Pediatric anaphylaxis at a university hospital including the rate of prescribing epinephrine auto-injectors
- Authors
- Gang, Jun Seak; Kim, Hye-Sun; Bang, Hyun Ho; Kim, Tae Ho; Lee, Hyun Jung; Hwangbo, Young; Park, Joon Soo
- Issue Date
- May-2017
- Publisher
- 대한 소아알레르기 호흡기학회
- Keywords
- Anaphylaxis; Epinephrine; Management; Child
- Citation
- Allergy Asthma & Respiratory Diseases, v.5, no.3, pp 135 - 140
- Pages
- 6
- Journal Title
- Allergy Asthma & Respiratory Diseases
- Volume
- 5
- Number
- 3
- Start Page
- 135
- End Page
- 140
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7575
- DOI
- 10.4168/aard.2017.5.3.135
- ISSN
- 2288-0402
2288-0410
- 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 autoinjectors. 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.
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- Appears in
Collections - College of Medicine > Department of Preventive Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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