Cetinkaya Feyzullah, Zübarioğlu Adil Umut, Göktaş Serdar
Department of Pediatrics, Sişli Etfal Research and Training Hospital, Istanbul, Turkey.
Turk J Pediatr. 2009 Jan-Feb;51(1):19-21.
Severe anaphylactic reactions are medical emergencies in children and require immediate recognition and treatment. Many advances have been reported recently in the treatment of anaphylaxis. Despite this, little is known about whether or not these advances are known by all pediatricians. To evaluate the knowledge of pediatricians on the recent advances in the treatment of anaphylaxis, some pediatricians from istanbul were asked to complete an anonymous questionnaire. A total of 124 pediatricians agreed to participate in the study. Most attendants (92%) knew epinephrine as the first drug in the treatment of anaphylaxis, but more pediatricians (65%) also preferred subcutaneous route as the most effective route for injection. In addition, more than 80% did not know the trademarks of epinephrine autoinjectors or the amount of the drug in the autoinjectors. Our data show that the level of pediatricians' knowledge about recent advances in the management of anaphylaxis is unsatisfactory. Pediatricians' failure to know recent advances in the management of anaphylaxis may endanger children when assistance is required. Educational programs aimed at improving the general knowledge of pediatricians on recent advances in anaphylaxis are urgently needed.
严重过敏反应是儿童的医疗急症,需要立即识别和治疗。最近在过敏反应治疗方面已有许多进展报道。尽管如此,对于所有儿科医生是否了解这些进展却知之甚少。为评估儿科医生对过敏反应治疗最新进展的了解情况,来自伊斯坦布尔的一些儿科医生被要求填写一份匿名问卷。共有124名儿科医生同意参与该研究。大多数参与者(92%)知道肾上腺素是治疗过敏反应的首选药物,但更多的儿科医生(65%)也更倾向于皮下注射途径作为最有效的注射方式。此外,超过80%的人不知道肾上腺素自动注射器的品牌或其中药物的剂量。我们的数据表明,儿科医生对过敏反应管理最新进展的了解程度并不理想。儿科医生不了解过敏反应管理的最新进展可能会在需要救助时危及儿童。迫切需要开展教育项目,以提高儿科医生对过敏反应最新进展的总体认识。