ABSTRACT
Hymenoptera venom allergy (HVA) is one of the most frequent causes of anaphylaxis following a bee, vespid or ant sting. Real-life data regarding the management of HVA in children are lacking. To address this unmet need, we carried out a survey defining the current management of HVA in children among pediatric allergists in Italy. Educational investments on the improvement of the management of pediatric patients with HVA are urgently needed, and our analysis represents a relevant instrument in targeting a roadmap with this aim. The time for pediatric allergists to take action has come, and a task force from the Rare Allergic Diseases Commission of the Italian Society of Pediatric Allergy and Immunology is working on the topic to improve pediatricians' knowledge and optimize the care of these patients
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Subject(s)
Humans , Child , Wasp Venoms/adverse effects , Bee Venoms/adverse effects , Ant Venoms/adverse effects , Hypersensitivity/etiology , Insect Bites and Stings/complications , Hymenoptera , Wasp Venoms/immunology , Bee Venoms/immunology , Ant Venoms/immunology , Hypersensitivity/therapy , Desensitization, Immunologic/methods , ItalyABSTRACT
Hymenoptera venom allergy (HVA) is one of the most frequent causes of anaphylaxis following a bee, vespid or ant sting. Real-life data regarding the management of HVA in children are lacking. To address this unmet need, we carried out a survey defining the current management of HVA in children among pediatric allergists in Italy. Educational investments on the improvement of the management of pediatric patients with HVA are urgently needed, and our analysis represents a relevant instrument in targeting a roadmap with this aim. The time for pediatric allergists to take action has come, and a task force from the Rare Allergic Diseases Commission of the Italian Society of Pediatric Allergy and Immunology is working on the topic to improve pediatricians' knowledge and optimize the care of these patients.
Subject(s)
Allergens/adverse effects , Anaphylaxis/therapy , Arthropod Venoms/adverse effects , Desensitization, Immunologic/statistics & numerical data , Insect Bites and Stings/complications , Allergens/administration & dosage , Allergens/immunology , Allergists/standards , Allergists/statistics & numerical data , Allergy and Immunology/standards , Anaphylaxis/diagnosis , Anaphylaxis/immunology , Animals , Arthropod Venoms/administration & dosage , Arthropod Venoms/immunology , Child , Clinical Competence/standards , Clinical Competence/statistics & numerical data , Desensitization, Immunologic/methods , Desensitization, Immunologic/standards , Health Services Needs and Demand/statistics & numerical data , Humans , Hymenoptera/immunology , Insect Bites and Stings/immunology , Insect Bites and Stings/therapy , Italy , Pediatricians/standards , Pediatricians/statistics & numerical data , Practice Guidelines as Topic , Practice Patterns, Physicians'/standards , Practice Patterns, Physicians'/statistics & numerical data , Surveys and Questionnaires/statistics & numerical dataABSTRACT
White-nose disease, caused by the dermatophyte Pseudogymnoascus destructans, is a devastating pathology that has caused a massive decline in the US bat populations. In Europe, this fungus and the related infection in bats have been recorded in several countries and for many bat species, although no mass mortality has been detected. This study reports for the first time the presence of P. destructans in Italy. The fungus was isolated in the Rio Martino cave, a site located in the Western Alps and included in the Natura 2000 network. Twenty bats, belonging to five different species, were analysed. The fungus was retrieved on eight individuals of Myotis emarginatus. The allied keratolytic species P. pannorum was observed on two other individuals, also belonging to M. emarginatus. Strains were isolated in pure culture and characterized morphologically. Results were validated through molecular analyses. Future work should be dedicated to understand the distribution and the effects of the two Pseudogymnoascus species on Italian bats.