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
ISSN: 01054538





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Editorial
WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ, Reino Unido
Tipo de documento: Article
Volumen: 76 Número: 3
Páginas: 648-676
WOS Id: 000625633400003
ID de PubMed: 32531110
imagen Green Published, Green Accepted, Green Submitted

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