Physicians' Approach to Anaphylaxis in Childhood

Area of Science:

• Emergency Medicine
• Clinical Immunology
• Medical Education

Background:

• Anaphylaxis is a severe allergic reaction requiring prompt diagnosis and management.
• Physician knowledge gaps can lead to suboptimal treatment of anaphylaxis.
• Epinephrine is the first-line treatment for anaphylaxis.

Purpose of the Study:

• To assess physician knowledge regarding anaphylaxis diagnosis and treatment.
• To evaluate the appropriate use of epinephrine in anaphylaxis scenarios.

Main Methods:

• A questionnaire with 18 questions was administered to 120 physicians.
• The questionnaire included demographic data, knowledge on anaphylaxis treatment, and 5 case scenarios.
• Physicians' diagnoses and treatment plans for anaphylaxis were assessed.

Main Results:

• Only 57.5% of physicians correctly answered questions about epinephrine dosage.
• Correct diagnosis rates for anaphylaxis scenarios ranged from 60% to 91.7%.
• Epinephrine administration rates in scenarios varied, with no significant differences between residents and specialists.

Conclusions:

• Physician knowledge regarding anaphylaxis diagnosis and management is inadequate.
• Epinephrine was sometimes used inappropriately in non-hypotensive or allergen-unclear situations.
• A standardized anaphylaxis action plan with clear diagnostic criteria is recommended.