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COVID-19 pandemic: Practical considerations on the organization of an allergy clinic-An EAACI/ARIA Position Paper

O. Pfaar, L. Klimek, M. Jutel, CA. Akdis, J. Bousquet, H. Breiteneder, S. Chinthrajah, Z. Diamant, T. Eiwegger, WJ. Fokkens, HW. Fritsch, KC. Nadeau, RE. O'Hehir, L. O'Mahony, W. Rief, V. Sampath, M. Schedlowski, MJ. Torres, C. Traidl-Hoffmann,...

. 2021 ; 76 (3) : 648-676. [pub] -

Language English Country Denmark

Document type Journal Article

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.

Allergy and Clinical Immunology Department of Internal Medicine Santa Maria della Speranza Hospital Salerno Italy

Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra Portugal

Allergy and Immunology Centre Pantai Hospital Kuala Lumpur Kuala Lumpur Malaysia

Allergy Asthma and Clinical Immunology Alfred Health Melbourne VIC Australia

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Department 2nd Pediatric Clinic Athens General Children's Hospital P and A Kyriakou University of Athens Athens Greece

Allergy Unit Malaga Regional University Hospital UMA ARADyAL Málaga Spain

Center for Rhinology and Allergology Wiesbaden Germany

Center of Allergy and Immunology Tbilisi Georgia

Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

Centre for Inflammation Research and Child Life and Heath the University of Edinburgh Edinburgh UK

Chair and Institute of Environmental Medicine UNIKA T Technical University of Munich and Helmholtz Zentrum München Augsburg Germany

Chiba University and Chiba Rosai Hospital Chiba Japan

Children's Allergy Service Evelina Children's Hospital Guy's and St Thomas' Hospital NHS Foundation Trust London UK

David Tvildiani Medical University in Tbilisi Tbilisi Georgia

Department of Allergology Occupational Dermatology and Environmental Medicine University Hospital Münster Münster Germany

Department of Allergy and Immunology Hospital Quironsalud Bizkaia Erandio Spain

Department of Allergy Beijing Tongren Hospital Beijing China

Department of Allergy Immunology and Respiratory Medicine Central Clinical School Monash University and Alfred Health Melbourne VIC Australia

Department of Biochemistry and Molecular Biology Chemistry School Complutense University of Madrid Spain

Department of Cardiovascular and Thoracic Sciences Fondazione Policlinico Universitario A Gemelli IRCCS Università Cattolica del Sacro Cuore Rome Italy

Department of Clinical Immunology Wrocław Medical University and ALL MED Medical Research Institute Wrocław Poland

Department of Clinical Pharmacy and Pharmacology University Medical Center Groningen University of Groningen Groningen The Netherlands

Department of Clinical Psychology and Psychotherapy Philipps University of Marburg Marburg Germany

Department of Dermatology and Allergology Helsinki University Hospital Inflammation Centre University of Helsinki Helsinki Finland

Department of Dermatology and Allergy Centre Odense Research Centre for Anaphylaxis Odense University Hospital University of Southern Denmark Odense Denmark

Department of Dermatology and Allergy Comprehensive Allergy Center Charité Charité Universitaetsmedizin Berlin a Member of GA2LEN Berlin Germany

Department of Immunology University of Toronto Toronto ON Canada

Department of Infection and Immunity Luxembourg Institute of Health Esch sur Alzette Luxembourg

Department of Information Technology University Hospital Marburg Marburg Germany

Department of Internal Medicine Allergology Clinical Immunology Medical University of Silesia Katowice Poland

Department of Internal Medicine Allergy Section Hospital Vall d'Hebron and ARADyAL Research Network Barcelona Spain

Department of Internal Medicine Division of Immunology and Allergic Diseases Istanbul Faculty of Medicine Istanbul University Istanbul Turkey

Department of Medical Sciences Allergy and Clinical Immunology Unit University of Torino and Mauriziano Hospital Torino Italy

Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy

Department of Occupational Diseases and Environmental Health Nofer Institute of Occupational Medicine Lodz Poland

Department of Otolaryngology Head and Neck Surgery Beijing Tongren Hospital Beijing China

Department of Otolaryngology National University of Singapore Singapore Singapore

Department of Otorhinolaryngology Amsterdam University Medical Centres Amsterdam The Netherlands

Department of Otorhinolaryngology Cliniques Universitaires Saint Luc Brussels Belgium

Department of Otorhinolaryngology Head and Neck Surgery Section of Rhinology and Allergy University Hospital Marburg Philipps Universität Marburg Marburg Germany

Department of Pathology Faculty of Medicine Institute of Biomedical Sciences Vilnius University Vilnius Lithuania

