Family Physicians Capable of Administering Immunotherapy/IN REPLY

摘要

The new National Asthma Education and Prevention program guidelines stress the importance of education for both allergen avoidance and immunotherapy.1 Many articles about severe reactions, as well as practice parameters for immunotherapy, have been published in the allergy literature.2,3 Courses on immunotherapy and the management of anaphylaxis are a well-attended feature of our meetings. Joint Task Force on Practice Parameters; American Academy of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology; Joint Council of Allergy, Asthma and Immunology. A Cochrane review has concluded that immunotherapy benefits selected patients with asthma, not that it works better when administered by an allergist or primary care clinician.2 A third option would be to request that an allergist perform initial allergy testing and determine the dose, composition, and schedule for immunotherapy, with the family physician taking subsequent responsibility for the administration of injections and office monitoring.