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Erschienen in: MMW - Fortschritte der Medizin 3/2017

30.10.2017 | Anaphylaxie | FORTBILDUNG . ÜBERSICHT

Notfallset und Akutbehandlung der Anaphylaxie

Das muss der Hausarzt über den allergischen Schock wissen

verfasst von: Prof. Dr. med. Ludger Klimek, Annette Sperl, Prof. Dr. med. Margitta Worm, Prof. Dr. med. Dr. phil. Johannes Ring

Erschienen in: MMW - Fortschritte der Medizin | Sonderheft 3/2017

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Zusammenfassung

Der Begriff Anaphylaxie bezeichnet eine in der Regel IgE-vermittelte überschießende Reaktion des Immunsystems. Entscheidend für den Verlauf einer Anaphylaxie ist eine frühzeitige Behandlung, insbesondere bei Beteiligung des Herz-Kreislauf-Systems oder der unteren Atemwege. Aus diesem Grund ist die Kenntnis einer adäquaten Therapie für Nothelfer und Patienten essenziell.
Literatur
1.
Zurück zum Zitat Hompes S et al. Provoking allergens and treatment of anaphylaxis in children and adolescents — data from the anaphylaxis registry of German-speaking countries. Pediatr Allergy Immunol. 2011;22:568–74CrossRefPubMed Hompes S et al. Provoking allergens and treatment of anaphylaxis in children and adolescents — data from the anaphylaxis registry of German-speaking countries. Pediatr Allergy Immunol. 2011;22:568–74CrossRefPubMed
2.
Zurück zum Zitat Ring, J., et al., Guideline for acute therapy and management of anaphylaxis: S2 Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Association of German Allergologists (AeDA), the Society of Pediatric Allergy and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Austrian Society for Allergology and Immunology (OGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Society for Psychosomatic Medicine (DGPM), the German Working Group of Anaphylaxis Training and Education (AGATE) and the patient organization German Allergy and Asthma Association (DAAB). Allergo J Int. 2014;23:96–112CrossRefPubMedPubMedCentral Ring, J., et al., Guideline for acute therapy and management of anaphylaxis: S2 Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Association of German Allergologists (AeDA), the Society of Pediatric Allergy and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Austrian Society for Allergology and Immunology (OGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Society for Psychosomatic Medicine (DGPM), the German Working Group of Anaphylaxis Training and Education (AGATE) and the patient organization German Allergy and Asthma Association (DAAB). Allergo J Int. 2014;23:96–112CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Decker WW et al. The etiology and incidence of anaphylaxis in Rochester, Minnesota: a report from the Rochester Epidemiology Project. J Allergy Clin Immunol. 2008;122:1161–5CrossRefPubMedPubMedCentral Decker WW et al. The etiology and incidence of anaphylaxis in Rochester, Minnesota: a report from the Rochester Epidemiology Project. J Allergy Clin Immunol. 2008;122:1161–5CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Poulos LM et al. Trends in hospitalizations for anaphylaxis, angioedema, and urticaria in Australia, 1993-1994 to 2004-2005. J Allergy Clin Immunol. 2007;120:878–84CrossRefPubMed Poulos LM et al. Trends in hospitalizations for anaphylaxis, angioedema, and urticaria in Australia, 1993-1994 to 2004-2005. J Allergy Clin Immunol. 2007;120:878–84CrossRefPubMed
