ARTICLE
TITLE

A methodological approach to the determination of predictive factors for the assessment of the degree of allergic reaction after an insect sting

SUMMARY

Background: A small number of studies have been conducted worldwide describing an association between risk factors and the degree of allergic reaction after an insect sting.Methods: A cross-sectional study was conducted using a questionnaire and sent to all individual patients treated at the University Clinic Golnik (Clinic Golnik) due to an insect sting in the period between 2005 and 2015 (n=2100). A final database (n=416) was prepared according to the exclusion criteria and divided into two smaller ones: a) patients treated for wasp stings (n=237), b) patients treated for bee stings (n=179). Pearson’s chi-squared test was used for the statistical analysis.Results: An estimated prevalence of approximately the same and milder allergic reaction after an insect re-sting was 95.1% in subjects treated for bee stings, while the prevalence of severe allergic reaction was 4.9%. A positive family history in individuals who were treated for bee stings represents a statistically significant risk factor (p=0.05) for a severe allergic reaction after an insect re-sting. The prevalence of severe allergic reactions after an insect re – sting is higher in females, in the age groups 21–40 and = 61 years.The prevalence of milder reactions after bee stings is higher in individuals engaged in beekeeping or living near an apiary.Conclusions: We determined that a positive family history in individuals who experienced bee stings was a statistically significant risk factor for a more severe allergic reaction after re-sting.

PAGES
pp. 114 - 124

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