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在COVID-19期间对过敏反应管理的趋势
Walaa Hamadi1, Thomas B Casale2
1Department of Allergy and Immunology, Intermountain Healthcare, St George, Utah.
概括
COVID-19 流行病改变了过敏反应 (一种严重的过敏反应) 的管理,许多患者避免了紧急护理,并未充分利用上腺素. 接种疫苗后,急诊室对过敏反应的访问增加了.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 过敏反应是一种严重的,危及生命的过敏反应,需要迅速管理,通常是用上腺素.
- 冠状病毒疾病2019 (COVID-19) 流行病对医疗保健和患者行为提出了独特的挑战.
研究的目的:
- 调查COVID-19大流行对过敏反应趋势的影响.
- 分析疫情期间急诊室 (ER) 访问和对过敏的治疗模式,包括COVID-19疫苗可用前后.
主要方法:
- 利用了来自食品过敏研究和教育 (FARE) 患者登记处的调查数据.
- 分析了坦帕总医院急诊室的电子医疗记录,以诊断过敏反应.
- 收集了涵盖COVID-19流行病,疫苗接种前和疫苗接种后期间的数据.
主要成果:
- 在190名调查受访者中,有63人报告说,他们的过敏反应反应发生了与大流行有关的变化,许多人避免了护理或改变了药物治疗时间.
- 只有46%的调查受访者和17%的ER患者接受了上腺素.
- 在COVID-19疫苗可用后,急救诊所对过敏反应的访问增加了,有867名患者呈现了疫苗前和1833名疫苗后.
结论:
- COVID-19 流行病显著影响了过敏反应护理,导致减少了上腺素的使用和改变了寻求帮助的行为.
- 随着COVID-19疫苗的可用性增加,人们观察到过敏反应急诊室的访问增加.
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