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Published on: May 31, 2021
Pediatricians' knowledge about recent advances in anaphylaxis treatment in Istanbul, Turkey
Feyzullah Cetinkaya1, Adil Umut Zübarioğlu, Serdar Göktaş
1Department of Pediatrics, Sişli Etfal Research and Training Hospital, Istanbul, Turkey.
Insights
Pediatrician knowledge of recent anaphylaxis treatment advances is insufficient. Many are unaware of epinephrine autoinjector details, potentially endangering children needing emergency care.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Pediatrics
- Allergy and Immunology
Background:
- Anaphylaxis is a severe, life-threatening allergic reaction requiring prompt medical intervention.
- Recent advancements in anaphylaxis treatment necessitate updated knowledge among healthcare providers.
- The current understanding of these advances among pediatricians remains largely unassessed.
Purpose of the Study:
- To evaluate the awareness and knowledge of pediatricians regarding recent therapeutic advances in managing childhood anaphylaxis.
- To identify specific knowledge gaps in the treatment protocols and medication details for anaphylaxis.
Main Methods:
- An anonymous questionnaire was distributed to pediatricians in Istanbul.
- A total of 124 pediatricians participated in the study.
- The questionnaire assessed knowledge of first-line treatments, administration routes, and epinephrine autoinjector specifics.
Main Results:
- While 92% recognized epinephrine as the primary treatment, 65% favored the subcutaneous route, which is not the current standard for rapid absorption.
- Over 80% lacked knowledge of epinephrine autoinjector trademarks and dosages.
- Overall knowledge regarding recent anaphylaxis management guidelines was found to be unsatisfactory.
Conclusions:
- Pediatricians' current knowledge of recent anaphylaxis treatment advances is inadequate.
- Gaps in knowledge, particularly concerning epinephrine autoinjectors, pose a risk to pediatric patients.
- Urgent need for targeted educational programs to enhance pediatricians' expertise in anaphylaxis management.
Abstract:
Severe anaphylactic reactions are medical emergencies in children and require immediate recognition and treatment. Many advances have been reported recently in the treatment of anaphylaxis. Despite this, little is known about whether or not these advances are known by all pediatricians. To evaluate the knowledge of pediatricians on the recent advances in the treatment of anaphylaxis, some pediatricians from istanbul were asked to complete an anonymous questionnaire. A total of 124 pediatricians agreed to participate in the study. Most attendants (92%) knew epinephrine as the first drug in the treatment of anaphylaxis, but more pediatricians (65%) also preferred subcutaneous route as the most effective route for injection. In addition, more than 80% did not know the trademarks of epinephrine autoinjectors or the amount of the drug in the autoinjectors. Our data show that the level of pediatricians' knowledge about recent advances in the management of anaphylaxis is unsatisfactory. Pediatricians' failure to know recent advances in the management of anaphylaxis may endanger children when assistance is required. Educational programs aimed at improving the general knowledge of pediatricians on recent advances in anaphylaxis are urgently needed.
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