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Indications for venom immunotherapy (VIT).
| Symptoms | VIT decision | Comment |
|---|---|---|
| Large local reaction | No | – |
| Anaphylaxis or grade 4 reaction (Muller grading) | Yes | |
| Upper airway or laryngeal oedema and/or severe bronchospasm | Yes | |
| Generalized urticaria and/or non-life threatening angioedema or mild bronchospasm | Consider VIT | Make a decision after considering occupational risk, hobbies, co-morbid conditions, social circumstances, access to emergency care and patient choice |