Department of Pediatric Pulmonology Immunology and Intensive Care Medicine Charité Universitaetsmedizin Berlin Germany

Department of Prevention of Environmental Hazards and Allergology Medical University of Warsaw Warsaw Poland

Department of Pulmonary Diseases Faculty of Medicine Celal Bayar University Manisa Turkey

Department of Respiratory Medicine 1st Faculty of Medicine Charles University and Thomayer Hospital Prague Czech Republic

Department of Respiratory Medicine and Allergology Institute for Clinical Science Skane University Hospital Lund University Lund Sweden

Department of Respiratory Medicine Hvidovre Hospital Hvidovre Denmark

Departments of Immunology and Dermatology Allergology University Medical Center Utrecht Utrecht The Netherlands

Departments of Medicine and Microbiology APC Microbiome Ireland University College Cork Cork Ireland

Departments of Paediatrics and Immunology Division of Immunology and Allergy Food Allergy and Anaphylaxis Program The Hospital for Sick Children University of Toronto Toronto ON Canada

Division of ENT Diseases CLINTEC Karolinska Institutet Stockholm Sweden

Division of Infection Immunity and Respiratory Medicine Royal Manchester Children's Hospital University of Manchester Manchester UK

Division of Internal Medicine Asthma and Allergy Barlicki University Hospital Medical University of Lodz Lodz Poland

ENT Department Rhinology Unit and Smell Clinic Hospital Clinic Clinical and Experimental Respiratory Immunoallergy IDIBAPS CIBERES University of Barcelona Barcelona Catalonia Spain

ENT Department Upper Airways Research Laboratory Ghent University Hospital Ghent Belgium

Faculdade de Medicina da Universidade do Porto CINTESIS Center for Research in Health Technologies and Information Systems Porto Portugal

Faculty of Health Sciences Institute of Clinical Medicine University of Copenhagen Denmark

Faculty of Medicine Institute of Clinical Medicine and Institute of Health Sciences Vilnius University Vilnius Lithuania

Faculty of Medicine Institute of Clinical medicine Clinic of Chest Diseases and Allergology Vilnius University Vilnius Lithuania

GARD WHO Executive Committee Bahia Brazil

ICBR Coimbra Institute for Clinical and Biomedical Research CIBB Faculty of Medicine University of Coimbra Coimbra Portugal

Institut de Recerca Sant Joan de Déu Barcelona Spain

Institute of Immunology Faculty of Medicine University of Coimbra Coimbra Portugal

Institute of Medical Psychology and Behavioral Immunobiology University Clinic Essen Essen Germany

Institute of Pathophysiology and Allergy Research Center of Pathophysiology Infectiology and Immunology Medical University of Vienna Vienna Austria

Interdisciplinary Department of Medicine Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy

International Airway Research Center 1st Affiliated Hospital Guangzou Sun Yat sen University Guangzou China

Japan Anti Tuberculosis Association Tokyo National Hospital Tokyo Japan

Johns Hopkins School of Medicine Baltimore MD USA

MACVIA France Montpellier France

Medical Consulting Czarlewski Levallois Perret France

MEDIDA Lda Porto Portugal

National Heart and Lung Institute Imperial College London London UK

NOVA Medical School Comprehensive Health Research Center Universidade Nova de Lisboa Lisbon Portugal

Outpatient Clinic for Environmental Medicine University Hospital Augsburg Germany

Paediatric Allergy Group Department of Women and Children's Health School of Life Course Sciences King's College London London UK

Pediatric Allergy and Clinical Immunology Department Hospital Sant Joan de Déu Barcelona Spain

Personalized Medicine Asthma and Allergy Clinic Humanitas University and Research Hospital IRCCS Milano Italy

ProAR Nucleo de Excelencia em Asma Federal University of Bahia Bahia Brasil

Royal Brompton and Harefield NHS Foundation Trust London UK

School of Medicine University CEU San Pablo Madrid Spain

Sean N Parker Center for Allergy and Asthma Research Stanford University School of Medicine Stanford CA USA

Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina

Serviço de Imunoalergologia Hospital de Dona Estefânia Centro Hospitalar de Lisboa Central Lisbon Portugal

Skin and Allergy Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland

Swiss Institute of Allergy and Asthma Research University of Zurich Davos Switzerland

Theramed Medical Center Brasov Romania

Translational Medicine Program Peter Gilgan Centre for Research and Learning Hospital for Sick Children Toronto ON Canada

Transylvania University Brasov Romania

University Hospital Montpellier Montpellier France

Woolcock Institute of Medical Research Woolcock Emphysema Centre University of Sydney Glebe NSW Australia

References provided by Crossref.org

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$a 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.
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700    1_
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