Risk assessment in determining systemic reactivity to honeybee stings in beekeepers

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
I T AnnilaP Mörsky

Abstract

The use of laboratory tests as a reliable method for risk assessment in determining the systemic reactivity of beekeepers to honeybee stings has proven unsatisfactory. This study was conducted to evaluate the usefulness of a structured questionnaire as a supplement to bee venom-specific IgE data in the prediction of systemic sting reactions of 78 beekeepers to honeybee stings. Participants in previous studies completed a questionnaire concerning potential risk factors of systemic sting reactions. Serum bee venom IgE was measured by CAP-RAST. Skin prick tests were performed with standardized bee venom extracts prior to the beekeeping season. Venom challenges were performed using unintentional field stings. A new questionnaire concerning sting reactions during the recent beekeeping season was sent to the beekeepers after it had ended. A multiple logistic regression analysis was done to evaluate the influence of potential risk factors upon systemic bee sting reactions. Four variables were significant. The pre-season presence of serum bee venom-specific IgE at concentrations exceeding 1.0 kU/L increased the risk of systemic reactions 12-fold. The risk was 10-fold if nasal or respiratory symptoms had occurred while working at hives....Continue Reading

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Citations

Oct 29, 2008·Evidence-based Complementary and Alternative Medicine : ECAM·Markus HellnerKarsten Münstedt
Oct 4, 2005·Allergy·B M BilóUNKNOWN EAACI Interest Group on Insect Venom Hypersensitivity
Jun 28, 2007·Allergologia et immunopathologia·K MünstedtR von Georgi
Jun 30, 2005·Current Opinion in Allergy and Clinical Immunology·Ulrich R Müller

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