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Increased use of telephone and video appointments
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Rearranging waiting areas and implementing hygiene measures and social distancing rules at stable patient numbers
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Collaboration with practice-based physicians with regard to primary diagnostics (determination of bee/wasp sIgE)
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Rapid COVID-19 testing (preadmission or on admission)
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Unrestricted outpatient continuation of already-initiated insect venom immunotherapy (except in patients suffering from COVID-19 themselves) by making use of the permitted injection intervals
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Prompt new initiation of insect venom immunotherapy during the season; if necessary, use of outpatient protocols, especially out of season
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Explicitly addressing the COVID-19 situation with patients (either personally or in the scheduling letter)
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In the case of shortages, triage according to the severity of the sting reaction
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Adapting departmental organization, e.g., collaboration with other departments, extended outpatient clinic times, up-titration at weekends
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