KMID : 1035620170050030135
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Allergy Asthma & Respiratory Disease 2017 Volume.5 No. 3 p.135 ~ p.140
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Pediatric anaphylaxis at a university hospital including the rate of prescribing epinephrine auto-injectors
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Gang Jun-Seak
Kim Hye-Sun Bang Hyun-Ho Kim Tae-Ho Lee Hyun-Jung Hwangbo Young Park Joon-Soo
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Abstract
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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.
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KEYWORD
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Anaphylaxis, Epinephrine, Management, Child
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