Pediatric anaphylaxis at a university hospital including the rate of prescribing epinephrine auto-injectors
Allergy, Asthma & Respiratory Disease
;
: 135-140, 2017.
Article
in Korean
| WPRIM
| ID: wpr-179297
ABSTRACT
PURPOSE:
Anaphylaxis is an acute, life-threatening systemic reaction which should be treated by epinephrine, and patients should be prescribed epinephrine auto-injector after the event. The purpose of this study was to investigate the clinical features of pediatric anaphylaxis, including the rate of using epinephrine at hospital and prescribing epinephrine auto-injector.METHODS:
We performed a retrospective study of 68 anaphylactic patients at in-hospital, out-hospital, and Emergency Department of Soonchunhyang University Cheonan Hospital, Cheonan, Korea, who were under 15 years of age, from January 2013 through December 2014. We reviewed their clinical features, doctor's treatment methods, rate of follow-up and prescribing epinephrine auto-injectors.RESULTS:
Causes of anaphylaxis were food (76.5%), drug (10.3%), and idiopathic (13.2%). The involved organs were the skin (86.8%), respiratory tract (80.9%), cardiovascular system (23.5%), and gastrointestinal tract (17.7%). Patients were treated with systemic steroids (91.2%), antihistamines (88.2%), and epinephrine (75.0%). Fifty-three patients (77.9%) revisited our pediatric allergy clinic and epinephrine auto-injectors were prescribed for 25 patients (36.8%).CONCLUSION:
Physicians should make an effort to use epinephrine as an initial treatment of anaphylaxis, to prescribe epinephrine auto-injectors, and to give proper information about disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiratory System
/
Skin
/
Steroids
/
Cardiovascular System
/
Epinephrine
/
Retrospective Studies
/
Follow-Up Studies
/
Gastrointestinal Tract
/
Emergency Service, Hospital
/
Histamine Antagonists
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Allergy, Asthma & Respiratory Disease
Year:
2017
Type:
Article
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