Web Resources for Wasp sting
Relevant Clinical Literature
Medpedia on Wasp sting (Less technical, good quality control)
Wikipedia on Wasp sting (Less technical, ? quality control)
A single wasp sting in a nonallergic person should be managed by standard first aid. Ice application can help symptoms.
It is known that:
- There are many treatments recommended on poor evidence base
- Topical aspirin paste is ineffective in reducing the duration of swelling or pain in bee and wasp stings compared to ice treatment and significantly increased the duration of redness.
- Following wasp stings there are a wide variety of exceedingly rare neurological, haematological and cardiological conditions possibly associated in the literature. Case reports exist of multiple wasp stings causing thrombotic events, prolonging the APTT. or inducing acute renal failure by various mechanisms
- Prior allergy is the only association with the rather rare mortality
- Venom immunotherapy is unnecessary for most who are allergic to insect stings
- In those where venom immunotherapy is considered justified, quality of life is better if given specific venom immunotherapy rather than prophylatic Epi-pen® (Adrenaline kit) 
- ↑ Balit CR, Isbister GK, Buckley NA. Randomized controlled trial of topical aspirin in the treatment of bee and wasp stings. Journal of toxicology. Clinical toxicology. 2003;41:801-8.
- ↑ Reisman RE. Unusual reactions to insect stings. Current opinion in allergy and clinical immunology. 2005;5:355-8.
- ↑ Wang JL, Shen EY, Ho MY Isolated prolongation of activated partial thromboplastin time following wasp sting. Acta Paediatr Taiwan. 2005; 46(3): 164-5
- ↑ Vikrant S, Pandey D, Machhan P, Gupta D, Kaushal SS, Grover N. Wasp envenomation-induced acute renal failure: a report of three cases. Nephrology (Carlton, Vic.) 2005;10:548-52. (Direct link – subscription may be required.)
- ↑ McGain F, Harrison J, Winkel KD. Wasp sting mortality in Australia. The Medical journal of Australia. 2000;173:198-200.
- ↑ Valentine MD, Schuberth KC, Kagey-Sobotka A, Graft DF, Kwiterovich KA, Szklo M, et al. The value of immunotherapy with venom in children with allergy to insect stings. The New England journal of medicine. 1990;323:1601-3.
- ↑ Oude Elberink JN, De Monchy JG, Van Der Heide S, Guyatt GH, Dubois AE. Venom immunotherapy improves health-related quality of life in patients allergic to yellow jacket venom. The Journal of allergy and clinical immunology. 2002;110:174-82.