• 1 Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany
  • 2 Center for Rhinology and Allergology, Wiesbaden, Germany
  • 3 Department of Clinical Immunology, Wrocław Medical University, ALL-MED Medical Research Institute, Wrocław, Poland
  • 4 Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
  • 5 Charité, Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Comprehensive Allergy Center, Department of Dermatology and Allergy, Berlin, Germany
  • 6 Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria
  • 7 Stanford University School of Medicine, Sean N. Parker Center for Allergy and Asthma Research, Stanford, United States of America
  • 8 Dept of Respiratory Medicine & Allergology, Institute for Clinical Science, Skane University Hospital, Lund University, Lund, Sweden
  • 9 Translational Medicine Program, Peter Gilgan Centre for Research and Learning, Hospital for Sick Children, Toronto, Ontario, Canada
  • 10 Department of Otorhinolaryngology, Amsterdam University Medical Centres, location AMC, Amsterdam, The Netherlands
  • 11 Department of Information-Technology (IT), University Hospital Marburg, Marburg, Germany
  • 12 Allergy, Asthma & Clinical Immunology, Alfred Health, Melbourne, VIC, Australia
  • 13 Departments of Medicine and Microbiology, APC Microbiome Ireland, University College Cork, Cork, Ireland
  • 14 Department of Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany
  • 15 Institute of Medical Psychology and Behavioral Immunobiology, University Clinic Essen, Essen, Germany
  • 16 Allergy Clinical Unit, Hospital Regional Universitario de Málaga, Málaga, Spain
  • 17 Chair and Institute of Environmental Medicine, UNIKA-T, Technical University of Munich and Helmholtz Zentrum München, Augsburg, Germany
  • 18 Department of Otolaryngology, National University of Singapore, Singapore, Singapore
  • 19 Department of Otolaryngology Head and Neck Surgery and Department of Allergy, Beijing Tongren Hospital, Beijing, China
  • 20 Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
  • 21 University Hospital Münster, Department of Allergology, Occupational Dermatology and Environmental Medicine, Münster, Germany
  • 22 Children's Allergy Service, Evelina Children's Hospital, Guy's and St, Thomas' Hospital NHS Foundation Trust, London, UK
  • 23 School of Medicine, University CEU San Pablo, Madrid, Spain
  • 24 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
  • 25 Department of Pediatric Pulmonology, Immunology and Intensive Care Medicine, Charité Universitaetsmedizin, Berlin, Germany
  • 26 Dpt. of Internal Medicine, Allergology, Clinical Immunology Medical, University of Silesia, Katowice, Poland
  • 27 Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
  • 28 Department of Otorhinolaryngology, Cliniques Universitaires Saint-Luc, Brussels, Belgium
  • 29 Departments of Immunology and Dermatology/Allergology, University Medical Center Utrecht, Utrecht, The Netherlands
  • 30 Department of Dermatology and Allergology, University of Helsinki, and Helsinki University Hospital Inflammation Centre, Helsinki, Finland
  • 31 Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Odense, Denmark
  • 32 Department of Biochemistry and Molecular Biology, Chemistry School, Complutense University of Madrid, Madrid, Spain
  • 33 Pediatric Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Barcelona, Spain
  • 34 Centre for Inflammation Research and Child Life and Heath, the University of Edinburgh, Edinburgh, UK
  • 35 Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland
  • 36 Department of Allergy and Immunology, Hospital Quironsalud Bizkaia, Erandio, Spain
  • 37 Upper Airways Research Laboratory, ENT Dept, Ghent University Hospital, Ghent, Belgium
  • 38 MACVIA-France, Montpellier, France
  • 39 Woolcock Institute of Medical Research, University of Sydney and Woolcock Emphysema Centre and Sydney Local Health District, Glebe, NSW, Australia
  • 40 Department of Medical Sciences, Allergy and Clinical Immunology Unit, University of Torino & Mauriziano Hospital, Torino, Italy
  • 41 Personalized Medicine Asthma & Allergy Clinic-Humanitas University & Research Hospital, IRCCS-Milano, Milano, Italy
  • 42 Allergy Section, Department of Internal Medicine, Hospital Vall d'Hebron & ARADyAL research network, Barcelona, Spain
  • 43 Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisbon, Portugal
  • 44 ProAR - Nucleo de Excelencia em Asma, Federal University of Bahia, Brasil and GARD/WHO Executive Committee, Bahia, Brazil
  • 45 CINTESIS, Center for Research in Health Technologies and Information Systems, Faculdade de Medicina da Universidade do Porto, and MEDIDA, Lda, Porto, Portugal
  • 46 Center of Allergy and Immunology, Tbilisi, Georgia and David Tvildiani Medical, University in Tbilisi, Tbilisi, Georgia
  • 47 Skin and Allergy Hospital, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland
  • 48 Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina
  • 49 Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
  • 50 Institute of Biomedical Sciences, Department of Pathology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
  • 51 Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico
  • 52 Allergy & Immunology Centre, Pantai Hospital, Kuala Lumpur, Malaisia
  • 53 Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal
  • 54 Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic - Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain
  • 55 Johns Hopkins School of Medicine, Baltimore, Maryland, USA
  • 56 National Hospital Organization, Tokyo National Hospital, Tokyo, Japan
  • 57 Dept of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan
  • 58 Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK
  • 59 Allergy and Respiratory Diseases, Department of Internal Medicine, IRCCS San Martino-IST-Univesity of Genoa, Genoa, Italy
  • 60 Allergy and Clinical Immunology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra and Institute of Immunology, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
  • 61 Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland
  • 62 Dept of Respiratory Medicine, Hvidovre Hospital, Hvidovre and Institute of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
  • 63 Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
  • 64 Vilnius University Faculty of Medicine, Institute of Clinical Medicine & Institute of Health Sciences, Vilnius, Lithuania
  • 65 Interdisciplinary Department of Medicine, University of Bari Medical School, Unit of Geriatric Immunoallergology, Bari, Italy
  • 66 Department of Pulmonary Diseases, Celal Bayar University, Faculty of Medicine, Manisa, Turkey
  • 67 Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health,, Comprehensive Allergy Center, Department of Dermatology and Allergy, a member of GA2LEN, Berlin, Germany
  • 68 Transylvania University, Brasov, Romania
Allergy, 2020 Jun 12.
PMID: 32531110 DOI: 10.1111/all.14453


BACKGROUND: The Coronavirus disease 2019 (COVID-19) has evolved as a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-)2. Allergists and other health care providers (HCPs) in the field of allergies and associated airway diseases are in the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics.

METHOD: The scientific information on COVID-19 was analyzed by a literature search in Medline, Pubmed, national and international guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library and the Internet.

RESULTS: Based on diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations as well as on previous experience, a panel of experts including clinicians, psychologists, IT experts and basic scientists along with EAACI and the "Allergic Rhinitis and its Impact on Asthma (ARIA)" inititiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies.

CONCLUSIONS: This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients whilst ensuring necessary safety in the current COVID-19 pandemic.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.