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Skin prick testing in general practice: a pilot study

B Sibbald1, G Barnes, S R Durham

  • 1National Primary Care Research and Development Centre, University of Manchester, England.

Journal of Advanced Nursing
|September 26, 1997
PubMed
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Allergy skin prick testing in general practice helps nurses refine allergen avoidance advice for asthma patients. This diagnostic tool improves patient care by identifying individuals unlikely to benefit from interventions.

Area of Science:

  • Allergy and Immunology
  • General Practice
  • Respiratory Medicine

Background:

  • Allergy skin prick testing is a standard hospital procedure.
  • Its utility in general practice for asthma care is undefined.
  • General practice nurses play a key role in asthma management.

Purpose of the Study:

  • To investigate the role of allergy skin prick testing in general practice.
  • To assess how skin prick testing facilitates asthma patient care by practice nurses.
  • To evaluate the impact of skin testing on allergen avoidance advice.

Main Methods:

  • A structured questionnaire assessed practice nurses' decisions before and after testing.
  • 18 nurses administered allergy skin tests for common aeroallergens.

Related Experiment Videos

  • 319 asthma patients (known or suspected) participated in the study.

    • Main Results:

    • Skin testing reversed avoidance advice in 13-23% of cases across four aeroallergens.
    • Targeting interventions based on positive skin tests and clinical history reduced planned interventions by over 50%.
    • Allergen avoidance advice was adjusted for a significant number of patients post-testing.

    Conclusions:

    • Allergy skin prick testing is feasible and acceptable in general practice settings.
    • Skin testing can help optimize allergen avoidance strategies for asthma patients.
    • It may reduce unnecessary interventions for patients unlikely to benefit.