基层医疗环境中儿科医生对变应原特异性免疫疗法的认知。
The perception of allergen-specific immunotherapy among pediatricians in the primary care setting.
作者信息
Landi Massimo, Meglio Paolo, Praitano Ermanno, Lombardi Carlo, Passalacqua Giovanni, Canonica Giorgio Walter
机构信息
Italian Federation of Pediatric Primary Care, Turin, Italy.
Italian Federation of Pediatric Primary Care, Rome, Italy.
出版信息
Clin Mol Allergy. 2015 Jul 24;13(1):15. doi: 10.1186/s12948-015-0021-0. eCollection 2015.
BACKGROUND
Allergic respiratory diseases are constantly increasing in prevalence. Allergen Immunotherapy (AIT) represent a valuable therapeutic tool as symptomatic and preventative approach, expecially in children. In Italy, primary care pediatricians (PCP) represent the first-line contact and interface for prescription, use and management of AIT. We attempted to evaluate the perception of AIT practice among PCP.
METHODS
A questionnaire was built-up, based on literature, guidelines and with the contribution of pediatricians. The questionnaire, including 12 items, was e-mailed to 180 PCP, randomly chosen from mailing lists. The questionnaire explored the personal perception of AIT, the comparison between subcutaneous and sublingual AIT and the overall awareness about the treatment.
RESULTS
130 questionnaires were eligible for analysis. There was a satisfactory knowledge of the characteristics of AIT, its aims and limits, although the positioning of the treatment in guidelines was insufficiently known. Overall, the prescription of AIT made by other specialists was accepted and agreed (78 %). The majority of pediatricians felt that a more intense divulgation and information about AIT would be needed (90 %).
CONCLUSION
AIT is in general well known and accepted among PCP, although a more intense divulgation effort is required.
背景
过敏性呼吸道疾病的患病率持续上升。变应原免疫疗法（AIT）作为一种有价值的治疗手段，具有缓解症状和预防的作用，尤其在儿童中。在意大利，基层儿科医生（PCP）是AIT处方、使用和管理的一线接触者和接口。我们试图评估基层儿科医生对AIT实践的认知。
方法
基于文献、指南并在儿科医生的协助下编制了一份问卷。该问卷包含12个项目，通过电子邮件发送给从邮件列表中随机选择的180名基层儿科医生。问卷探讨了对AIT的个人认知、皮下和舌下AIT的比较以及对该治疗的总体认识。
结果
130份问卷符合分析要求。尽管对该治疗在指南中的定位了解不足，但对AIT的特点、目标和局限性有令人满意的认识。总体而言，其他专科医生开具的AIT处方得到认可（78%）。大多数儿科医生认为需要加强对AIT的宣传和信息传播（90%）。
结论
尽管需要加强宣传力度，但AIT在基层儿科医生中总体上广为人知并被接受。
Zotero 插件