Wang Julie
From the Division of Allergy and Immunology, Department of Pediatrics, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
J Food Allergy. 2024 Jul 1;6(1):32-36. doi: 10.2500/jfa.2024.6.240004. eCollection 2024 Jul.
Anaphylaxis is a serious allergic reaction that is effectively treated with epinephrine. Epinephrine autoinjectors are devices that contain fixed doses of medication that can be carried by patients at risk for anaphylaxis so that ready access to first line medication is available outside the medical setting.
This review will discuss recent studies evaluating patient characteristics to consider when prescribing epinephrine autoinjectors.
Decisions regarding who should be prescribed epinephrine autoinjectors will depend on the type of allergy, as well as co-morbidities and other risk factors that can increase a patient's risk for poor outcomes.
Shared decision-making is essential when developing guidance regarding post-epinephrine management. Regular education during routine follow-up visits can reinforce knowledge and skills for managing food allergy reactions.
过敏反应是一种严重的过敏反应,可用肾上腺素有效治疗。肾上腺素自动注射器是一种装有固定剂量药物的装置,有过敏反应风险的患者可以携带,以便在医疗机构外能够随时获取一线药物。
本综述将讨论近期评估在开具肾上腺素自动注射器处方时应考虑的患者特征的研究。
关于谁应该开具肾上腺素自动注射器的决定将取决于过敏类型,以及可能增加患者不良结局风险的合并症和其他风险因素。
在制定肾上腺素使用后管理指南时,共同决策至关重要。在常规随访期间进行定期教育可以强化管理食物过敏反应的知识和技能。