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Table 1 Conditions and comorbidies considered as contraindications to AIT, by Allergy Societies/Academies (in alphabetical order) and year of publication

From: Contraindications to immunotherapy: a global approach

 

AAAAI-2011

ASCIA-1997

BSACI (SCIT)-2011

BSACI (VIT)-2011

CMICA-2011

DSA-2005

EAACI (SCIT)-2015

EAACI (SLIT)-2015

EAACI (VIT)-2015

FSACI-2011

German-speaking-2014

IFIACI (SCIT)-2014

IFIACI (VIT)-2014

JSA-2017

NSAI-2011

PTA (SLIT)-2016

SEIAC-2011

SFA-2003

SFFA-2009

WHO-1998

Lack of communication

A

  

A

 

A

R

R

R

A

A

A

A

 

R

A

 

A

A

R

Start during pregnancy

Ra

R

R

R

R

R

A

A

A

R

Aa

Ab

R

A

R

R

R

R

R

R

Beta-blockers

R

A

A

R

R

Ac

R

R

 

Ac

A

R

R

A

R

A

R

A

R

R

ACE-inhibitors

R

  

R

R

   

R

 

Ad

       

R

 

Antidepressants

   

R

                

Children < 5-6 yo

 

R

A

 

R

 

Re

Re

Re

  

Ab

A

 

R

 

R

A

Rb

Rc

Elderly > 65 yo

    

R

           

R

   

Cardiovascular diseases

R

 

R

 

A

A

R

R

 

Ac

   

R

R

A

  

A

R

Uncontrolled asthma

R

R

A

A

A

A

A

A

A

A

Ag

A

A

A

R

A

R

A

A

R

Co-existing active diseases

  

A

 

A

A

R

R

R

  

R

  

R

A

    

Immunodeficiency

  

R

R

R

A

R

R

R

A

A

A

  

R

A

R

A

A

R

Autoimmunity

 

R

R

R

R

A

Rf

Rf

Rf

R

R

A

R

A

R

A

R

A

A

R

Immunosuppressive agents

  

R

   

R

R

R

 

A

A

     

A

  

Chronic infections

     

A

R

R

R

A

  

R

  

A

  

A

 

Malignancy

 

R

R

R

R

A

A

A

R

A

R

A

R

A

R

A

 

A

  

Dermatitis

 

R

   

R

   

R

    

R

   

R

R

Temporary conditions

          

A

R

   

R

R

   

Inadequate means/training

 

A

 

A

                

Anaphylaxis to AIT

 

A

                  
  1. Acronyms of the Societies/Academies are explained in the “Abbreviations” section
  2. A: absolute contraindications or contraindications of major importance
  3. R: relative contraindications or special precautions/considerations
  4. aVIT can be initiated during pregnancy in isolated cases of life-threatening insect venom allergy
  5. bSCIT is contraindicated while SLIT is not
  6. cNot a contraindication for VIT
  7. dContraindicated for VIT
  8. eFor children < 2 yo it consists an absolute contraindication
  9. fFor autoimmune disorders in active form it consists an absolute contraindication
  10. gFollowing the German NVL (Nationale VersorgungsLeitlinie) for the definition of partially controlled asthma, it is mentioned that “AIT may be performed in children in case of partially controlled astma—provided they rarely experience asthma symptoms”