小児科における慢性性疹の診断と管理に関する現在の実践の概要:EAACIタスクフォースの報告書
Stefania Arasi1, Helena Pite2,3, Burcin Beken4
1Translational Research in Pediatric Specialities Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
まとめ
小児慢性疹 (CU) の管理は,ガイドラインの遵守と検査の変動を示しています. 診断ツールと教育へのアクセスの改善は 子供のエビデンスベースのケアのために必要です
科学分野:
- 小児アレルギーと免疫学
- 皮膚科
- クリニカル・プラクティスのガイドライン
背景:
- EAACIのタスクフォースは,0歳から18歳の小児患者の慢性疹 (CU) の診断と管理における格差を特定することに焦点を当てました.
- これらの違いを理解することは 介護の標準化とCUの子どもたちの成果の改善に不可欠です
研究 の 目的:
- 子どもの慢性性疹 (CU) の現在の診断と管理の方法を医療従事者の間で探求する.
- 小児の集団におけるCUに関する根拠に基づいたガイドラインの適用における課題と違いを特定する.
主な方法:
- オンラインアンケートで,EAACIのメンバーに,41の選択式質問が,彼らのCU管理慣行について配布されました.
- この調査は小児アレルギー専門医や他の小児アレルギーケアに関わる専門医を対象としたものです.
主要な成果:
- 55カ国から161人の参加者が回答し,その大半 (74. 5%) は小児アレルギー専門医でした.
- 68.3%がEAACI/GA2LEN/EuroGuiDerm/APAAACIのガイドラインを使用し,10.6%がガイドラインを使用していない. 一般的な診断検査には,CBC,甲状腺プロファイル,IgE,甲状腺抗体が含まれます.
- 慢性的な誘発性ウルチキャリアの検査は20%未満です. 治療のエスカレーションには,しばしば抗ヒスタミンの投与量の増加が伴う.オマリズマブの使用は年齢によって変化し,反応しない人に対してはシクロスポリンまたはコルチコステロイドが使用されます.
結論:
- 子どものCU診断と治療に関する 根拠に基づいたガイドラインの実施には 課題が残っています
- 特定診断ツールの利用が拡大され,小児のCU管理に関する教育と研究が強化される必要がある.
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