Stinging Insect Allergy
North South North West Statewide
All referrals should comply to 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.
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 Tasmanian Health Pathways website.
Urgent / category 1
Patient at occupational risk of further stings.
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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.
We will endeavour to see these patients within 12 weeks
Next available appointment