10-13 July 2023 Liverpool
PO-295 | Is Balint Group work Improve Doctor-Pati.. | Mansoureh Kiani Dehkordi .. | , F. SADATBATENI2 , N. SHAHINI.. | 1 Education and Training.. | - - |
PO-296 | Clinical Audit of the quality of care de.. | Karyn Vovwero Ohioma .. | Dr Sarah Pearce.. | 6 Audit.. | - - |
PO-297 | An audit exploring ethnic inequalities i.. | Wendy Morgan .. | Wendy Morgan, Joanne Butler.. | 6 Audit.. | - - |
PO-298 | An unusual case of Neuroleptic Malignant.. | Emily Sanger .. | Benjamin RuttDavid Hall Harry .. | 4 Case Study.. | - - |
PO-299 | Re-audit of physical examination and blo.. | Kirstin Wilson .. | .. | 3 Quality Improvement.. | - - |
PO-301 | Audit of Prescribing Practices & Medicat.. | Rosie England .. | Dr Ambreen Rashid.. | 6 Audit.. | - - |
PO-302 | Improvement of Trainee Engagement with t.. | Kris Roberts .. | Dr Emma McPhail, Dr Deepa Kris.. | 1 Education and Training.. | - - |
PO-303 | Design and Survey Evaluation of an Onlin.. | Jacek Lindner .. | Ashkan Ebrahimi, Julian Kochan.. | 1 Education and Training.. | - - |
PO-304 | Side-effect monitoring for patients on d.. | Harry Waterman .. | Hanna Zaborowska, Julie Taylor.. | 6 Audit.. | - - |
PO-305 | Augmented reality exposure therapy in tr.. | Safa Hasan .. | Dr Hamid Alhaj and Dr A Hassou.. | 2 Research.. | - - |
PO-306 | Increasing the interval between anti-psy.. | Aditi Pandey .. | PARISAH HUSSEINRUBEN PERUMALCL.. | 3 Quality Improvement.. | - - |
RF-307 | RESHAPE: Changes in the prevalence of ea.. | Jessica OLogbon .. | 1. Tamsin Ford2. Tamsin Newlov.. | 2 Research.. | - - |
PO-308 | Secondary Service Communications to GPs-.. | Tajnin Mitu .. | Dr. Tajnin Mitu, Dr Vinila Zac.. | 6 Audit.. | - - |
PO-309 | The Advancing Mental Health Equality Col.. | Adele de Bono .. | Saiqa Akhtar, Rosanna Bevan, M.. | 3 Quality Improvement.. | - - |
PO-310 | Quality Improvement project on improving.. | Irangani Nawasiya Mudiyanselage .. | Irangani Nawasiya Mudiyanselag.. | 3 Quality Improvement.. | - - |
PO-312 | Reflecting on Episodes of Rapid Tranquil.. | Kris Roberts .. | Dr Arif Rahman, Dr Rachael Ell.. | 6 Audit.. | - - |
PO-313 | Ventriculomegaly in Mania - A possible n.. | Galina Lisa DSouza .. | .. | 4 Case Study.. | - - |
PO-314 | A Quality Improvement project reviewing .. | Fiona Harding .. | Rebecca Garvey, Giles Constabl.. | 3 Quality Improvement.. | - - |
PO-316 | Quality Improvement Project to Co-Produc.. | Hina Tahseen .. | .. | 3 Quality Improvement.. | - - |
PO-317 | Alcohol use and associated risk factors .. | Alicja Beksinska .. | .. | 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.