5.
Zurück zum Zitat Beyer K et al. Anaphylaxis in an emergency setting — elicitors, therapy and incidence of severe allergic reactions. Allergy. 2012;67:1451–6CrossRefPubMed Beyer K et al. Anaphylaxis in an emergency setting — elicitors, therapy and incidence of severe allergic reactions. Allergy. 2012;67:1451–6CrossRefPubMed
6.
Zurück zum Zitat Worm M et al. Triggers and treatment of anaphylaxis: an analysis of 4,000 cases from Germany, Austria and Switzerland. Dtsch Arztebl Int. 2014;111:367–75PubMedPubMedCentral Worm M et al. Triggers and treatment of anaphylaxis: an analysis of 4,000 cases from Germany, Austria and Switzerland. Dtsch Arztebl Int. 2014;111:367–75PubMedPubMedCentral
7.
Zurück zum Zitat Grabenhenrich LB et al. Anaphylaxis in children and adolescents: The European Anaphylaxis Registry. J Allergy Clin Immunol. 2016;137:1128–37 e1CrossRefPubMed Grabenhenrich LB et al. Anaphylaxis in children and adolescents: The European Anaphylaxis Registry. J Allergy Clin Immunol. 2016;137:1128–37 e1CrossRefPubMed
8.
Zurück zum Zitat Glowania A, Goebel U, Klimek L. Management der Anaphylaxie - Teil 1: Ursachen und Pathophysiologie. HNO. 2012;60:1019–28CrossRefPubMed Glowania A, Goebel U, Klimek L. Management der Anaphylaxie - Teil 1: Ursachen und Pathophysiologie. HNO. 2012;60:1019–28CrossRefPubMed
9.
Zurück zum Zitat Ring J, Messmer K. Incidence and severity of anaphylactoid reactions to colloid volume substitutes. Lancet. 1977;1:466–9CrossRefPubMed Ring J, Messmer K. Incidence and severity of anaphylactoid reactions to colloid volume substitutes. Lancet. 1977;1:466–9CrossRefPubMed
10.
Zurück zum Zitat Stark BJ, Sullivan TJ. Biphasic and protracted anaphylaxis. J Allergy Clin Immunol. 1986;78:76–83CrossRefPubMed Stark BJ, Sullivan TJ. Biphasic and protracted anaphylaxis. J Allergy Clin Immunol. 1986;78:76–83CrossRefPubMed
11.
Zurück zum Zitat Beyer K, Niggemann B. Anaphylaxie, in Allergien bei Kindern und Jugendlichen. Grundlagen und klinische Praxis; L. Klimek, O. Pfaar, and E. Rietschel, Editors. 2014, Schattauer: Kap. 31:407–12 Beyer K, Niggemann B. Anaphylaxie, in Allergien bei Kindern und Jugendlichen. Grundlagen und klinische Praxis; L. Klimek, O. Pfaar, and E. Rietschel, Editors. 2014, Schattauer: Kap. 31:407–12
12.
Zurück zum Zitat Commins SP, Platts-Mills TA. Anaphylaxis syndromes related to a new mammalian cross-reactive carbohydrate determinant. J Allergy Clin Immunol. 2009;124:652–7CrossRefPubMedPubMedCentral Commins SP, Platts-Mills TA. Anaphylaxis syndromes related to a new mammalian cross-reactive carbohydrate determinant. J Allergy Clin Immunol. 2009;124:652–7CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Sampson HA et al. Second symposium on the definition and management of anaphylaxis: summary report — second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med. 2006;47:373–80CrossRefPubMed Sampson HA et al. Second symposium on the definition and management of anaphylaxis: summary report — second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med. 2006;47:373–80CrossRefPubMed
14.
Zurück zum Zitat Simons FE et al. World Allergy Organization anaphylaxis guidelines: summary. JACI. 2011;127:587–93,e1–22 Simons FE et al. World Allergy Organization anaphylaxis guidelines: summary. JACI. 2011;127:587–93,e1–22
15.
