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[对哥伦比亚非过敏症专科医生过敏反应诊断与管理概念的评估]

[Evaluation of diagnostic and management concepts of anaphylaxis in non-allergist physicians in Colombia].

作者信息

Londoño Julián Esteban, Raigosa María, Vásquez María María Clara, Calvo Víctor, Cardona Ricardo, Sánchez Jorge

机构信息

Universidad de Antioquía, Grupo de Alergología Clínica y Experimental, Antioquía, Colombia.

出版信息

Rev Alerg Mex. 2019 Jan-Mar;66(1):18-26. doi: 10.29262/ram.v66i1.524.

DOI:10.29262/ram.v66i1.524
PMID:31013403
Abstract

BACKGROUND

Several reports show deficiencies in the knowledge of physicians about the diagnostic criteria and the treatment of anaphylaxis, a condition that can have fatal consequences.

OBJECTIVE

To evaluate the knowledge of physicians in Colombia on the fundamental aspects of anaphylaxis in diagnosis and treatment.

METHODS

Analytical cross-sectional study, carried out through a survey of 11 questions that evaluate clinical aspects of anaphylaxis, addressed to general practitioners and specialists in different health areas resident in Colombia. The analysis of the results was based on the correct answers. For approval, a score higher than 70% was needed.

RESULTS

A total of 447 non-allergic doctors analyzed were included, of which only 110 (24.6%) approved the questionnaire in both the questions aimed at the diagnosis and in the treatment of anaphylaxis. Among the factors that were associated with the failure of the survey were the age of the doctor (p <0.01) and work at the first level of care (p <0.01).

CONCLUSIONS

Like previous studies, knowledge in the diagnosis and treatment of anaphylaxis is scarce among Colombian physicians. The factors associated with said result are potentially modifiable.

摘要

背景

多项报告显示,医生在过敏反应的诊断标准和治疗方面存在知识欠缺,而过敏反应可能会导致致命后果。

目的

评估哥伦比亚医生对过敏反应诊断和治疗基本方面的知识掌握情况。

方法

采用分析性横断面研究,通过对11个评估过敏反应临床方面问题的调查,面向哥伦比亚不同健康领域的全科医生和专科医生。结果分析基于正确答案。问卷获批需要得分高于70%。

结果

共纳入447名非过敏专科医生进行分析,其中只有110名(24.6%)在针对过敏反应诊断和治疗的问题上问卷获批。与调查未通过相关的因素包括医生年龄(p<0.01)和在一级医疗机构工作(p<0.01)。

结论

与之前的研究一样,哥伦比亚医生在过敏反应诊断和治疗方面的知识匮乏。与该结果相关的因素可能是可以改变的。

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