Department of Pediatrics, Izmir Tepecik Training and Research Hospital.
Department of Pediatrics, Dr Behcet Uz Children Hospital, Izmir, Turkey.
Pediatr Emerg Care. 2021 Dec 1;37(12):e1425-e1428. doi: 10.1097/PEC.0000000000002064.
A questionnaire form consisting of a total of 18 questions was prepared. Six questions concerned demographic data; 7 questions inquired about physician's knowledge level about treatment of anaphylaxis. In the last part, 5 different case scenarios were given, and their diagnoses and treatments were asked.
A total of 120 physicians participated in the study. Of the participants, 66.7% were residents. The rate of correct answer about dose of epinephrine was 57.5%. The rates of making correct diagnoses in anaphylaxis case scenarios 1, 2, and 3 were 60%, 73.3%, and 91.7%, respectively, whereas epinephrine administration rates were 54%, 67.5%, and 92.5%, respectively. When the answers of all these questions given by the residents and specialists and among physicians who updated and did not update were compared, there were no statistically significant differences except epinephrine administration rate and its route (P < 0.05).
The results of the current study suggest that physicians' knowledge levels were inadequate in making the diagnosis of anaphylaxis, and physicians use epinephrine in conditions without hypotension or an undefined possible/known allergen contact. Information about epinephrine administration was partially correct. It is currently considered to be the simplest measure to have a written anaphylaxis action plan including diagnostic criteria for anaphylaxis.
编制了一份共 18 个问题的问卷表。其中 6 个问题涉及人口统计学数据；7 个问题询问了医生对过敏反应治疗的知识水平。在最后一部分，给出了 5 个不同的病例场景，并询问了他们的诊断和治疗方法。
共有 120 名医生参与了这项研究。在参与者中，66.7%是住院医师。关于肾上腺素剂量的正确答案率为 57.5%。在过敏反应病例场景 1、2 和 3 中，正确诊断的比例分别为 60%、73.3%和 91.7%，而肾上腺素的给药率分别为 54%、67.5%和 92.5%。当比较住院医师和专家的所有这些问题的答案以及更新和未更新的医生之间的答案时，除了肾上腺素给药率及其途径（P<0.05）外，没有统计学上的显著差异。
当前研究的结果表明，医生在诊断过敏反应方面的知识水平不足，并且在没有低血压或未明确可能/已知过敏原接触的情况下使用肾上腺素。关于肾上腺素给药的信息部分正确。目前，考虑到制定包括过敏反应诊断标准的书面过敏反应行动计划是最简单的措施。
