Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life

Objective: To assess the safety of an ultra-rapid schedule of up-dosing phase of subcutaneous immunotherapy (SCIT) using an infusion pump. Methods: We selected in real-life, 60 patients with allergic rhinitis and/or asthma who were sensitized to pets (cat or dog). They received SCIT with Alutard® e...

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Main Authors: Silvia Uriarte, Joaquín Sastre
Format: Article
Language:English
Published: Colegio Mexicano de Inmunología Clínica y Alergia, A.C. 2018-06-01
Series:Revista Alergia México
Subjects:
Online Access:http://revistaalergia.mx/ojs/index.php/ram/article/view/467
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author Silvia Uriarte
Joaquín Sastre
author_facet Silvia Uriarte
Joaquín Sastre
author_sort Silvia Uriarte
collection DOAJ
description Objective: To assess the safety of an ultra-rapid schedule of up-dosing phase of subcutaneous immunotherapy (SCIT) using an infusion pump. Methods: We selected in real-life, 60 patients with allergic rhinitis and/or asthma who were sensitized to pets (cat or dog). They received SCIT with Alutard® extract (ALK-Abelló, Spain) maintenance vial. A portable infusion pump (IP) (Infusa T®, Medis, Italy) was used for subcutaneous administration of the immunotherapy. The infusion lasted 4-hours in the same day. Adverse reactions were monitored. Results: Sixty doses were administered. Immunotherapy-related adverse reactions (ARs) were reported in 15 patients. By doses, 5 % were local reactions (LRs) and 21.6 % systemic reactions (SRs). All LRs were delayed. Of the SRs, 46.2 % were immediate while 53.8 % delayed SRs. Symptoms associated with SRs were rhinitis (61.5 %), urticaria (38.5 %), conjunctivitis (30.8 %). The most of SRs were grade I (92.3 %) and were treated rapidly. Conclusion: The up-dosing phase of subcutaneous immunotherapy (SCIT) using an infusion pump in an ultra-rapid schedule could be considered a form of SCIT’s administration. Despite the possible adverse reactions, which in our study were mild reactions.
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spelling doaj.art-605a73f6679c402888385dfe08d255132023-09-03T01:02:21ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902018-06-0165 suppl 184307Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-lifeSilvia Uriarte0Joaquín Sastre1Fundación Jiménez Díaz, Departamento de Alergia, MadridFundación Jiménez Díaz, Departamento de Alergia, MadridObjective: To assess the safety of an ultra-rapid schedule of up-dosing phase of subcutaneous immunotherapy (SCIT) using an infusion pump. Methods: We selected in real-life, 60 patients with allergic rhinitis and/or asthma who were sensitized to pets (cat or dog). They received SCIT with Alutard® extract (ALK-Abelló, Spain) maintenance vial. A portable infusion pump (IP) (Infusa T®, Medis, Italy) was used for subcutaneous administration of the immunotherapy. The infusion lasted 4-hours in the same day. Adverse reactions were monitored. Results: Sixty doses were administered. Immunotherapy-related adverse reactions (ARs) were reported in 15 patients. By doses, 5 % were local reactions (LRs) and 21.6 % systemic reactions (SRs). All LRs were delayed. Of the SRs, 46.2 % were immediate while 53.8 % delayed SRs. Symptoms associated with SRs were rhinitis (61.5 %), urticaria (38.5 %), conjunctivitis (30.8 %). The most of SRs were grade I (92.3 %) and were treated rapidly. Conclusion: The up-dosing phase of subcutaneous immunotherapy (SCIT) using an infusion pump in an ultra-rapid schedule could be considered a form of SCIT’s administration. Despite the possible adverse reactions, which in our study were mild reactions.http://revistaalergia.mx/ojs/index.php/ram/article/view/467subcutaneous immunotherapyinfusion pumpallergic rhinitisasthmapets
spellingShingle Silvia Uriarte
Joaquín Sastre
Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
Revista Alergia México
subcutaneous immunotherapy
infusion pump
allergic rhinitis
asthma
pets
title Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
title_full Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
title_fullStr Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
title_full_unstemmed Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
title_short Safety of an ultra-rush subcutaneous immunotherapy using an infusion pump in real-life
title_sort safety of an ultra rush subcutaneous immunotherapy using an infusion pump in real life
topic subcutaneous immunotherapy
infusion pump
allergic rhinitis
asthma
pets
url http://revistaalergia.mx/ojs/index.php/ram/article/view/467
work_keys_str_mv AT silviauriarte safetyofanultrarushsubcutaneousimmunotherapyusinganinfusionpumpinreallife
AT joaquinsastre safetyofanultrarushsubcutaneousimmunotherapyusinganinfusionpumpinreallife