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Stinging Insect Allergy
Outpatients | Jack jumper allergy
This condition is treated in the Jack jumper allergy clinic.
Pre-referral work-up
History
All referrals should comply to the referral standards and also include:
- History of reactions to insect stings, specifically worst reaction experienced
- If patient has experienced reactions to different insects, detail type of insect and reaction that occurred to that insect
- Date of last sting and severity of reaction
- Detail type of insect if known i.e. Jack Jumper, Honey Bee etc. If unknown please indicate 'unknown insect'
- Time frame from sting to onset of each symptom
- Treatment administered - Was adrenaline given?
- If attended hospital, Medical Centre, GP practice, which one & when?
- Do they have an EpiPen & ASCIA Action Plan/Training?
- Past medical history
- Current medications
- Correct patient contact details (especially phone numbers)
Example: 64-year-old female stung by a Jack Jumper on the 4 January. Within 10 minutes of sting extensive rash on torso, throat tightness, difficulties breathing and chest tightness. Took antihistamine and called '000'. Ambulance arrived 35 minutes after sting and IMI adrenaline was administered. Transported to Royal Hobart Hospital, observed for 4 hours. No hypotension or loss of consciousness. Currently has two Epipens. PMHX: etc. Meds: etc. especially cardiovascular, respiratory.
Interim/GP management
To refer a patient with this condition, please see the Jack Jumper clinic page for the full referral process and templates.
The Australasian Society of Clinical Immunology and Allergy (ASCIA), Action Plan can be used as a guide to the severity of an anaphylactic reaction.
Note: Venom immunotherapy is not indicated for the treatment of local reactions to insect stings.
For more information please see the HealthPathways Tasmania website.
Clinic appointments
🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Emergency
🚩 Anaphylaxis
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Urgent (Category 1)
🚩 Patient at occupational risk of further stings.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Availability
North
Launceston General Hospital
Level 3 - Specialist Clinics
Phone: 1300 977 694
Fax: 03 6777 5227
North West
North West Regional Hospital
Phone: 6493 6300 / 6166 7599
Fax: 6464 1928 / 6173 0421
South
Royal Hobart Hospital
Level 3, C Block - Jack Jumper Allergy Program
Phone: 03 6166 7599
Fax: 03 6173 0326
