RESUMO
INTRODUCTION: Anaphylaxis is the most severe of all allergic reactions and can even prove fatal. There is limited evidence of a difference in prescribing patterns for self-injectable epinephrine (SIE) between general paediatricians and paediatricians with greater knowledge of allergology. OBJECTIVES: Assess knowledge about prescribing SIE of a sample of primary care/hospital paediatricians and paediatricians with specialised knowledge of allergology through a questionnaire asking them about clinical cases of anaphylaxis in their daily paediatric practice. MATERIALS AND METHODS: Participants were primary care and hospital paediatricians practicing in different regions of the province of Barcelona and paediatricians with specialised knowledge in the field of allergology from Spain. RESULTS: A total of 183 paediatricians responded. Of that 59.6% were paediatricians with specialised knowledge of allergology. General paediatricians in most cases correctly prescribed SIE device (more than 70% answered correctly in five of the eight clinical cases). In the case of drug anaphylaxis, which is an avoidable allergen for which SIE is not indicated, 67.5% of general paediatricians would prescribe it. In the case of exercise-induced anaphylaxis there were also differences in the prescription of epinephrine by general paediatricians, with only 40% prescribing it. CONCLUSIONS: In this study the percentage of SIE prescriptions would be higher than expected by general paediatricians, with no differences in the cases proposed between them and the paediatricians with better knowledge of allergology. Despite these results, it is important to insist on conducting education programmes and disseminating them to facilitate physicians' recognition and treatment of anaphylactic reactions.
Assuntos
Alergia e Imunologia , Anafilaxia/epidemiologia , Competência Clínica/estatística & dados numéricos , Hipersensibilidade/epidemiologia , Padrões de Prática Médica/estatística & dados numéricos , Anafilaxia/etiologia , Anafilaxia/prevenção & controle , Epinefrina/administração & dosagem , Hospitais Especializados , Humanos , Hipersensibilidade/complicações , Hipersensibilidade/tratamento farmacológico , Disseminação de Informação , Pediatria , Médicos/estatística & dados numéricos , Atenção Primária à Saúde , Autoadministração , EspanhaAssuntos
Exposição por Inalação/efeitos adversos , Pólen/imunologia , Rinite Alérgica Sazonal/epidemiologia , Árvores/imunologia , Saúde da População Urbana , Adulto , Feminino , Humanos , Testes Intradérmicos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prevalência , Estudos Prospectivos , Rinite Alérgica Sazonal/diagnóstico , Rinite Alérgica Sazonal/imunologia , Espanha/epidemiologiaAssuntos
Anafilaxia/etiologia , Hipersensibilidade Alimentar/etiologia , Carne/efeitos adversos , Coelhos , Adolescente , Animais , Feminino , HumanosRESUMO
No disponible
Assuntos
Humanos , Feminino , Adolescente , Hipersensibilidade Alimentar/diagnóstico , Carne/efeitos adversos , Anafilaxia/diagnóstico , Reações Cruzadas/imunologia , Testes CutâneosRESUMO
INTRODUCTION: Anaphylaxis is the most severe of all allergic reactions and can even prove fatal. There is limited evidence of a difference in prescribing patterns for self-injectable epinephrine (SIE) between general paediatricians and paediatricians with greater knowledge of allergology. OBJECTIVES: Assess knowledge about prescribing SIE of a sample of primary care/hospital paediatricians and paediatricians with specialised knowledge of allergology through a questionnaire asking them about clinical cases of anaphylaxis in their daily paediatric practice. MATERIALS AND METHODS: Participants were primary care and hospital paediatricians practicing in different regions of the province of Barcelona and paediatricians with specialised knowledge in the field of allergology from Spain. RESULTS: A total of 183 paediatricians responded. Of that 59.6% were paediatricians with specialised knowledge of allergology. General paediatricians in most cases correctly prescribed SIE device (more than 70% answered correctly in five of the eight clinical cases). In the case of drug anaphylaxis, which is an avoidable allergen for which SIE is not indicated, 67.5% of general paediatricians would prescribe it. In the case of exercise-induced anaphylaxis there were also differences in the prescription of epinephrine by general paediatricians, with only 40% prescribing it. CONCLUSIONS: In this study the percentage of SIE prescriptions would be higher than expected by general paediatricians, with no differences in the cases proposed between them and the paediatricians with better knowledge of allergology. Despite these results, it is important to insist on conducting education programmes and disseminating them to facilitate physicians' recognition and treatment of anaphylactic reactions
No disponible