Laboratory Animal Bite Anaphylaxis: A National Survey: Part 2: Treatment Protocols

J Occup Environ Med. 2017 Aug;59(8):739-741. doi: 10.1097/JOM.0000000000001063.

Abstract

Objective: This study documents current treatment protocols for laboratory animal bite anaphylaxis in the United States.

Methods: An online survey was e-mailed to designated institutional officials at laboratory animal facilities identified by the National Institutes of Health Office of Laboratory Animal Welfare.

Results: One hundred eighty-nine organizations responded to the question of whether they had a treatment protocol with 32% indicating that they had a protocol. Having a case of anaphylaxis increased the likelihood of having a protocol (61%). Of those with a protocol, 58% included treatment with injectable epinephrine, if clinically indicated. Among all respondents, only 14% reported keeping injectable epinephrine at the location where animal work is performed.

Conclusions: A minority of responding organizations had protocols in place to address laboratory animal bite anaphylaxis. Organizations with workers at risk should consider implementing a protocol for assessment and treatment.

MeSH terms

  • Academic Medical Centers / organization & administration
  • Academies and Institutes / organization & administration
  • Anaphylaxis / diagnosis
  • Anaphylaxis / etiology
  • Anaphylaxis / therapy*
  • Animals
  • Animals, Laboratory*
  • Bites and Stings / complications*
  • Drug Industry / organization & administration
  • Epinephrine / supply & distribution
  • Humans
  • Occupational Health
  • Occupational Injuries / complications*
  • Organizational Policy*
  • Surveys and Questionnaires
  • United States
  • Universities / organization & administration

Substances

  • Epinephrine