10-13 July 2023 Liverpool
PO-249 | Improving the Admission Process to Inpat.. | Ahmed Abdelsamie .. | D. PONTES1 , M. ABSI 1 and S. .. | 5 Service Evaluation.. | - - |
PO-250 | Implementing Train 2 Retain Simulation T.. | Qaiser Javed .. | Qaiser Javed, Sruthi Easwaran,.. | 3 Quality Improvement.. | - - |
PO-251 | INDUCTION FOLDER FOR NEW DOCTORS IN PSYC.. | Sathyan Soundararajan .. | Sathyan Soundararajan, Asha Dh.. | 3 Quality Improvement.. | - - |
PO-253 | Documentation of capacity assessments fo.. | Keith Ngwenya .. | Thomas Lane.. | 6 Audit.. | - - |
PO-254 | A Historic Systematic Review on the Neur.. | Viraj Shah .. | Ghazel MukhtarAmanda Hertzberg.. | 2 Research.. | - - |
PO-255 | Developing a neuromodulation approach fo.. | Paul M Briley .. | Paul M Briley, Tiffany Smith, .. | 2 Research.. | - - |
PO-257 | The utilisation rate of clozapine for tr.. | Peter Zhang .. | Peter Zhang, Zhen Dong Li, Mus.. | 6 Audit.. | - - |
PO-258 | An examination of inpatient ward and sec.. | Pooja Saini .. | Pooja Saini, Antony Martin, Ja.. | 2 Research.. | - - |
PO-261 | The Journey of Service Users with Comple.. | Pooja Saini .. | Laura Sambrook, Anna Balmer, H.. | 2 Research.. | - - |
PO-262 | Patterns of insomnia and its treatment i.. | Lauren Waterman .. | .. | 2 Research.. | - - |
PO-264 | Teaching Patient-Centred Care: Effective.. | Andrew L H Peh .. | Andrew L H Peh, C S Lim, Miche.. | 1 Education and Training.. | - - |
RF-265 | Risk factors for self-harm and suicide u.. | Nouran Abdou .. | Louise Robinson, Kerry Gutridg.. | 2 Research.. | - - |
PO-266 | Correlates of sexual harassment among st.. | Boladale Mapayi .. | .. | 2 Research.. | - - |
PO-267 | The African And Caribbean Doctors Buddy .. | Lianne Robinson .. | Mosunmola Fapohunda, Abiemwens.. | 3 Quality Improvement.. | - - |
PO-268 | Reinforcing Recovery and Relapse prevent.. | Vatsala Mishra .. | Reshma Azim, Saam Idelji-Tehra.. | 3 Quality Improvement.. | - - |
PO-269 | Identifying the knowledge and attitudes .. | Hamid Alhaj .. | H. Abdulrahman, O. Hamrawi, T... | 2 Research.. | - - |
PO-270 | Quality Improvement Project: Referral Pr.. | Isabelle Akin-Ojo .. | Cassandra StreeterStephanie Da.. | 3 Quality Improvement.. | - - |
PO-271 | NHS Ayrshire and Arran Sustainability an.. | Sam Fraser .. | Sophie Clark, Megan Barrett, R.. | 3 Quality Improvement.. | - - |
PO-272 | Establishing a memorial trust overseas (.. | Zafrina Majid .. | .. | 1 Education and Training.. | - - |
PO-273 | Staff Perspectives of Emergency Departme.. | Molly McCarthy .. | .. | 2 Research.. | - - |
Thunderstorm-related asthma in patients sensitised to olea europaea pollen: twenty emergency department visits for asthmatic symptoms in one single day Losappio, Laura1; Heffler, Enrico2; Falco, Antonio1; Contento, Francesco1; Cannito, Cosimo1; Rolla, Giovanni2 1"Dimiccoli" Hospital, Emergency Department, Barletta, Italy; 2University of Torino - AO Mauriziano "Umberto I", Allergy and Clinical Immunology, Torino, Italy
Background: Associations between thunderstorm and asthma morbidity have been reported in several countries. Common to all epidemics of thunderstorm-related asthma is a significant increase in atmospheric allergen load during and immediately after a thunderstorm. Sensitization to Alternaria species or to grass and parietaria pollens has been suggested to play a key role in thunderstorm-related asthma. The only reported event of thunderstorm-related asthma in Mediterranean area was attributed to sensitization to parietaria pollen.
Method: here we describe a series of 20 patients who presented to Emergency Department in Barletta (94,000 inhabitants), Puglia (Italy) for sudden and severe asthmatic symptoms between May 27th and 28th 2010 (from15:36 to 5:02), immediately after a violent thunderstorm which occurred following a very hot morning (mean temperature: 29°C). All the patients have been subsequently visited by an allergist and underwent allergological work-up which included skin prick tests and a careful clinical history. Local pollen counts were available.
Result: Between May 10th and June 10th 2010, 86 Emergency Department asthma visits were recorded, 20 of them during the study day. Patients' mean age was 44.25 +/- 18.5 years (range: 9-81), 8/20 females, 2 smokers, 16 with a previous history of known respiratory allergy. Only two patients regularly took anti-asthma drugs. All 20 patients were sensitized to Olea europaea pollen, 7 of whom were monosensitized. Ten patients were sensitized to grass, 7 to parietaria, 5 to compositae, 5 to cypress, 5 to house dust mites, 3 to dog and 1 to cat danders. No patient was sensitized to Alternaria. Mean pollen count was 17 granules/m3 for Olea europaea, 6 granules/m3 for grass pollen.
Conclusion: This is, in our knowledge, the second epidemic of thunderstorm related asthma described in Mediterranean area and the first one in which sensitization to Olea europaea played a key-role. In conclusion, our report indicates that thunderstorm asthma may involve different allergens (not only fungal spores and grass or parietaria pollen) in different geographic areas, depending on the seasonality of thunderstorms and allergenic pollen.