RESUMEN
Natural history of hymenoptera sting allergy is less life threatening in children than in adults. We evaluated a commonly used risk score (allergic reaction to the index sitting, sensitization measured by skin prick test and specific IgE, and specific IgG - maximal 8 points) for its predictability of forthcoming allergic reactions. 93 children with low scores (less than 7 points) experienced stings in field, 96% were save from severe systemic reactions. Of 119 children with high scores (greater than 6 points) receiving rush hyposensitization only 32% developed systemic reactions. We conclude that the score appropriately identifies individuals not to be hyposensitized, but that it overestimates the number of children with a need for hyposensitization. We therefore developed a diagnostic scheme including challenge stings to identify those children who really need hyposensitization.
Asunto(s)
Venenos de Abeja/inmunología , Hipersensibilidad/diagnóstico , Mordeduras y Picaduras de Insectos/inmunología , Adolescente , Niño , Preescolar , Humanos , Hipersensibilidad/inmunología , Pruebas CutáneasRESUMEN
The list grows longer as exploration continues. This model of measuring climate and job satisfaction in the transformation to shared governance is providing a deeper understanding than traditional modes of inquiry. The authors are eager to continue this exploration and look forward to sharing their results. They also look forward to reviewing the results of other nursing leaders who are engaged in creating new models within their divisions of nursing, and who are creatively attempting to explore and understand the paradigm shifts within nursing in the new age.