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医学生和实习生中的过敏及相关临床症状。

Allergy and related clinical symptoms among medical students and interns.

作者信息

Ibrahim Nahla Khamis, Alghamdi Abeer Ali, Almehmadi Mayar Majed, Alzahrani Asma Abdulwahed, Turkistani Asraa Khairallah, Alghamdi Khalid

机构信息

Nahla Khamis Ibrahim, Professor at Community Medicine Department, King Abdulaziz University, Jeddah, Saudi Arabia; Professor at Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Abeer Ali Alghamdi, Medical Intern, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Pak J Med Sci. 2019 Jul-Aug;35(4):1060-1065. doi: 10.12669/pjms.35.4.1281.

Abstract

OBJECTIVES

To determine the prevalence, types, clinical presentations, triggers, and predictors of allergic disorders among medical students and interns at King Abdulaziz University (KAU), Jeddah, Saudi Arabia.

METHODS

A cross-sectional design was used for this study in which 600 medical students and interns were selected by a multistage stratified random sampling. A validated, confidential, self-administered questionnaire was used during 2016 / 2017. It asked about the previous diagnosis of allergic disorders, associated factors, types, clinical symptoms and the triggering allergenic. Descriptive & inferential statistics were done and logistic regression analysis was conducted.

RESULTS

The overall prevalence of diagnosed allergic disorder(s) among the participants was 36.2%.The commonest types of allergy were skin (33.8%) followed by respiratory (29.5%) presentations. The most frequently reported allergenic triggers were the house dust (45.6%) and smoke (30.4%). The first allergy predictor was family history of allergic disorders (aOR= 4.35, 95 % CI: 2.96-6.39), followed by female gender. Regarding the outcome of allergy on students' life, 16.1% occasionally missed classes, and 28.6% had sleep disturbance during allergic attacks.

CONCLUSION

Allergy represents an important problem among medical students and interns. Family history and female gender were the predictors of allergy. Skin and respiratory allergies were the most common types. House dust and smoke were the commonest allergenic triggers. Detection of allergens and management of cases of allergy among medical students and interns are needed. Education and conduction of awareness campaigns about allergy are needed.

摘要

目的

确定沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学(KAU)医学生和实习生中过敏性疾病的患病率、类型、临床表现、触发因素及预测因素。

方法

本研究采用横断面设计,通过多阶段分层随机抽样选取600名医学生和实习生。2016/2017年期间使用了一份经过验证的、保密的、自行填写的问卷。问卷询问了过敏性疾病的既往诊断、相关因素、类型、临床症状及触发过敏原。进行了描述性和推断性统计,并进行了逻辑回归分析。

结果

参与者中确诊过敏性疾病的总体患病率为36.2%。最常见的过敏类型是皮肤过敏(33.8%),其次是呼吸道过敏(29.5%)。最常报告的过敏原触发因素是屋尘(45.6%)和烟雾(30.4%)。第一个过敏预测因素是过敏性疾病家族史(比值比=4.35,95%置信区间:2.96-6.39),其次是女性。关于过敏对学生生活的影响,16.1%的学生偶尔缺课,28.6%的学生在过敏发作期间有睡眠障碍。

结论

过敏是医学生和实习生中的一个重要问题。家族史和女性是过敏的预测因素。皮肤和呼吸道过敏是最常见的类型。屋尘和烟雾是最常见的过敏原触发因素。需要对医学生和实习生进行过敏原检测及过敏病例管理。需要开展关于过敏的教育和宣传活动。

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Increasing interest in the field of allergy and immunology in medical students and residents: A critical need.
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Genome-Wide Association Studies of Allergic Diseases.过敏性疾病的全基因组关联研究
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