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Adults and children with anaphylaxis in the emergency room: why it is not recognized?

Marcelo V Aun1,2, Jorge Kalil1, Pedro Giavina-Bianchi1

  • 1Clinical Immunology and Allergy Division, University of São Paulo.

Current Opinion in Allergy and Clinical Immunology
|July 19, 2018
PubMed

Insights

Anaphylaxis is often underdiagnosed and undertreated, increasing mortality risk. Educational interventions for healthcare professionals are crucial for improving the diagnosis and management of anaphylactic reactions.

Area of Science:

  • Emergency Medicine
  • Allergy and Immunology
  • Clinical Practice Guidelines

Background:

  • Anaphylaxis remains underdiagnosed, undernotified, and undertreated despite international guidelines.
  • Emergency departments frequently fail to recognize anaphylactic reactions in adults and children.
  • This leads to underutilization of epinephrine and increased risk of mortality.

Purpose of the Study:

  • To review recent findings on improving anaphylaxis diagnosis and treatment.
  • To highlight the impact of educational interventions on healthcare professionals.
  • To discuss advancements in anaphylaxis classification and notification.

Main Methods:

  • Review of recent studies on educational interventions for anaphylaxis management.
  • Analysis of the impact of the International Classification of Diseases, 11th edition on anaphylaxis notification.
  • Synthesis of current understanding of anaphylaxis recognition in emergency settings.

Main Results:

  • Educational interventions for physicians and healthcare professionals improve anaphylaxis diagnosis and treatment.
  • The new International Classification of Diseases, 11th edition facilitates improved notification of anaphylaxis.
  • Anaphylaxis is commonly encountered by emergency physicians and nurses.

Conclusions:

  • Education is the most effective strategy to improve the management of anaphylaxis.
  • Enhanced classification systems aid in better tracking and understanding of anaphylaxis.
  • Addressing underdiagnosis and undertreatment is critical to reduce anaphylaxis-related mortality.
Abstract

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