Cabrera-Pivaral Carlos Enrique, Rangel-Ramírez Angel Alberto, Franco-Chávez Sergio, Gámez-Nava Jorge Iván, Riebeling Carlos, Nava Arnulfo
Dirección de Educación e Investigación en Salud, Instituto de Investigación en Salud Ocupacional, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, México.
Rev Alerg Mex. 2009 Jul-Aug;56(4):108-14.
Latex allergy is the second cause of perioperative anaphylaxis. Anesthesiologists play a key role in opportune identification of risk factors, as well as clinical diagnosis and therapeutic management.
To evaluate the anesthesiologists aptitude to identify and treat latex allergy.
Sixty-six anesthesiologists from five general hospitals located at Guadalajara, Jalisco, Mexico, were evaluated. Aptitude was determined by applying a validated structured instrument. Aptitude levels were measured by using an ordinal scale. Comparisons were performed using Mann Whitney U test.
Anesthesiologist's global aptitude ranged from -2 to 27 with a median of 8 (from a maximum value in the scale of 40); frequencies by each category of the scale were: Random 48 (72.7%), Very bad 11 (16.7%), Bad 4 (6.1%) and Medium only 3 (4.5%). Both Good and Very good categories registered no anesthesiologist. The relationship of this indicator with other variables did not reach statistical significance (KW 6.478; p = 0.16617).
A suboptimal aptitude was identified among anesthesiologists regarding identification of latex allergy. A need to establish new strategies for educative intervention in order to improve this issue was identified.
乳胶过敏是围手术期过敏反应的第二大原因。麻醉医生在及时识别风险因素以及临床诊断和治疗管理方面发挥着关键作用。
评估麻醉医生识别和治疗乳胶过敏的能力。
对来自墨西哥哈利斯科州瓜达拉哈拉市五家综合医院的66名麻醉医生进行了评估。通过应用经过验证的结构化工具来确定能力。能力水平采用顺序量表进行测量。使用曼-惠特尼U检验进行比较。
麻醉医生的总体能力范围为-2至27，中位数为8（量表最大值为40）；量表各类别频率分别为：随机48（72.7%）、极差11（16.7%）、差4（6.1%）、中等仅3（4.5%）。“良好”和“非常好”类别均无麻醉医生。该指标与其他变量的关系未达到统计学意义（KW 6.478；p = 0.16617）。
在麻醉医生中发现对乳胶过敏的识别能力欠佳。确定需要制定新的教育干预策略以改善这一问题。
