Welcome

Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Dedicated to enhancing knowledge and skill in the care of the allergic patient."

ADVOCACY UPDATES

Breaking News on USP Chapter 797

An updated draft of USP Chapter 797 was released today. Updated Chapter 797 Posted for Public Comment: Separate Requirements…

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Congress Makes Changes to MACRA

The second year of the Quality Payment Program (QPP) authorized by the Medicare Access and…

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CMS Extends the MIPS 2017 Data Submission Deadline from March 31 to April 3 at 8 PM EDT

If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April 3,…

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Changes in MACRA

Macra 101 Image

Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

06/01/2018: Research Grant Cycle

12/01/2018: Research Grant Cycle
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06/15/18: Membership Application Deadline to be eligible for AAOA Member rate for the 2018 Basic Course

07/31/18: Membership Application Deadline to be voted in at the 2018 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2018 Annual Meeting
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04/01/2019: 2019 Fellow Exam Application Deadline
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EDUCATION

Why attend the 2018 AAOA Annual Meeting in Philadelphia from September 14-16? Learn some of the reasons to attend from the AAOA Leadership and staff. Register

Different Advanced Course

What is it in today’s otolaryngology practice that is resonating as a hot topic? Where are the novel treatment strategies? What is today’s typical otolaryngology practice or more specifically the typical AAOA member’s practice?  These are the questions we try to address when building out our Advanced Course in Allergy & Immunology. Read More

Codes/Guidelines

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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IFAR

Editor in Chief Search
The ARS-AAOA IFAR LLC is pleased to announce its search for Editor in Chief, term beginning April 2020. Read More

IFAR Impact Factor: 2.135

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Now Available

Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2018 AAOA Annual Meeting
September 14-16 | Philadelphia, PA
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2018 Advanced Course in Allergy & Immunology
December 6-8 | Atlanta, GA
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AAOA Clinical Insights
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PATIENT CORNER

Avoidance

The first most basic treatment step, once an allergen has been identified, is to eliminate or avoid contact with it, if possible. Unfortunately, avoiding some allergens (such as dust, molds, and animals) is often difficult and thus allergen avoidance alone may not be effective.

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News and Updates

Social and Networking Events at the 2018 AAOA Annual Meeting

This year’s Annual Meeting assures to be not only educational, interactive, and practice-centered, but also…

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2018 AAOA Annual Meeting – Important Dates

August 14 - Hotel Discounted Rate Deadline Room Rate Room rate is $219 (plus 15.5% tax) single/double…

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Burnout: A Real Problem, Not Just a Trendy Talk Show Topic

When you really look at hot topics in medicine, physician burnout seems to really skyrocket…

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Vials

Getting Tested for a Penicillin Allergy

Overview

Allergy to penicillin and related antibiotics is the most commonly reported drug allergy in the United States.

Approximately 85% of patients who describe themselves as “penicillin allergic” will have negative skin tests and can safely receive penicillin and related antibiotics.

However, it is critical to detect which patients are truly allergic to penicillin, as exposure to the antibiotic could cause very serious problems, including anaphylaxis.

Dr. Melissa Hertler Interviewed on Fox 6 News

Dr Melissa Hertler Penicillin Testing ImageDr. Melissa Hertler Interviewed on Fox 6 News

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.   It typically causes a number of symptoms including an itchy rash, throat swelling, and low blood pressure.

On a mechanistic level, anaphylaxis is caused by the release of mediators from certain types of white blood cells triggered either by immunologic or non-immunologic mechanisms. It is diagnosed on the basis of the presenting symptoms and signs.

The primary treatment is injection of epinephrine, the administration of intravenous fluids, and positioning the person flat, with other measures being complementary.

Testing for Penicillin Allergy

A doctor will use the PRE-PEN test, which is the only FDA approved skin test for the diagnosis of penicillin allergy.  Penicillin skin testing involves applying skin prick and intradermal tests with PRE- PEN, Penicillin G, and both a positive and negative control.

A doctor will examine the test sites for a reaction and if the testing is negative we will perform an oral challenge.  The entire process takes about an hour.

Potential benefits of testing

For patients that are concerned that they may be sensitive or allergic to penicillin, there are many benefits of testing with PRE-PEN.

If the patient is shown to test negative for penicillin allergy, this will eliminate any concern about using penicillin, which is an important, effective and well tolerated treatment for many infections.

Another benefit is decreased out of pocket costs for antibiotics, since many alternatives to penicillin are much more costly.

Finally, testing will help decrease the overuse of broad spectrum antibiotics which leads to increased drug- resistant bacteria.

Who should be tested for penicillin allergy?

Any patient with history of a reaction to a penicillin antibiotic or who is currently denied access to certain antibiotics out of concern for such reactions should be tested.

Patients with known ANAPHYLACTIC reaction to penicillin, in the past 5 years, should NOT be tested.

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