Validity of Skin Prick Test to Bermuda Grass in a desert environment

Validity of Skin Prick Test to Bermuda Grass in a desert environment


  • Mona Al-Ahmad 1. Al Rashed Allergy Center 2. Microbiology Department, Faculty of Medicine, Kuwait University, Kuwait
  • Edin Jusufovic Medical Faculty, University of Tuzla, Tuzla, Bosnia and Herzegovina
  • Nermina Arifhodzic Al Rashed Allergy Center, Kuwait
  • Jasmina Nurkic Al Rashed Allergy Center, Kuwait


Bermuda grass, dessert environment, nasal challenge test, skin prick test.


Background and aim:  Skin prick test (SPT) with a wheal diameter of >3 mm, generally accepted as a positive, is most commonly use diagnostic tool for Allergic rhinitis. Aim was to validate wheal size of Skin Prick Test for the Bermuda grass, in desert environment, with positive Bermuda grass Nasal challenge in same environment.

Methods: In 53 adults, mean age 33.43 ± 9.36 years, both gender (females: 33.96%), SPT positive on Bermuda grass with cut off wheal longest diameter of 3 mm, Bermuda grass nasal challenge test (bgNCT) was carried out. Response was assessed subjectively (scored) and objectively (PNIF). Safety profile was assessed by PEF measurement.

Results: Mean weal size of SPT (mm) was bigger in bgNCT positive patients (n=47; 88.68%) 8 [4, 15] vs 5 [3, 6] (p<0.0001). ROC analysis showed Bermuda Grass SPT at the threshold of >6.5mm enabled identification of Bermuda challenge with sensitivity of 82.98% and specificity of 100.0% (area under the curve 0.9326, standard error 0.03528; 95% confidence interval (CI): 0.8635 to 1.002; p=0.0006203).

Conclusions: A SPT wheal size ≥6.5mm  might be considered as an appropriate wheal size for confirming Bermuda grass allergy in adults with SAR, avoiding the demanding, time consuming and often unavailable bgNCT, especially in patients eligible for allergen immunotherapy. In these patients, bgNCT is recommended if SPT wheal size is <6.5 mm.


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How to Cite

Al-Ahmad M, Jusufovic E, Arifhodzic N, Nurkic J. Validity of Skin Prick Test to Bermuda Grass in a desert environment. Acta Biomed [Internet]. 2021 Sep. 2 [cited 2024 Jul. 24];92(4):e2021218. Available from: