COVID-19 pandemic: Practical considerations on the organization of an allergy clinic-An EAACI/ARIA Position Paper.
Por:
Pfaar O, Klimek L, Jutel M, Akdis CA, Bousquet J, Breiteneder H, Chinthrajah S, Diamant Z, Eiwegger T, Fokkens WJ, Fritsch HW, Nadeau KC, O'Hehir RE, O'Mahony L, Rief W, Sampath V, Schedlowski M, Torres M, Traidl-Hoffmann C, Wang DY, Zhang L, Bonini M, Brehler R, Brough HA, Chivato T, Del Giacco S, Dramburg S, Gawlik R, Gelincik A, Hoffmann-Sommergruber K, Hox V, Knol E, Lauerma A, Matricardi PM, Mortz CG, Ollert M, Palomares O, Riggioni C, Schwarze J, Skypala I, Untersmayr S, Walusiak-Skorupa J, Ansotegui I, Bachert C, Bedbrook A, Bosnic-Anticevich S, Brussino L, Canonica GW, Cardona V, Carreiro-Martins P, Cruz AA, Czarlewski W, Fonseca JA, Gotua M, Haatela T, Ivancevich JC, Kuna P, Kvedariene V, Larenas-Linnemann D, Latiff A, Morais-Almeida M, Mullol J, Naclerio R, Ohta K, Okamoto Y, Onorato GL, Papadopoulos NG, Patella V, Regateiro FS, Samolinski B, Suppli Ulrik C, Toppila-Salmi S, Valiulis A, Ventura MT, Yorgancioglu A, Zuberbier T and Agache I
Publicada:
1 mar 2021
Ahead of Print:
12 jun 2020
Resumen:
BACKGROUND: The coronavirus disease 2019 (COVID-19) has evolved into a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Allergists and other healthcare providers (HCPs) in the field of allergies and associated airway diseases are on the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics. METHOD: The scientific information on COVID-19 was analysed by a literature search in MEDLINE, PubMed, the National and International Guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library, and the internet. RESULTS: Based on the diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations, and on previous experience, a panel of experts including clinicians, psychologists, IT experts, and basic scientists along with EAACI and the "Allergic Rhinitis and its Impact on Asthma (ARIA)" initiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies. CONCLUSIONS: This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients while ensuring the necessary safety measures in the current COVID-19 pandemic.
Filiaciones:
Pfaar O:
Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
Klimek L:
Center for Rhinology and Allergology, Wiesbaden, Germany
Jutel M:
Department of Clinical Immunology, Wroclaw Medical University, ALL-MED Medical Research Institute, Wroclaw, Poland
Akdis CA:
Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
Bousquet J:
Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Comprehensive Allergy Center, Department of Dermatology and Allergy, Berlin, Germany
University Hospital Montpellier, Montpellier, France
MACVIA-France, Montpellier, France
Breiteneder H:
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
Chinthrajah S:
Stanford University School of Medicine, Sean N. Parker Center for Allergy and Asthma Research, Stanford, United States of America
Diamant Z:
Dept of Respiratory Medicine & Allergology, Institute for Clinical Science, Skane University Hospital, Lund University, Lund, Sweden
Department of Respiratory Medicine, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic
Dept Clin Pharm & Pharmacol, Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands
Eiwegger T:
Translational Medicine Program, Peter Gilgan Centre for Research and Learning, Hospital for Sick Children, Toronto, Ontario, Canada
Division of Immunology and Allergy, Food Allergy and Anaphylaxis Program, The Hospital for Sick Children, Departments of Paediatrics and Immunology, University of Toronto, Toronto, ON, Canada
Department of Immunology, University of Toronto, Toronto, ON, Canada
Fokkens WJ:
Department of Otorhinolaryngology, Amsterdam University Medical Centres, location AMC, Amsterdam, The Netherlands
Fritsch HW:
Department of Information-Technology (IT), University Hospital Marburg, Marburg, Germany
Nadeau KC:
Stanford University School of Medicine, Sean N. Parker Center for Allergy and Asthma Research, Stanford, United States of America
O'Hehir RE:
Allergy, Asthma & Clinical Immunology, Alfred Health, Melbourne, VIC, Australia
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, Monash University and Alfred Health, Melbourne, VIC, Australia
O'Mahony L:
Departments of Medicine and Microbiology, APC Microbiome Ireland, University College Cork, Cork, Ireland
Rief W:
Department of Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany
Sampath V:
Stanford University School of Medicine, Sean N. Parker Center for Allergy and Asthma Research, Stanford, United States of America
Schedlowski M:
Institute of Medical Psychology and Behavioral Immunobiology, University Clinic Essen, Essen, Germany
Torres M:
Allergy Clinical Unit, Hospital Regional Universitario de Málaga, Málaga, Spain
Traidl-Hoffmann C:
Chair and Institute of Environmental Medicine, UNIKA-T, Technical University of Munich and Helmholtz Zentrum München, Augsburg, Germany
Outpatient Clinic for environmental medicine, University Hospital, Augsburg, Germany
Wang DY:
Department of Otolaryngology, National University of Singapore, Singapore, Singapore
Zhang L:
Department of Otolaryngology Head and Neck Surgery and Department of Allergy, Beijing Tongren Hospital, Beijing, China
Bonini M:
Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
National Heart and Lung Institute (NHLI), Imperial College London, UK
Brehler R:
University Hospital Münster, Department of Allergology, Occupational Dermatology and Environmental Medicine, Münster, Germany
Brough HA:
Children's Allergy Service, Evelina Children's Hospital, Guy's and St, Thomas' Hospital NHS Foundation Trust, London, UK
Paediatric Allergy Group, Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK
Chivato T:
School of Medicine, University CEU San Pablo, Madrid, Spain
Del Giacco S:
Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
Dramburg S:
