Tander Simberloff, BA, Ron Parambi, MBBS, MPH, Lisa M

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Presentation transcript:

Implementation of a Standardized Clinical Assessment and Management Plan (SCAMP) for Food Challenges Tander Simberloff, BA, Ron Parambi, MBBS, MPH, Lisa M. Bartnikas, MD, Ana Dioun Broyles, MD, Victoria Hamel, RN, BSN, Karol G. Timmons, RN, MS, CPNP, D. Marlowe Miller, BA, Dionne A. Graham, PhD, Lynda C. Schneider, MD, Andrew J. MacGinnitie, MD, PhD The Journal of Allergy and Clinical Immunology: In Practice Volume 5, Issue 2, Pages 335-344.e3 (March 2017) DOI: 10.1016/j.jaip.2016.05.021 Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 1 The Standardized Clinical Assessment and Management Plan (SCAMP) cycle. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 2 Planned use of the infusion center for challenges ordered over time (years/quarter). The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 3 Flow of patients through Standardized Clinical Assessment and Management Plan (SCAMP) from enrollment to challenge completion. IC, Infusion center. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 4 Food challenge results by the location of a challenge. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 5 Assessment of risk factors for failed challenges and failed challenges with epinephrine. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 6 Rate of failed challenges by the Standardized Clinical Assessment and Management Plan (SCAMP)-recommended location and actual challenge location. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, 335-344.e3DOI: (10.1016/j.jaip.2016.05.021) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions