Table 9.

Important aspects of discharge management of anaphylaxis patients

Identification of the elicitor	Allergy history
	If necessary, referral to allergy diagnostics (specific IgE and/or skin test)
Recommendations for the prevention of renewed reactions	In food allergy: individually tailored therapeutic elimination diet (patient organizations, e.g., DAAB, “dietetics in allergy” working group, German Society for Nutritional Medicine)
	In insect venom allergy: consider indication for allergen-specific immunotherapy
	In drug allergy: avoidance and allergy passport recommended
Recommendations for pharmacological self-management	Written plan for pharmacological self-management (anaphylaxis passport)
	Prescription of emergency drugs in body weight-adjusted doses
	Training in administration
Recommendations for everyday management	Information on support from patient organizations for problems in childcare facilities, school, shopping, travelling
	Information regarding non-labeled allergens in foods
	Information on and referral to specialized allergy-trained nutritionists

DAAB German Allergy and Asthma Association (Deutscher Allergie- und Asthmabund)