Department of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité Universitaetsmedizin, Berlin, Germany
Gawlik R:
Dpt. of Internal Medicine, Allergology, Clinical Immunology Medical, University of Silesia, Katowice, Poland
Gelincik A:
Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
Hoffmann-Sommergruber K:
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
Hox V:
Department of Otorhinolaryngology, Cliniques Universitaires Saint-Luc, Brussels, Belgium
Knol E:
Departments of Immunology and Dermatology/Allergology, University Medical Center Utrecht, Utrecht, The Netherlands
Lauerma A:
Department of Dermatology and Allergology, University of Helsinki, and Helsinki University Hospital Inflammation Centre, Helsinki, Finland
Matricardi PM:
Department of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité Universitaetsmedizin, Berlin, Germany
Mortz CG:
Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark
Ollert M:
Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark
Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg
Palomares O:
Department of Biochemistry and Molecular Biology, Chemistry School, Complutense University of Madrid, Madrid, Spain
:
Pediatric Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Barcelona, Spain
Schwarze J:
Centre for Inflammation Research and Child Life and Heath, the University of Edinburgh, Edinburgh, UK
Skypala I:
Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, UK
Untersmayr S:
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
Walusiak-Skorupa J:
Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland
Ansotegui I:
Department of Allergy and Immunology, Hospital Quironsalud Bizkaia, Erandio, Spain
Bachert C:
Upper Airways Research Laboratory, ENT Dept, Ghent University Hospital, Ghent, Belgium
Sun Yat-sen University, International Airway Research Center, First Affiliated Hospital, Guangzou, China
Division of ENT Diseases, CLINTEC, Karolinska Institutet, Stockholm, Sweden
Bedbrook A:
MACVIA-France, Montpellier, France
Bosnic-Anticevich S:
Woolcock Institute of Medical Research, University of Sydney and Woolcock Emphysema Centre and Sydney Local Health District, Glebe, NSW, Australia
Brussino L:
Department of Medical Sciences, Allergy and Clinical Immunology Unit, University of Torino & Mauriziano Hospital, Torino, Italy
Canonica GW:
Personalized Medicine Asthma & Allergy Clinic-Humanitas University & Research Hospital, IRCCS-Milano, Milano, Italy
Cardona V:
Allergy Section, Department of Internal Medicine, Hospital Vall d'Hebron & ARADyAL research network, Barcelona, Spain
Carreiro-Martins P:
Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisbon, Portugal
NOVA Medical School/Comprehensive Health Research Center (CHRC), Universidade Nova de Lisboa, Lisbon, Portugal
Cruz AA:
ProAR - Nucleo de Excelencia em Asma, Federal University of Bahia, Brasil and GARD/WHO Executive Committee, Bahia, Brazil
Czarlewski W:
MACVIA-France, Montpellier, France
Medical Consulting Czarlewski, Levallois-Perret, France
Fonseca JA:
CINTESIS, Center for Research in Health Technologies and Information Systems, Faculdade de Medicina da Universidade do Porto, and MEDIDA, Lda, Porto, Portugal
Gotua M:
Center of Allergy and Immunology, Tbilisi, Georgia and David Tvildiani Medical, University in Tbilisi, Tbilisi, Georgia
Haatela T:
Skin and Allergy Hospital, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland
Ivancevich JC:
Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina
Kuna P:
Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
Kvedariene V:
Institute of Biomedical Sciences, Department of Pathology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Institute of Clinical medicine, Clinic of Chest diseases and Allergology, faculty of Medicine, Vilnius University, Vilnius, Lithuania
Larenas-Linnemann D:
Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico
Latiff A:
Allergy & Immunology Centre, Pantai Hospital, Kuala Lumpur, Malaisia
Morais-Almeida M:
Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal
Mullol J:
Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic - Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain
Naclerio R:
Johns Hopkins School of Medicine, Baltimore, Maryland, USA
Ohta K:
National Hospital Organization, Tokyo National Hospital, Tokyo, Japan
Okamoto Y:
Dept of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan
Onorato GL:
MACVIA-France, Montpellier, France
Papadopoulos NG:
Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK
Allergy Department, 2nd Pediatric Clinic, Athens General Children's Hospital "P&A Kyriakou, University of Athens, Athens, Greece
Patella V:
Allergy and Respiratory Diseases, Department of Internal Medicine, IRCCS San Martino-IST-Univesity of Genoa, Genoa, Italy
Regateiro FS:
Allergy and Clinical Immunology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra and Institute of Immunology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Samolinski B:
Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland
Suppli Ulrik C:
Dept of Respiratory Medicine, Hvidovre Hospital, Hvidovre and Institute of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
Toppila-Salmi S:
Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
Valiulis A:
Vilnius University Faculty of Medicine, Institute of Clinical Medicine & Institute of Health Sciences, Vilnius, Lithuania
Ventura MT:
Interdisciplinary Department of Medicine, University of Bari Medical School, Unit of Geriatric Immunoallergology, Bari, Italy
Yorgancioglu A:
Department of Pulmonary Diseases, Celal Bayar University, Faculty of Medicine, Manisa, Turkey
Zuberbier T:
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health,, Comprehensive Allergy Center, Department of Dermatology and Allergy, a member of GA2LEN, Berlin, Germany
Agache I:
Transylvania University, Brasov, Romania
Theramed Medical Center, Brasov, Romania
Green Published, Green Accepted, Green Submitted
|