Avoid performing routine allergy testing in children with acute urticaria.
The diagnosis of acute urticaria is basically clinical and infections (in particular viral infections) account the far most common cause during childhood. Testing patients for allergies is indicated only when there is a close temporal relationship between food...
Avoid contraindicating routinely vaccination in case of allergies.
A history of allergies or mild allergic reactions are not contraindications to vaccination. Local and mild systemic reactions (redness of the injection site and/or fever) after vaccination reactions are common and do not contraindicate the administration of doses of...
Don’t treat patients sensitized to allergens or aptens if there is not a clear correlation between exposure to that specific allergen/apten and symptoms suggestive of allergic reaction. This recommendation is particularly strong for allergen immunotherapy and elimination diets.
The finding of a positive allergometric test for an allergen whose exposure is not related to any typical allergic symptom is uniquely indicative of an immunological sensitization.Therefore, there is no indication to treat patients only sensitized to allergens or...
Don’t perform serological allergy tests (i.e.: total IgE, specific IgE, ISAC) as first-line tests or as “screening” assays.
Cutaneous allergometric tests, if possible, should be preferred and considered as the first diagnostic level in case of patients with clinical history of suspect allergic reactions, as they are more rapid, less invasive and cheaper than serological tests. Exceptions...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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