Management of Pediatric Anaphylaxis in the Emergency Department in Low-Resource Settings: A Narrative Review

被引:1
作者
Alsabri, Mohammed [1 ]
Mourid, Marina Ramzy [2 ]
Alaswad, Mohammed [3 ]
Faheem, Youmna Ayman Mohamed [4 ]
Abdelbar, Sohaila Mohamed Mohamed [5 ]
Gill, Paviter Kaur [6 ]
Barri, Anan S. [7 ]
Gamboa, Luis L. [8 ,9 ]
机构
[1] St Christophers Hosp, Pediat Emergency Dept, Dept Pediat, Philadelphia, PA USA
[2] Alexandria Univ, Fac Med, Alexandria, Egypt
[3] Univ Hama, Fac Med, Hama, Syria
[4] BronxCare Hlth Syst, Bronx, NY USA
[5] Cairo Univ, Kasralainy Sch Med, Cairo, Egypt
[6] Harbin Med Univ, Harbin, Peoples R China
[7] Al Quds Univ, Fac Med, Jerusalem, Palestine
[8] Drexel Univ, Coll Med, Philadelphia, PA USA
[9] St Christophers Hosp Children, Pediat Emergency Med Fellowship, Philadelphia, PA USA
来源
CURRENT EMERGENCY AND HOSPITAL MEDICINE REPORTS | 2024年 / 12卷 / 04期
关键词
Pediatrics; Anaphylaxis; Emergency; Pediatric care; Management; GUIDELINES; INFANTS;
D O I
10.1007/s40138-024-00303-9
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of ReviewThis review aims to evaluate management strategies for pediatric anaphylaxis in emergency departments, particularly in low-resource settings. It focuses on the challenges faced, such as limited access to medications, inadequate training, and insufficient diagnostic tools, and explores potential solutions to improve patient outcomes.Recent FindingsTimely recognition and administration of intramuscular epinephrine remain the cornerstone of effective anaphylaxis management. However, in low-resource settings, delayed administration is common due to various constraints, resulting in poorer outcomes. Recent studies highlight task shifting, telemedicine, and community education as promising strategies to mitigate these challenges. These approaches have shown potential in enhancing preparedness and improving response times, even in resource-limited environments.SummaryEffective management of pediatric anaphylaxis in low-resource settings necessitates rapid intervention and innovative solutions to overcome resource constraints. Task shifting, telemedicine, and public health initiatives are crucial for improving preparedness and outcomes. Policymakers should prioritize these efforts to support underserved areas, ensuring that pediatric patients receive timely and effective care during anaphylactic emergencies.
引用
收藏
页码:169 / 178
页数:10
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