Anaphylaxis — severe allergic reaction

Summary of changes

Addition: Clarification for adrenalin administration (needle size, anaphylaxis kit, auto injector)

Medicines: Reformatting section on procaine benzylpenicillin reaction to add more clarity

Other: Updated symptoms and management to be in line with ASCIA anaphylaxis action plan and guideline

Primary references

  1. Australasian Society of Clinical Immunology and Allergy (2021) Action Plans and First Aid Plans for Anaphylaxis, accessed 11 January 2022.

  2. Australasian Society of Clinical Immunology and Allergy (2021) Acute management of anaphylaxis, ASCIA Guidelines, accessed 11 January 2022.

  3. Australian and New Zealand Committee on Resuscitation (2016) ANZCOR Guideline 9.2.7 – First aid management of anaphylaxis, The ARC Guidelines, 2022 accessed 11 January.

  4. Cardona V, Ansotegui IJ, Ebisawa M, El-Gamal Y, Fernandez Rivas M, Fineman S, Geller M, Gonzalez-Estrada A, Greenberger PA, Sanchez Borges M, Senna G, Sheikh A, Tanno LK, Thong BY, Turner PJ and Worm M (2020) 'World allergy organization anaphylaxis guidance 2020', World Allergy Organization Journal, 13(10):100472, doi:10.1016/j.waojou.2020.100472

  5. Joint Task Force on Practice Parameters Reviewers (2020) 'Anaphylaxis-a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis', Journal of Allergy and Clinical Immunology, 145(4):1082-1123, doi:10.1016/j.jaci.2020.01.017

  6. National Institute for Health and Care Excellence (2020) Anaphylaxis: assessment and referral after emergency treatment [CG134], NICE Clinical Guidelines, accessed 11 January 2022.