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Main Programme
Main Programme
Saturday 11th June 2011
113
Associate Professor Rohan Ameratunga
Desensitisation - Concurrent Workshop Repeated
Saturday, 11 June 2011 Start 4:30pm Duration: 60mins Sigma
Allergic disorders are a consequence of an inappropriate IgE response to antigens (allergens) that
are generally considered to be harmless. The precise genetic basis of allergy is yet to be determined.
Management of allergic disorders consists of three components. Where possible, allergen avoidance
measures should be undertaken. Patients who are allergic to indoor triggers such as dust mites, should
obtain pillow mattress and duvet covers from Allergy New Zealand. It is usually difficult to avoid outdoor
allergens such as grass pollens. The second aspect of allergy treatment is the use of drugs. Generally
most patients with allergic rhinitis respond to steroid nose sprays and / or antihistamines. This talk will
focus on the last component of allergy treatment, desensitisation. Desensitisation has proved to be
effective for inhalant allergies, hymenoptera (stinging insect) allergy and drug allergy.
In general, desensitisation consists of introducing gradually increasing amounts of allergen over a period
of time. This in turn down regulates the immune response. Desensitisation carries risks, including the
possibility of anaphylaxis. In general, initiation of desensitisation to stinging insects and drugs should
be carried out in specialised settings. Maintenance for bee and wasp allergy can be done in GP
practice. Inhalant desensitisation can be undertaken in GP as long as measures are in place to deal with
anaphylaxis. It is strongly advised that patients with unstable asthma are not desensitised in general
practice. These patients are at risk of fatal asthma. Practical aspects of immunotherapy will be discussed
in the workshop.
Notes
Marijke Currie
Spirometry Testing, Best Techniques for Best Results - Concurrent Workshop Repeated
Saturday, 11 June 2011 Start 4:30pm Duration: 60mins Works
Spirometry is invaluable as a screening test of general respiratory health, however the clinical value of
spirometric measurements is dependent on the correct operation and accuracy of the spirometry device,
as well as correct patient technique.
The aim of this workshop is to highlight the purpose of spirometry, and the importance of correct
operation and technique for performing spirometry in primary practice.
Notes
09-12 June 2011 | Energy Events Centre | Rotorua