Zurück zum Zitat Sheikh A et al. Adrenaline for the treatment of anaphylaxis: cochrane systematic review. Allergy. 2009;64:204–12CrossRefPubMed Sheikh A et al. Adrenaline for the treatment of anaphylaxis: cochrane systematic review. Allergy. 2009;64:204–12CrossRefPubMed
17.
Zurück zum Zitat Winbery SL, Lieberman PL. Histamine and antihistamines in anaphylaxis. Clin Allergy Immunol. 2002;17:287–317PubMed Winbery SL, Lieberman PL. Histamine and antihistamines in anaphylaxis. Clin Allergy Immunol. 2002;17:287–317PubMed
18.
Zurück zum Zitat Choo KJ, Simons E, Sheikh A. Glucocorticoids for the treatment of anaphylaxis: Cochrane systematic review. Allergy. 2010;65:1205–11CrossRefPubMed Choo KJ, Simons E, Sheikh A. Glucocorticoids for the treatment of anaphylaxis: Cochrane systematic review. Allergy. 2010;65:1205–11CrossRefPubMed
19.
Zurück zum Zitat Santos AF; Lack G. Commentary on ‚glucocorticoids for the treatment of anaphylaxis‘. Evid Based Child Health. 2013;8:1295–6CrossRefPubMed Santos AF; Lack G. Commentary on ‚glucocorticoids for the treatment of anaphylaxis‘. Evid Based Child Health. 2013;8:1295–6CrossRefPubMed
20.
Zurück zum Zitat Kaiser H, Kley K. Wirkungen von Corticoiden in der Peripherie, in Cortisontherapie: Corticoide in Klinik und Praxis, H. Kaiser and K. Kley, Editors. 2002, Thieme. Kaiser H, Kley K. Wirkungen von Corticoiden in der Peripherie, in Cortisontherapie: Corticoide in Klinik und Praxis, H. Kaiser and K. Kley, Editors. 2002, Thieme.
21.
Zurück zum Zitat Buttgereit F et al. Mechanisms of action of high-dosage glucocorticoid therapy. Dtsch Med Wochenschr. 1996;121:248–52CrossRefPubMed Buttgereit F et al. Mechanisms of action of high-dosage glucocorticoid therapy. Dtsch Med Wochenschr. 1996;121:248–52CrossRefPubMed
22.
Zurück zum Zitat Klimek L, Goebel U, Glowania A. Management der Anaphylaxie — Teil 2: Therapie und Notfallausrüstung. HNO. 2012;60:1103–13CrossRefPubMed Klimek L, Goebel U, Glowania A. Management der Anaphylaxie — Teil 2: Therapie und Notfallausrüstung. HNO. 2012;60:1103–13CrossRefPubMed
24.
Zurück zum Zitat Muraro A, Roberts G, Worm M, Bilò MB, Brockow K, Fernández Rivas M, Santos AF, Zolkipli ZQ, Bellou A, Beyer K, Bindslev-Jensen C, Cardona V, Clark AT, Demoly P, Dubois AE, DunnGalvin A, Eigenmann P, Halken S, Harada L, Lack G, Jutel M, Niggemann B, Ruëff F, Timmermans F, Vlieg-Boerstra BJ, Werfel T, Dhami S, Panesar S, Akdis CA, Sheikh A; EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014;69:1026–45CrossRefPubMed Muraro A, Roberts G, Worm M, Bilò MB, Brockow K, Fernández Rivas M, Santos AF, Zolkipli ZQ, Bellou A, Beyer K, Bindslev-Jensen C, Cardona V, Clark AT, Demoly P, Dubois AE, DunnGalvin A, Eigenmann P, Halken S, Harada L, Lack G, Jutel M, Niggemann B, Ruëff F, Timmermans F, Vlieg-Boerstra BJ, Werfel T, Dhami S, Panesar S, Akdis CA, Sheikh A; EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014;69:1026–45CrossRefPubMed
Metadaten
Titel
Notfallset und Akutbehandlung der Anaphylaxie
Das muss der Hausarzt über den allergischen Schock wissen
verfasst von
Prof. Dr. med. Ludger Klimek
Annette Sperl
Prof. Dr. med. Margitta Worm
Prof. Dr. med. Dr. phil. Johannes Ring
Publikationsdatum
30.10.2017
Verlag
Springer Medizin
Schlagwörter
Anaphylaxie
Anaphylaxie
Erschienen in
MMW - Fortschritte der Medizin / Ausgabe Sonderheft 3/2017
Print ISSN: 1438-3276
Elektronische ISSN: 1613-3560
DOI
https://doi.org/10.1007/s15006-017-9600-y

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