Topal Erdem, Karagöl Hacer İlbilge Ertoy, Yılmaz Özlem, Arga Mustafa, Köksal Burcu, Yılmaz Özlem Özbek, Anıl Hülya, Harmancı Koray, Kutluğ Şeyhan, Öztürk Fadıl, Razi Hasan Cem, Türktaş İpek, Demirsoy Mehmet Sadık, Bakırtaş Arzu
Department of Pediatrics, Division of Pediatric Allergy and Asthma, İnönü University School of Medicine, Malatya Turkey.
Department of Pediatrics, Division of Pediatric Allergy and Asthma, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey.
Turk Pediatri Ars. 2018 Sep 1;53(3):149-154. doi: 10.5152/TurkPediatriArs.2018.6734. eCollection 2018 Sep.
It has been shown by a great number of studies that the correct use of adrenaline auto injectors prescribed to patients with anaphylaxis is associated with the design of the auto injector, in addition to training. The aim of this study was to compare the skills of adults in using two different auto injectors prescribed to patients with anaphylaxis.
Parents of patients aged between 1 and 18 years who referred to allergy outpatients were included in the study.
A total of 630 volunteers from nine centers were included in the study. Four hundred fifty-seven (72.5%) of the participants were females and 235 (37.3%) were undergraduates. The rate of showing all the steps of auto injector trainers correctly by the participants was found as (60.2%) (n=379) for EpiPen and 42.9% (n=270) for Penepin (p<0.001). The most frequent mistake with both auto injector trainers was the step of "place appropriate injection tip into outer thigh/press the trigger so it clicks." When the preferences of the volunteers were asked after training and application, 527 (83.7%) chose EpiPen, stating that it was easier and simpler to use.
Our study showed that the correct usage rates of both adrenaline auto injectors were much lower than expected and there could be mistakes in the application of both. It could be appropriate to make improvements in the design of Penepin, which is still the only available adrenaline auto injector in Turkey, such that its application steps will be simpler and quicker.
大量研究表明，除培训外，给过敏反应患者开具的肾上腺素自动注射器的正确使用与自动注射器的设计有关。本研究的目的是比较成年人使用给过敏反应患者开具的两种不同自动注射器的技能。
纳入到过敏门诊就诊的1至18岁患者的父母参与本研究。
本研究共纳入了来自9个中心的630名志愿者。参与者中有457名（72.5%）为女性，235名（37.3%）为本科生。发现参与者正确展示肾上腺素自动注射器训练器所有步骤的比例，EpiPen为60.2%（n = 379），Penepin为42.9%（n = 270）（p<0.001）。两种肾上腺素自动注射器训练器最常见的错误是“将合适的注射头放在大腿外侧/按下扳机使其发出咔嗒声”这一步骤。在训练和使用后询问志愿者的偏好时，527名（83.7%）选择了EpiPen，称其使用起来更轻松、更简单。
我们的研究表明，两种肾上腺素自动注射器的正确使用率均远低于预期，且两者在使用中都可能出现错误。对于Penepin（土耳其唯一可用的肾上腺素自动注射器）的设计进行改进，使其使用步骤更简单、更快捷，可能是合适的。
