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首页> 外文期刊>Current opinion in allergy and clinical immunology >Epidemiology of insect-venom anaphylaxis.
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Epidemiology of insect-venom anaphylaxis.

机译：昆虫毒液过敏的流行病学。

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摘要

PURPOSE OF REVIEW: Knowledge of the epidemiology, natural history and risk factors of insect-venom allergy is crucial for improving the clinical management of allergic patients. This review focuses on the recent research on these aspects of Hymenoptera-sting anaphylactic reactions. RECENT FINDINGS: The latest data from population-based studies of anaphylactic reactions due to Hymenoptera stings, as well as those extrapolated from studies of epidemiology of anaphylaxis due to any cause are reviewed. The topic of biphasic anaphylactic reactions due to insect stings is also examined. Although no parameter has been identified that can predict which sensitized individuals will have a future anaphylactic reaction, several factors associated with the severity of a systemic resting reaction are known and emphasized here. SUMMARY: As half of individuals with fatal sting reactions had no documented history of previous systemic reaction, we need to further improve the knowledge of the natural history and risk factors, especially in asymptomatic-sensitized individuals. Moreover, and no less important, the epidemiological studies on sting anaphylaxis conducted in the 2000s continue to reveal the poor management of allergic patients and the startling lack of awareness of the efficacy of venom immunotherapy. These findings indicate the urgent need to educate the general population and doctors on the management of venom-allergic patients.
机译：审查目的：了解昆虫毒液过敏的流行病学，自然史和危险因素对于改善过敏患者的临床管理至关重要。这篇综述集中在膜翅目过敏反应的这些方面的最新研究。最近的研究结果：回顾了基于膜翅目Hy虫过敏的人群基础研究的最新数据，以及因任何原因引起的过敏性流行病学研究的推断数据。还研究了由于昆虫st伤引起的双相过敏反应。尽管没有确定可预测哪些致敏个体将发生未来过敏反应的参数，但与全身性静息反应的严重程度相关的几个因素在此是已知的并着重强调。摘要：由于有致命性刺痛反应的个体中有一半没有以前的全身反应史的记录，因此我们需要进一步提高对自然史和危险因素的了解，尤其是对无症状的个体。而且，同样重要的是，在2000年代进行的关于ing过敏反应的流行病学研究继续显示，过敏患者的管理不善，并且对毒液免疫疗法的有效性也缺乏足够的认识。这些发现表明，迫切需要对普通人群和医生进行毒液过敏患者的管理教育。

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