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

USP General Chapter <797> Pharmaceutical Compounding – Sterile Preparations

Latest Updates  on USP <797> On September 23, 2019, the United States Pharmacopeia has announced that,…

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What you need to comply with the pending USP General Chapter <797> Pharmaceutical Compounding — Sterile Preparations

3 key compliance criteria While the implementation date of the new USP General Chapter <797>…

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2019 AAOA Advanced Course in Allergy & immunology Optional USP 797 Compliance Workshop

Cost: $125 for AAOA members and $300 for non-members* in addition to AAOA Advanced Course registration…

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Changes in MACRA

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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

12/01/19: Research Grant Cycle
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02/15/20: Crowdsourcing for 2020 Scottsdale
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02/15/20: Call for Proposals
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04/01/20: Fellow Exam Application Deadline
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06/01/20: Research Grant Cycle
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06/26/20: Membership Application Deadline to be eligible for AAOA Member rate for the 2020 Basic Course Learn more

09/11/20: Membership Application Deadline to be voted in at the 2020 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2020 Annual Meeting Learn more

EDUCATION

Here is What You Missed...

2019 New Orleans was an outstanding success?  With over 500 participants, our AAOA members left New Orleans re-energized, re-freshed, and re-engaged.  The program offered something for everyone — from cutting edge clinical content to every day how to’s for practice management efficiencies. Read More

AAOA in the Lone Star

Join us in the Lone Star State for the 2019 AAOA Advanced Course in Allergy and Immunology. This course builds on the basic clinical care of allergic patient concepts and techniques presented at the AAOA’s Basic Course in Allergy & Immunology. Read More

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 Advanced Course in Allergy & Immunology
December 12-14 | Austin, TX
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2020 Basic Course in Allergy & Immunology
July 9-11 | Orlando, FL
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2020 AAOA Annual Meeting
October 23-25| Scottsdale, AZ
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AAOA Clinical Insights
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NEW!!! USP 797 Online Module
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PATIENT CORNER

Off to College: Tips for Managing Allergies

Heading to college is an exciting time. What are the best ways for students to avoid exacerbation of their symptoms as they enter the hallowed halls of higher learning?

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College Allergy Symptoms Treatment Back to Shcool

News and Updates

Should I Go to Austin?

We get it.  You’ve been to the Advanced Course on Allergy & Immunology, so you…

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CEO September 2019 Update

by Jami Lucas, AAOA CEO/Executive Director Over 500 AAOA members were engaged, learning, and networking…

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Here is What You Missed…

2019 New Orleans was an outstanding success?  With over 500 participants, our AAOA members left…

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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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