Section 6 / Chapter XV Allergic Reactions to Hymenoptera
Table 1 - Risk of Systemic Reactions and Clinical Recommendations Based on Reaction to Previous Stings and Results of the Venom Skin Test or RAST|
Reaction to Previous Sting
|
Skin Test or RAST
|
Risk of Systemic Reaction
|
Clinical Recommendation
|
|---|---|---|---|
|
None
|
Positive
|
10%–20%
|
Avoidance
|
|
Large local
|
Positive
|
5%–10%
|
Avoidance
|
|
Cutaneous systemic
|
Positive, child
|
1%–10%
|
Avoidance
|
|
|
Positive, adult
|
10%–20%
|
Venom immunotherapy
|
|
Anaphylaxis
|
Positive
|
30%–70%
|
Venom immunotherapy
|
|
|
Negative
|
5%–10%
|
Repeat skin test/RAST
|
RAST—radioallergosorbent testing
