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Asian Pac J Allergy Immunol ; 2008 Jun-Sep; 26(2-3): 121-8
Artigo em Inglês | IMSEAR | ID: sea-36827

RESUMO

The aim of this study was to estimate the incidence of anaphylaxis in the emergency department of a tertiary-care hospital, describe the clinical features and the management of the patients and determine those with mild manifestations. A retrospective study was conducted from 2005 to 2006 using anaphylaxis-related ICD-10 terms. Two different sets of criteria for the diagnosis of anaphylaxis were applied, first the criteria previously accepted by emergency practice, followed by the recent criteria set forth at the 2005 international meeting. Sixty-four patients fulfilled the previous criteria with an average incidence of 52.5 per 100,000 patients per year with a shift towards females in 2006. The most common presentations were cutaneous, followed by respiratory symptoms. Food allergy was the most common cause, especially prawn. After applying the recent criteria, 13 patients (20.4%) were excluded, which reduced the incidence to 42.2 per 100,000 patients per year. Long term follow up is suggested for the possible or mild cases that were re-categorized.


Assuntos
Adolescente , Corticosteroides/uso terapêutico , Adulto , Idoso , Anafilaxia/diagnóstico , Antibacterianos , Criança , Pré-Escolar , Hipersensibilidade a Drogas/complicações , Serviço Hospitalar de Emergência , Epinefrina/uso terapêutico , Feminino , Hipersensibilidade Alimentar/complicações , Antagonistas dos Receptores Histamínicos H1/uso terapêutico , Humanos , Incidência , Lactente , Mordeduras e Picadas de Insetos , Masculino , Pessoa de Meia-Idade , Administração dos Cuidados ao Paciente , Educação de Pacientes como Assunto , Hipersensibilidade Respiratória/complicações , Estudos Retrospectivos , Índice de Gravidade de Doença , Fatores Sexuais , Frutos do Mar
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