Wessel F
Allerg Immunol (Paris). 1996 Oct;28(8):282-7.
Allergy to hymenoptera venoms may produce anaphylactic reactions that are severe in 0.8 - 5% of the adult population, according to different epidemiological studies. The risk of a severe reaction in allergic patients who have not been desensitized is 50%. This risk falls to 5 - 10% for allergy to wasp and to 10 - 20% for allergy to bee (1, 2, 3, 4). Because of this serious and vital risk, there is a consensus to prescribe an emergency kit that contains auto-injectable adrenaline (5). An enquiry was made of the allergists of ANAFORCAL and their patients to find the actual practice in comparison with this consensus... 80 physicians and 181 patients replied. It seems that adrenalin is almost always prescribed, together with other products (antihistamines and corticosteroids the most frequent). On the other hand, the following of prescriptions by the patient is not always perfect. It is important therefore to check that the kit is regularly carried, that it is still valid and to be sure that the patient always knows how to manage the product.
根据不同的流行病学研究，膜翅目毒液过敏可能会引发过敏反应，在0.8%至5%的成年人群中会出现严重反应。在未进行脱敏治疗的过敏患者中，发生严重反应的风险为50%。对于黄蜂过敏，这种风险降至5%至10%，对于蜜蜂过敏则降至10%至20%（1、2、3、4）。鉴于这种严重且至关重要的风险，大家一致同意开具包含自动注射肾上腺素的急救包（5）。对法国变态反应与临床免疫学会（ANAFORCAL）的过敏症专科医生及其患者进行了一项调查，以了解与这一共识相比的实际做法……80名医生和181名患者进行了回复。似乎几乎总是会开具肾上腺素，以及其他产品（最常见的是抗组胺药和皮质类固醇）。另一方面，患者对处方的遵循情况并不总是理想。因此，重要的是要检查急救包是否经常携带、是否仍然有效，并确保患者始终知道如何使用该产品。
