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<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 &amp; 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 &gt; 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 &lt; 6 weeks  duration 

? Atopic Eczema in children &gt; 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 &lt; 3 months 

Current &lt; 12 months 

Category 2  
Target &lt; 6 months 
Current 24 months 

Category 3  
Target &lt;12 months 
Current 24 months 

* Priority triage - &lt; 4 weeks 

? Infants with complex food allergies* 

? Idiopathic Anaphylaxis* 

? Immunodeficiency* 

? Anaphylaxis   defined trigger 

? &gt;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 &gt; 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  

 











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