助请求，主要是寻求过敏临床病史解读方面的帮助。对电子邮件服务的反馈普遍积极。
该队列中的大多数患者没有IgE介导的过敏性疾病。需要提高对区分过敏与食物不耐受或慢性自发性荨麻疹等非过敏性疾病特征的认识。应进一步发展过敏咨询电子邮件服务，以便在与初级保健合作的教育和护理提供中发挥关键作用。
