<html> <head> <meta charset="UTF-8"/> <meta name="tikaGenerated" content="true"/> <meta name="date" content="2018-11-20T01:58:36Z"/> <meta name="creator" content="Mary Dickson"/> <meta name="xmp:CreatorTool" content="Microsoft® Word 2010"/> <meta name="meta:author" content="Mary Dickson"/> <meta name="meta:creation-date" content="2018-11-20T01:58:36Z"/> <meta name="created" content="Tue Nov 20 12:28:36 ACDT 2018"/> <meta name="dc:creator" content="Mary Dickson"/> <meta name="xmpTPg:NPages" content="1"/> <meta name="Creation-Date" content="2018-11-20T01:58:36Z"/> <meta name="dcterms:created" content="2018-11-20T01:58:36Z"/> <meta name="Last-Modified" content="2018-11-20T01:58:36Z"/> <meta name="dcterms:modified" content="2018-11-20T01:58:36Z"/> <meta name="Last-Save-Date" content="2018-11-20T01:58:36Z"/> <meta name="meta:save-date" content="2018-11-20T01:58:36Z"/> <meta name="Author" content="Mary Dickson"/> <meta name="producer" content="Microsoft® Word 2010"/> <meta name="modified" content="2018-11-20T01:58:36Z"/> <meta name="Content-Type" content="application/pdf"/> </head> <body> <pre> Version Date from Date to Amendment 1.0 September 2014 September 2016 Original 2.0 October 2018 October 2021 Referral References Updated OUTPATIENT SERVICE DESCRIPTION & TRIAGE GUIDELINES ALLERGY/CLINICAL IMMUNOLOGY SERVICE - PAEDIATRIC Southern Adelaide Local Health Network (SALHN) Description of Service The SALHN Allergy/Clinical Immunology (ACI) Paediatric Service provides care to infants and children with serious and complex allergic and immunologic disorders. The clinical assessment and management of patients is provided by a specialised multi-disciplinary team (specialist allergists/clinical immunologists, allergy nurses and dietitian). Services provided ? IgE- and non-IgE mediated food allergy. ? Anaphylaxis ? Urticaria ? Recurrent angioedema (without urticaria) if C4 reduced or > 6 weeks. ? Drug allergy ? Atopic Eczema ? Allergic rhinoconjunctivitis ? Suspected primary immunodeficiency Services not provided ? Serious adverse vaccine reactions and high risk immunisations Refer to Special Immunisation Service (SIS) clinic, WCHN ? Asthma. ? Contact Dermatitis. Refer to Dermatology. ? Paediatric autoimmune/rheumatological disease. Refer to Rheumatology, WCHN ? Allergy testing for asymptomatic siblings or relatives of food allergic patients ? Large delayed localised insect sting reactions ? Rhinoconjunctivitis without trialled medical management ? Urticaria < 6 weeks duration ? Atopic Eczema in children > 2 years without trialled standard medical management ? Ongoing PBS Authority prescriptions for: Adrenaline Auto Injector, Elemental Formula For URGENT advice contact the Paediatric Allergy Registrar Flinders Medical Centre (FMC) Ph: (08) 8204 7201 Triage Criteria for Referral Category 1 Target < 3 months Current < 12 months Category 2 Target < 6 months Current 24 months Category 3 Target <12 months Current 24 months * Priority triage - < 4 weeks ? Infants with complex food allergies* ? Idiopathic Anaphylaxis* ? Immunodeficiency* ? Anaphylaxis defined trigger ? >12 months with food allergies ? Insect venom anaphylaxis ? Complex drug allergy ? IgE and non-IgE -mediated food allergy ? Rhinoconjunctivitis with failed maximal medical intervention ? Atopic eczema with failed medical intervention. NB! severe generalised eczema in infancy strongly suggests food allergy ? Simple drug allergy with Medic Alert and avoidance advice in place ? Urticaria > 6 weeks duration ? Review of or second opinions re anaphylaxis or allergy previously assessed by an Allergist with management plan General Information to assist with referrals and the Referral templates for FMC are available to download from the SALHN Outpatient Services website www.sahealth.sa.gov.au/SALHNoutpatients </pre> </body> </html>