What follow-up care is recommended for patients who have experienced anaphylaxis, including referral to specialists?

Patients who have experienced anaphylaxis should be offered a referral to a specialist allergy service, which includes healthcare professionals with the skills to investigate, diagnose, monitor, and provide ongoing management and patient education about suspected anaphylaxis ².

Before discharge, a healthcare professional should provide information about anaphylaxis, including signs and symptoms, risk of biphasic reactions, and what to do if a reaction occurs, such as using an adrenaline injector and calling emergency services ².

Patients should be given a brand-specific demonstration of the correct use of the adrenaline injector, advised to carry two injectors at all times, and instructed on avoiding triggers if known ².

Each hospital trust should have referral pathways for suspected anaphylaxis in adults and children ².

After emergency treatment, patients should be observed for 6 to 12 hours depending on their response, with children younger than 16 being admitted under paediatric care ².

Patients should also be provided with an interim adrenaline injector before their specialist appointment and be educated on recognition and management of future reactions ².