Arrange immediate admission to Accident and Emergency for anyone suspected of having a systemic hypersensitivity or toxic reaction to an insect sting or bite, or who has had a previous systemic allergic reaction to the same type of sting or bite NICE CKS.
Arrange immediate admission for individuals with symptoms such as shock, angio-oedema, or anaphylaxis, while awaiting emergency transfer to hospital NICE CKS.
Arrange immediate admission for those stung on the mouth, throat, or tongue and at risk of airway obstruction, or around the eyes with risk of compromised vision NICE CKS.
Arrange immediate admission for cellulitis associated with systemic effects or worsening despite treatment NICE CKS.
Arrange immediate admission for fever or persistent lesions following a bite or sting during travel outside the UK, or from unusual insects from tropical/sub-tropical areas NICE CKS.
Patients who have experienced a systemic reaction to an insect sting should be referred to an allergy specialist for further investigation and management NICE CKS.