Tuncel Tuba, Uysal Pinar, Arikan-Ayyildiz Zeynep, Firinci Fatih, Karaman Ozkan, Uzuner Nevin
Division of Allergy, Department of Pediatrics, Dokuz Eylul University Hospital, Izmir, Turkey -
Minerva Pediatr. 2016 Apr;68(2):96-102. Epub 2014 Sep 22.
Acute urticaria is a common condition in childhood that concerns both patients and pediatricians. The aim of this study was to evaluate the general approach of pediatricians to children with acute urticaria.
A data collection form consisting of 17 questions was created to evaluate pediatricians' general knowledge and practical approaches about urticaria. This form was distributed at the hospitals where pediatricians and pediatric residents work. The data was recorded in SPSS for Windows v.15 (SPSS, Inc., Chicago, IL, USA). The frequency (%) was used for descriptive data, while Pearson χ2 and Fisher's Exact tests were used for comparisons between groups. P<0.05 was considered significant. The study was approved by the local ethics committee.
Pediatricians suggest that foods and food additives are the most common etiological factors in the development of urticaria and, therefore, often advise dietary changes. Second-generation antihistamines are preferred for treatment and are administered for about 5-7 days. Pediatric residents were found to prefer parenteral drug administration for the treatment of urticaria. A different generation antihistamine therapy was applied for treatment of patients who did not respond to the initial treatment. It was also determined that patients were referred to allergists when urticaria was accompanied by angioedema or when patients were resistant to conventional treatment.
Pediatricians' knowledge regarding the diagnosis and treatment of urticaria was less extensive than expected. According to the results, there was some confusion among physicians regarding the etiological role of some foods in acute urticaria and the strategies for removal of these foods from the diet during the treatment. Participants' treatment approaches were partially correct and sufficient. In general, there were no differences observed between pediatric residents and pediatricians in terms of the management of patients with urticaria, except the route of administration.
急性荨麻疹是儿童期的常见病症，受到患者和儿科医生的关注。本研究旨在评估儿科医生对急性荨麻疹患儿的一般诊疗方法。
设计了一份包含17个问题的数据收集表，以评估儿科医生对荨麻疹的一般知识和实际诊疗方法。该表格在儿科医生和儿科住院医师工作的医院中分发。数据记录于Windows版SPSS v.15（SPSS公司，美国伊利诺伊州芝加哥）。描述性数据采用频率（%）表示，组间比较采用Pearson卡方检验和Fisher精确检验。P<0.05被视为具有统计学意义。本研究经当地伦理委员会批准。
儿科医生认为食物和食品添加剂是荨麻疹发病最常见的病因，因此常建议改变饮食。治疗首选第二代抗组胺药，用药约5 - 7天。发现儿科住院医师在荨麻疹治疗中更倾向于胃肠外给药。对于初始治疗无反应的患者，采用不同代的抗组胺药治疗。还确定当荨麻疹伴有血管性水肿或患者对常规治疗耐药时，会将患者转诊给过敏症专科医生。
儿科医生对荨麻疹诊断和治疗的知识不如预期广泛。根据结果，医生们对某些食物在急性荨麻疹中的病因作用以及治疗期间从饮食中去除这些食物的策略存在一些困惑。参与者的治疗方法部分正确且充分。总体而言，除给药途径外，儿科住院医师和儿科医生在荨麻疹患者管理方面未观察到差异。
