González-Díaz Sandra Nora, Villarreal-González Rosalaura Virginia, Fuentes-Lara Elma I, Salinas-Díaz María Del Rocío, de Lira-Quezada Cindy Elizabeth, Macouzet-Sánchez Carlos, Macías-Weinmann Alejandra, Guzmán-Avilán Rosa Ivett, García-Campa Mariano
Autonomous University of Nuevo Leon. University Hospital "Dr. José Eleuterio González", Regional Center of Allergy and Clinical Immunology, Monterrey, Nuevo León, Mexico.
World Allergy Organ J. 2021 Nov 9;14(11):100599. doi: 10.1016/j.waojou.2021.100599. eCollection 2021 Nov.
Anaphylaxis is defined as a severe, life-threatening systemic hypersensitivity reaction. Early diagnosis and treatment of a severe allergic reaction requires recognition of the signs and symptoms, as well as classification of severity. It is a clinical emergency, and healthcare providers should have the knowledge for recognition and management. The aim of the study is to evaluate the level of knowledge in the management of anaphylaxis in healthcare providers.
It is an observational, descriptive, cross-sectional study conducted among healthcare providers over 18 years old via a Google Forms link and shared through different social media platforms. A 12-item questionnaire was applied which included the evaluation of the management of anaphylaxis, from June 2020 to May 2021.
A total of 1023 surveys were evaluated; 1013 met inclusion criteria and were included in the statistical analysis. A passing grade was considered with 8 or more correct answers out of 12; the overall approval percentage was 28.7%. The group with the highest percentage of approval in the questionnaire was health-care providers with more than 30 years of work experience. There was a significant difference between the proportions of approval between all specialty groups, and in a post-hoc analysis, allergy and immunology specialists showed greater proportions of approval compared to general medicine practitioners (62.9% vs 25%; ).
It is important that healthcare providers know how to recognize, diagnose, and treat anaphylaxis, and later refer them to specialists in Allergy and Clinical Immunology in order to make a personalized diagnosis and treatment.
过敏反应被定义为一种严重的、危及生命的全身性超敏反应。严重过敏反应的早期诊断和治疗需要识别其体征和症状以及对严重程度进行分类。这是一种临床急症，医疗保健提供者应具备识别和管理的知识。本研究的目的是评估医疗保健提供者在过敏反应管理方面的知识水平。
这是一项观察性、描述性横断面研究，通过谷歌表单链接在18岁以上的医疗保健提供者中进行，并通过不同社交媒体平台分享。应用了一份包含12个条目的问卷，该问卷包括对2020年6月至2021年5月期间过敏反应管理的评估。
共评估了1023份调查问卷；1013份符合纳入标准并纳入统计分析。12道题中答对8道及以上被视为及格；总体及格率为28.7%。问卷中及格率最高的群体是工作经验超过30年的医疗保健提供者。所有专业组之间的及格比例存在显著差异，在事后分析中，过敏和免疫学专家的及格比例高于普通内科医生（62.9%对25%）。
医疗保健提供者了解如何识别、诊断和治疗过敏反应，并随后将患者转诊至过敏和临床免疫学专家处进行个性化诊断和治疗非常重要。
