10-13 July 2023 Liverpool
PO-274 | Improve Coding Practices for Patients in.. | Molly McCarthy .. | .. | 2 Research.. | - - |
PO-275 | Health Care Professionals perspectives o.. | Michelle Rickett .. | Dr Tom Kingstone, Dr Veenu Gup.. | 2 Research.. | - - |
PO-276 | Improvement of Junior Doctor Handover in.. | Adam Flynn .. | Adam Flynn, Richard Morrison, .. | 3 Quality Improvement.. | - - |
PO-277 | To profile patients who need long term c.. | Richard Goveas .. | Lim Muhammad Haikel Ashraf, Lo.. | 6 Audit.. | - - |
PO-278 | Adherence to the best practice guideline.. | NADIYA SIVASWAMY .. | NADIYA SIVASWAMY.. | 6 Audit.. | - - |
PO-279 | Co-production of a digital symptom self-.. | Miten Sudra .. | .. | 3 Quality Improvement.. | - - |
PO-280 | Using evidence-based measures to assess .. | Rock Charles .. | Dr Catherine FulgoniDr Claire .. | 2 Research.. | - - |
PO-281 | Barriers to Choosing Psychiatry as a Car.. | Raja Adnan Ahmed .. | Dr Samrah Zahid Dr Bisma Shaha.. | 2 Research.. | - - |
PO-282 | A service evaluation exploring staff per.. | Georgia Ashworth .. | Dr Gerard WaldronDr Banipreet .. | 5 Service Evaluation.. | - - |
PO-283 | Building a Trainee Network of Higher Tra.. | Christopher Lawrence .. | Dr Noura Al-Juffali, Dr Vishni.. | 1 Education and Training.. | - - |
RF-284 | Establishing target therapeutic concentr.. | Lauren Evans .. | Prof Suzanne ReevesDr Jonathan.. | 7 Psychopharmacology.. | - - |
PO-285 | Supporting wellbeing and resilience: Del.. | Kenneth Ruddock .. | Dr Catriona NeilDr Suzanne Gal.. | 1 Education and Training.. | - - |
PO-286 | A Tale of Two Catatonic States.. | Harleen Kaur Birgi .. | Dr Geoff Lawrence-Smith, Dr Si.. | 4 Case Study.. | - - |
PO-287 | The Cheshire and Merseyside Tier 4 CAMHS.. | Elizabeth Collins .. | Dr Fiona Pender.. | 4 Case Study.. | - - |
PO-288 | Pathways To Care at Early Intervention i.. | Benjamin Koetsier .. | John Stevens, Chloe Uffendell .. | 6 Audit.. | - - |
RF-289 | Service Provider Views on Mental Healthc.. | Rachael Brookes .. | Rachael Brookes, Nicky Longley.. | 2 Research.. | - - |
PO-291 | Physical Health Monitoring in the Memory.. | Cara Pattiata .. | Dr Tolu Olusoga.. | 6 Audit.. | - - |
PO-292 | Quality Improvement Project: Increasing .. | Bethany Thompson .. | .. | 3 Quality Improvement.. | - - |
PO-293 | Assessment of knowledge regarding alcoho.. | - Saima .. | - Saima, Laura Jayne Williams.. | 2 Research.. | - - |
RF-294 | Providing the right support at the right.. | James Cai .. | .. | 3 Quality Improvement.. | - - |
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.