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    Epidemiology of allergic reactions to hymenoptera stings in Irish school children.

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    Authors
    Jennings, Aisling
    Duggan, Eileen
    Perry, Ivan J
    Hourihane, Jonathan O'B
    Affiliation
    Departments of Paediatrics and Child Health Epidemiology, University College Cork, Cork, Ireland.
    Issue Date
    2010-12
    MeSH
    Animals
    Arthropod Venoms
    Asthma
    Child
    Female
    Humans
    Hymenoptera
    Hypersensitivity
    Insect Bites and Stings
    Ireland
    Male
    Population
    Prevalence
    Risk Factors
    Rural Population
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    Citation
    Epidemiology of allergic reactions to hymenoptera stings in Irish school children. 2010, 21 (8):1166-70 Pediatr Allergy Immunol
    Publisher
    Wiley-Blackwell
    Journal
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
    URI
    http://hdl.handle.net/10147/200036
    DOI
    10.1111/j.1399-3038.2010.01054.x
    PubMed ID
    20408970
    Abstract
    The aim of this was to study generate the first epidemiological data regarding the prevalence of hymenoptera allergy among school children in Ireland. Questionnaires, including six sting-specific questions (1), were distributed to the parents of primary school children aged 6-8 and 11-13, divided equally between rural and urban backgrounds. From 110 schools, 4112 questionnaires were returned. A total of 1544 (37.5%) children had been stung in their lifetime. Among the total, 5.8% of children stung experienced a large local reaction, 3.4% had a mild (cutaneous) systemic reaction (MSR) and 0.8% experienced a moderate/severe systemic reaction (SSR); these figures respectively represent 2.2%, 1.3% and 0.2% of the total study group. On logistic regression analysis, older children and rural children were at a higher risk of being stung (OR 1.7; 95% CI 1.4-2.; OR 1.6; 95% CI 1.4-1.8 respectively). Rural dwellers and asthma sufferers were more likely to experience an SSR (OR 4.3; 95% CI 1.4-13.5 and OR 2.8; 95% CI 1.8-4.3, respectively). Hymenoptera stings are more common in rural than urban dwelling Irish children. Asthma imparted a greater risk of SSR in this study population. Severe reactions are unusual overall, occurring in <1% of those stung, a lower prevalence than in Israeli teenagers but in keeping with other European reports relating to young children.
    Item Type
    Article
    Language
    en
    ISSN
    1399-3038
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1399-3038.2010.01054.x
    Scopus Count
    Collections
    Cork University Hospital

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