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外科诊所中药物和食物过敏的识别:自动化系统与红色腕带相结合

Identification of drug and food allergy in surgery clinic: Automation system and red wristband combination.

作者信息

Kilavuz Huseyin, Gungor Feyyaz, Yaman Sibel, Oztop Nida, Demir Murat, Kurtulus Idris

机构信息

Department of General Surgery, Basaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.

Department of Immunology and Allergy Diseases, Basaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

Medicine (Baltimore). 2025 Jun 20;104(25):e42963. doi: 10.1097/MD.0000000000042963.

Abstract

Correct identification of drug and food allergies in hospitalized patients is important to prevent unwanted allergic reactions or unnecessary treatment changes. This study aimed to explain the working principle of digital patient identification systems used for drug and food allergy recording and to evaluate the results by analyzing the allergy recording system data of the general surgery clinic in our center. In our single-center, retrospective study, all patients admitted to general surgery services between January 01, 2023 and December 31, 2023 were included. Patients who were given an identifying red wristband and had allergy information on their digital patient card panel were included in the study. Patients with repeated hospitalizations within the total number of patients were included in the study as 1 patient. Data from 5810 patients hospitalized in the general surgery department for 1-year were analyzed. In total, 759 patients with allergy labels were included in this study. Of these, 241 (31.8%) were male and 518 (68.2%) were female, and the mean age was 58.81 ± 15.77 (18-96). The drug allergy, antibiotic allergy, and penicillin allergy rates were 7.2%, 3.8%, and 2.1%, respectively. Food allergy was detected in 1.5% of the total patient group. The most frequently reported allergenic foods were tomatoes, mushrooms, spices, eggs, milk and dairy products, respectively. We recommend the use of identifying wristbands, such as red wristbands, to ensure that the allergy history of hospitalized patients is correctly questioned and that patients with allergies are labeled. We also believe that protocols for allergy labels should be developed in health centers.

摘要

正确识别住院患者的药物和食物过敏情况对于预防不必要的过敏反应或不必要的治疗变更至关重要。本研究旨在解释用于记录药物和食物过敏的数字患者识别系统的工作原理,并通过分析我们中心普通外科门诊的过敏记录系统数据来评估结果。在我们的单中心回顾性研究中,纳入了2023年1月1日至2023年12月31日期间入住普通外科的所有患者。给予识别性红色腕带且数字患者卡面板上有过敏信息的患者被纳入研究。在总患者数中多次住院的患者作为1名患者纳入研究。分析了普通外科1年内住院的5810例患者的数据。本研究共纳入759例有过敏标签的患者。其中,男性241例(31.8%),女性518例(68.2%),平均年龄为58.81±15.77岁(18 - 96岁)。药物过敏、抗生素过敏和青霉素过敏率分别为7.2%、3.8%和2.1%。在总患者组中,1.5%检测到食物过敏。最常报告的致敏食物分别是西红柿、蘑菇、香料、鸡蛋、牛奶和奶制品。我们建议使用识别性腕带,如红色腕带,以确保正确询问住院患者的过敏史并为过敏患者贴上标签。我们还认为健康中心应制定过敏标签协议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15da/12187349/b4d62cc79fff/medi-104-e42963-g001.jpg

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