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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

USP Update

Final Standards for Allergen Extract Compounding under USP Chapter 797 The long-awaited new USP Chapter…

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Impact OF 2019 Physician Fee Schedule on Allergy and Sinus Services

Specialty Impact The conversion factor for 2019 will be $36.0391 and remains essentially flat.  The changes…

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Your AAOA at the AMA

I want to urge you to consider membership in the AMA because your membership in…

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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

06/01/19: Research Grant Cycle
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06/01/19: Call For Scientific Abstracts Deadline
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06/7/19: Membership Application Deadline to be eligible for AAOA Member rate for the 2019 Basic Course

07/31/19: Membership Application Deadline to be voted in at the 2019 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2019 Annual Meeting
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12/01/19: Research Grant Cycle
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04/01/20: Fellow Exam Application Deadline
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EDUCATION

Be a Part of the 2019 AAOA Annual Meeting!

AAOA is accepting Scientific Abstracts for in-person oral or poster presentation at the 2019 AAOA Annual Meeting in New Orleans, LA - September 13-15, 2019. Submit Scientific Abstract 

IFAR

IFAR Impact Factor: 2.454

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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

2019 Basic Course in Allergy & Immunology
June 27-29 | Minneapolis, MN
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2019 AAOA Annual Meeting
September 13-15 | New Orleans, LA
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2019 Advanced Course in Allergy & Immunology
December 12-14 | Austin, TX
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AAOA Clinical Insights
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PATIENT CORNER

History of Allergy Treatment

The history of modern allergy treatment dates back to the early decades of the twentieth century with the demonstration of decreased response to grass pollens following conjunctival challenge done by Noon and Freeman.

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News and Updates

International Forum of Allergy & Rhinology Top Articles 2018-2019

Read top articles published in the International Forum of Allergy & Rhinology 2018-2019. Most Cited International Consensus…

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CEO Update – Re·im·ag·ine

re·im·ag·ineverb reinterpret (an event, work of art, etc) imaginatively; rethink Reimagined, Reinvented, Reinvigorated….these are all…

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Americans May be Over-diagnosing Themselves with Food Allergies

"Food allergy is a costly, potentially life-threatening health condition that can adversely affect patients’ well-being". A study…

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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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