Evaluation of treatment and long-term management of anaphylaxis in pediatric departments of Greece: a 2-year nationwide survey

被引：0

作者：

Chiampou, Evanthia ^{[1
]}

Douros, Konstantinos ^{[2
]}

Moriki, Dafni ^{[2
]}

Marina, Mitrogiorgou ^{[2
]}

Anastasiou-Katsiardani, Anastasia ^{[3
]}

Tanou, Kalliopi ^{[3
]}

Grammeniatis, Vasilis ^{[4
]}

Zisi, Anna ^{[4
]}

Perikleous, Evanthia ^{[4
]}

Galanakis, Emmanouil ^{[5
]}

Lioudaki, Marilia ^{[5
]}

Vrouvaki, Fotini ^{[5
]}

Kolyva, Soultana ^{[6
]}

Mavroudi, Antigoni ^{[7
]}

Nivatsi, Maria ^{[8
]}

Ntouma, Stergianna ^{[9
]}

Stefanaki, Evangelia ^{[10
]}

Triga, Maria ^{[11
]}

Kakava, Panagiota ^{[11
]}

Lagiou, Olga ^{[11
]}

Priftis, Kostas N. ^{[2
]}

Chaliasos, Nikolaos ^{[12
]}

Tsabouri, Sophia ^{[12
]}

机构：

[1] Univ Hosp Ioannina, Dept Pediat, Ioannina, Greece

[2] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Sch Med, Dept Pediat 3,Pediat Allergy & Resp Unit, Athens, Greece

[3] Achillopouleio Gen Hosp Volos, Dept Paediat, Volos, Thessaly, Greece

[4] Gen Hosp Ioannina, Dept Paediat, Ioannina, Greece

[5] Univ Crete, Univ Hosp, Dept Paediat, Iraklion, Crete, Greece

[6] Gen Hosp Chania, Dept Paediat, Iraklion, Greece

[7] Aristotle Univ Thessaloniki, Hippokrat Hosp, Pediat Dept 3, Thessaloniki, Greece

[8] Aristotle Univ Thessaloniki, Hippokrat Hosp, Pediat Dept, Thessaloniki, Greece

[9] Aristotle Univ Thessaloniki, AHEPA Univ Gen Hosp Thessaloniki, Dept Pediat 2, Thessaloniki, Greece

[10] Venizele Gen Hosp, Dept Pediat, Iraklion, Greece

[11] Univ Hosp Patras, Dept Pediat, Pediat Allergy Unit, Patras, Greece

[12] Univ Ioannina, Child Hlth Dept, Sch Med, Ioannina, Greece

来源：

ALLERGOLOGIA ET IMMUNOPATHOLOGIA | 2024年 / 52卷 / 03期

关键词：

acute treatment; anaphylaxis; children; epinephrine; long-term management; FOOD-INDUCED ANAPHYLAXIS; EMERGENCY-DEPARTMENT; FATAL ANAPHYLAXIS; EPINEPHRINE ABSORPTION; UNITED-STATES; FOLLOW-UP; CHILDREN; CARE; ALLERGY; RISK;

D O I：

暂无

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Background: Anaphylaxis proportions of incidence are increasing globally. However, limited data are available regarding anaphylaxis in the pediatric population of Greece. Purpose: The aim of the study was to evaluate management of anaphylaxis in Greek pediatric departments. Methods: We performed a questionnaire-based study of children aged less than 16 years presenting with anaphylaxis in 10 national pediatric hospitals over a period of 2 years. Management of anaphylaxis was assessed prior to and after an informative intervention. Results: In all, 127 cases of anaphylaxis were identified. Epinephrine was administered almost half of all cases (51.2%), predominantly through intramuscular route (88.5%), while majority of anaphylaxis patients were treated with antihistamines (92.9%) and corticosteroids (70.1%). Epinephrine was more likely administered by physicians if the elicitor was a (P < 0.003). Regarding long-term management, an epinephrine auto-injector was prescribed in 66.9% of patients. Follow-up information was available for most of the patients (92.9%), the majority of whom (76.3%) were referred to an allergist. More than half of these patients (63.6%) had a documented allergy follow-up, which identified a causative allergen in 53.3% cases. No statistically significant differences were recorded prior to and after the intervention regarding management of anaphylaxis. Conclusions: This nationwide study highlighted the necessity of further improvement in terms of anaphylaxis treatment and secondary prevention measures. This presupposes appropriate education and training of healthcare professionals, thus contributing to proper and comprehensive care of the pediatric population. (c) 2024 Codon Publications. Published by Codon Publications.

引用

页码：8 / 16

页数：9

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[1] The effect of the COVID-19 pandemic on the provision of outpatient clinic services in East Jerusalem hospitals: patients' perspectives [J].