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Table 3 The consensus for the core knowledge and skills for primary care of allergy patients

From: Identification of core competencies for primary care of allergy patients using a modified Delphi technique

No

Knowledge

Agree(%)

1

Manifestations of allergy to pollen, mites and pets

100

2

Cross-reactions to birch and mugwort, oral allergic syndrome

79

3

Lactose intolerance

100

4

Trigger factors of acute urticaria/angioedema

95

5

Definition of anaphylaxis

95

6

Anaphylaxis from food, bee/wasp and drugs

95

7

Indications for prescription of adrenaline autoinjector

95

8

Intolerance vs allergy

100

9

What is included in different panels of allergens

100

10

Basic mechanisms of infectious asthma and COPD

100

11

Basic mechanisms of allergic and non-allergic rhinitis and organic disorders in the nose and sinus

95

12

Acute and chronic infectious disorders in the nose and sinus

95

13

Mechanisms of urticaria

90

14

Drug reactions: immediate and delayed

90

15

Basic mechanisms of common drugs for inflammatory disorders in airways and in skin

84

16

Different pharmacological treatment options (including the ones prescribed by specialists)

84

17

When to consider referral to a specialist

100

18

Not to advise avoidance of food due to occurrence of specific IgE in children without referral to a paediatric department

84

No

Diagnostics

Agree(%)

19

History, including seasonal allergies, cross-allergies; best with a questionnaire

100

20

Examination of eyes, nose and skin

100

21

Pulmonary auscultation

100

22

Basic investigation of obstructive pulmonary disease

100

23

Basic investigation of rhinitis

100

24

Basic investigation of type 1 and type 2 allergy

84

25

Indications of specific IgE

100

26

Reading of spirometry and PEF curve

100

27

Performing spirometry

79

28

Recognition of signs of contact allergy and referral to a dermatologist

100

No

Therapeutics

Agree(%)

29

Treatment of allergic rhinoconjunctivitis (antihistamine, nasal corticosteroid and eye drops)

100

30

Treatment of non-allergic disorders such as idiopathic or vasomotor rhinitis

100

31

Treatment and prevention of allergic acute asthma

100

32

Treatment of allergic acute asthma in children

90

33

Dealing with an acute severe allergic reaction

100

34

Treatment of anaphylaxis

100

35

Treatment of atopic eczema; moisturisers, topical steroids with adequate potency and avoidance of systemic steroids

100

36

Treatment of urticaria with non-sedating antihistamines

100

37

Treatment of itch

100

No

Communication

Agree(%)

38

Offering sufficient time to examine history

100

39

Showing interest, commitment and empathy

100

40

Writing careful referral for specific IgE

90

41

Explaining to the patient in a simple way what allergy is and its consequences

100

42

Giving basic advice about treatment of eczema and rhino-conjunctivitis

100

43

Instructing the patient how to use adrenaline autoinjector

79

44

Attending training courses as a team (doctor and nurse) to ensure patient receives consistent information

90

45

Cooperating with colleagues and other staff categories

100

46

Establishing regular cooperation with a specialist at the hospital

84