1 Pediatric ICU, Santa Catarina Hospital, São Paulo, Brazil.
2 Department of Pediatrics, Children's Institute, University of São Paulo, São Paulo, Brazil.
J Intensive Care Med. 2017 Dec;32(10):593-596. doi: 10.1177/0885066616659866. Epub 2016 Jul 19.
To assess the knowledge and practice preferences of anaphylaxis treatment among pediatric intensivists in 5 Brazilian pediatric intensive care unit (PICU) settings.
The cohort was a cross-sectional sample from 5 PICUs; a 7-question survey was personally applied to participants regarding their professional clinical experience and the first-line drug choices when treating an anaphylaxis episode.
Of 43 participant physicians, the majority (83.8%) correctly identified epinephrine as the treatment of choice for anaphylaxis, yet only 41.9% chooses the intramuscular route of administration.
This study shows that the knowledge of anaphylaxis treatment is deficient among pediatric intensivists in Brazil. The dissemination of recent World Allergy Organization guidelines on anaphylaxis should be encouraged.
评估 5 家巴西儿科重症监护病房(PICU)中儿科重症监护医师对过敏反应治疗的知识和实践偏好。
该队列是 5 家 PICU 的横断面样本;对参与者进行了一项 7 个问题的调查,内容涉及他们的专业临床经验以及治疗过敏反应发作的一线药物选择。
在 43 名参与医生中,大多数(83.8%)正确地将肾上腺素作为过敏反应的首选治疗药物,但只有 41.9%选择肌肉注射途径。
这项研究表明,巴西儿科重症监护医师对过敏反应治疗的知识存在不足。应鼓励传播最近的世界过敏组织过敏反应指南。