Stinging insect vaccines: Patient selection and administration of hymenoptera venom immunotherapy

Elucidation of the natural history of insect sting allergy is critical to the development of guidelines and practice parameters for the evaluation and prevention of insect sting anaphylaxis. There remains a need for long-term observations and correlations that may yet provide the indicator of clinical and immunologic factors that accurately predict the individual patient's risk of anaphylaxis to future stings. One goal to consider is the identification of subjects at risk for insect sting anaphylaxis even before the first event.