13
Offer or refer for AIT
Relative
contraindications to AIT
Shared-decision making
with patient and other
specialists about
whether to proceed
with AIT
Repeat allergy
testing
Do not
repeat testing
Option to treat with limited
number of allergens
Continue ≥3 years
while monitoring
treatment
response
End
End
Stop
Do not proceed
with AIT
KAS
1
KAS 8
KAS
2B
KAS
10
KAS
3
Patient preference for
immunomodulation?
Beta-blocker,
history of
anaphylaxis, systemic
immunosuppression, or
eosinophilic esophagitis
(SLIT only)
Signs or
symptoms of asthma
or uncontrolled
asthma?
Clinician can
diagnose and manage
anaphylaxis?
Patient
benefit of AIT?
Decision to
proceed with
AIT?
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
KAS
12
KAS 12
