Gökmirza Özdemir Pınar, Kızılca Özgür, Aylanç Hakan, Çelik Velat, Beken Burçin, Akbulut Simge Dilan, Yazıcıoğlu Mehtap, Süt Necdet
Trakya University Medical Faculty, Pediatric Allergy and Immunology Department, Edirne, Turkey.
Namik Kemal University Medical Faculty, Pediatrics Department, Tekirdag, Turkey.
Asia Pac Allergy. 2020 Jul 23;10(3):e31. doi: 10.5415/apallergy.2020.10.e31. eCollection 2020 Jul.
Previous studies revealed there are many gaps in the awareness and knowledge regarding the diagnosis and management of drug allergy (DA) among various health-care professionals.
To assess the knowledge, attitudes, and practices towards DA among residents and interns of 3 university hospitals in the region of Trakya (Thrace), Turkey.
A cross-sectional survey was conducted at university hospitals of 3 cities in the Trakya region: 1. Trakya University Medical Faculty, Edirne (n = 405), 2. Namik Kemal University Medical Faculty, Tekirdag (n = 114), and 3. Canakkale 18 Mart University Medical Faculty, Canakkale (n = 111). A Turkish questionnaire was developed based on previous published studies.
The majority of participants (67%) had not received education on DA as a separate subject during their medical education. Less than a third (28.3%) of all respondents were satisfied with their knowledge concerning patients with clinical signs of DA. Of the 6 knowledge questions on DA, the average score for the study was 3.51 out of 6 (58.5%). Residents had a higher knowledge score (3.93 ± 1.1) compared with interns (3.05 ± 1.2) ( < 0.001). The lowest percentage of correct answers were in response to questions on laboratory confirmation of drug-related anaphylaxis (14.5%) and the possibility of penicillin toleration in patients with a history of penicillin allergy (11.8%). The majority of participants (92%) believe that medical doctors should be educated in DA. There were no significant correlations between taking DA histories and the frequency during daily practice of encountering patients.
Our study revealed that DA knowledge and attitudes are not at satisfactory level among respondents, and we concluded the importance and necessity of reinforcement of DA education in pre- and postgraduate education of medical doctors.
先前的研究表明，各类医疗保健专业人员在药物过敏（DA）的诊断和管理的认识及知识方面存在诸多差距。
评估土耳其色雷斯地区3所大学医院的住院医师和实习医师对DA的知识、态度和实践情况。
在色雷斯地区3个城市的大学医院开展了一项横断面调查：1. 埃迪尔内的特拉基亚大学医学院（n = 405），2. 泰基尔达的纳米克·凯末尔大学医学院（n = 114），以及3. 恰纳卡莱的恰纳卡莱18 Mart大学医学院（n = 111）。基于先前发表的研究制定了一份土耳其语问卷。
大多数参与者（67%）在医学教育期间未接受过关于DA的单独课程教育。在所有受访者中，不到三分之一（28.3%）对自己关于有DA临床体征患者的知识感到满意。在关于DA的6个知识问题中，该研究的平均得分是6分中的3.51分（58.5%）。住院医师的知识得分（3.93 ± 1.1）高于实习医师（3.05 ± 1.2）（P < 0.001）。正确答案比例最低的问题是关于药物相关性过敏反应的实验室确认（14.5%）以及有青霉素过敏史患者中青霉素耐受的可能性（11.8%）。大多数参与者（92%）认为医生应该接受DA方面的教育。采集DA病史与日常临床实践中遇到患者的频率之间没有显著相关性。
我们的研究表明，受访者对DA的知识和态度水平不尽人意，我们得出结论，在医生的本科和研究生教育中加强DA教育具有重要性和必要性。
