Management of anaphylaxis in Spain: pediatric emergency care providers’ knowledge

Olabarri, Mikel; González‐Peris, Sebastià; Vázquez, Patricia; González-Posada, Aranzazu; Sanz, Núria; Vinuesa, Ana; Díez, Nuria; Benito, Javier; Mintegi, Santiago

doi:10.1097/mej.0000000000000515

Cited by 12 publications

(18 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to other authors, we observed that the percentage of prescription of epinephrine ampules or autoinjectors was low. Grossman et al [ 16 ] reported a prescription rate of 98%, although some studies found a percentage similar to ours [ 17 18 ]. One of the possible causes of the low percentage we got is the scarce or nonexistent availability of autoinjectors in our country.…”

Section: Discussionsupporting

confidence: 78%

“…Grossman et al [ 16 ] reported an important percentage of 93.5% use of epinephrine in a survey taken by pediatricians. Surveys taken by physicians report an epinephrine use higher than 75% [ 17 18 23 24 25 26 27 28 29 ]. Moreover, Plumb et al [ 30 ] and Jose and Clesham [ 31 ] reported 100% and 94% use of epinephrine, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…As for the knowledge of the right dose, Olabarri et al [ 18 ] reported a percentage of 81.6%, while Erkocoǧlu et al [ 17 ] reported a percentage as low as 16.6%. Our results are more in line with those of Fustiñana et al [ 26 ] who reported a percentage of 55% correct answers regarding dosing; our result was 50%.…”

Section: Discussionmentioning

confidence: 99%

“…Another possible cause of the low percentage of use is unfamiliarity with the route of administration. Olabarri et al [ 18 ] reported 92.6% of his participants correctly chose the IM route. However, we need to take into consideration that their survey was answered by emergency doctors.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Physicians’ knowledge regarding epinephrine underuse in anaphylaxis

Pimentel-Hayashi

Rodríguez

Moreno-Laflor

et al. 2020

Asia Pacific Allergy

View full text Add to dashboard Cite

Background: Anaphylaxis is a life-threating hypersensitivity reaction. Epinephrine underuse in patients with anaphylaxis could lead to poor outcomes. There is evidence that the epinephrine use in such patients could be as low as 8%. Objective: To assess the percentage of physicians who know that epinephrine is the first-line treatment in anaphylaxis. The secondary objective was to assess knowledge gaps regarding anaphylaxis diagnosis and treatment that could lead to epinephrine underuse. Methods: We performed an online survey for physicians in Mexico City, using a 10-item questionnaire assessing anaphylaxis knowledge. We obtained measures of central tendency for statistical analysis, such as frequency, 95% confidence interval, as well as the chi-square test for comparing the groups. Results: A total of 196 surveys were considered for analysis. Of all the participants, 96.44% were able to correctly diagnose an anaphylaxis case with cutaneous, respiratory, and cardiovascular symptoms. Fifty-two percent correctly diagnosed anaphylaxis without cutaneous symptoms. The 72.4% of the respondents chose epinephrine as the first-line treatment, 42.3% correctly answered that there is no absolute contraindication to giving epinephrine, and 20.9% ignored whether there was any contraindication for its use. Only 38.3% of participants answered that during discharge they would prescribe an autoinjector. Regarding the administration route, 63.4% answered that the first dose of epinephrine is applied intramuscularly and 50% of the participants chose the correct dose of epinephrine. Only 2.6% of the participants answered all 10 questions correctly. Conclusion: There is still some difficulty recognizing anaphylaxis without cutaneous symptoms. Even though two-thirds of physicians identified that epinephrine is the treatment of choice, only 49.5% would have used intramuscular epinephrine as first-line treatment. We found a low percentage of epinephrine ampule prescription and knowledge of the correct dose. These findings can account for epinephrine underuse when dealing with anaphylaxis in the real clinical practice.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Physicians’ knowledge regarding epinephrine underuse in anaphylaxis

Pimentel-Hayashi

Rodríguez

Moreno-Laflor

et al. 2020

Asia Pacific Allergy

View full text Add to dashboard Cite

show abstract

“…Two different studies ascertained that frequent experience with cases of anaphylaxis and knowledge of the diagnosis criteria of anaphylaxis were predictive factors in determining the first treatment correctly. 19,20 Similarly, our study found that having experience with a case of anaphylaxis (OR:2.4) and additionally having experience with EAIs (OR:5.5) and knowing the administration route of epinephrine correctly (OR:1.9) were significant factors in knowing the first and lifesaving treatment of anaphylaxis correctly.…”

Section: Discussionsupporting

confidence: 56%

Healthcare workers` knowledge level regarding anaphylaxis and usage of epinephrine auto-injectors

et al. 2021

View full text Add to dashboard Cite

Anaphylaxis is a systemic hypersensitivity reaction that develops suddenly and may threaten life. 1 Therefore, early diagnosis and correct treatment of anaphylaxis is vital. 1 Its first and life-saving treatment is epinephrine. 2 It may recur despite all preventive measures. 1 Therefore, it is required to prepare an individual emergency written action plan for each patient 2,3 Epinephrine auto-injector (EAI) is one of the most important components of emergency action plans. 2 Physicians should provide patients and/or parents with a theoretical and practical training on when and how to use EAIs. 2 However, physicians worldwide may still perform critically inadequate practices in anaphylaxis management. 4 In most countries, pharmacies are the places where patients obtain

show abstract

Physicians' knowledge and practice concerning diagnosis and management of anaphylaxis: The situation in Egypt

El-Sayed

El-Owaidy

Hussein

et al. 2021

African Journal of Emergency Medicine

View full text Add to dashboard Cite

Management of anaphylaxis in Spain: pediatric emergency care providers’ knowledge

Abstract: Even though the Spanish pediatric ED providers' knowledge of the management of anaphylaxis is good, certain improvement areas are identified in both the identification and the management of these patients.

Cited by 12 publications

References 17 publications

Physicians’ knowledge regarding epinephrine underuse in anaphylaxis

Physicians’ knowledge regarding epinephrine underuse in anaphylaxis

Healthcare workers` knowledge level regarding anaphylaxis and usage of epinephrine auto-injectors

Physicians' knowledge and practice concerning diagnosis and management of anaphylaxis: The situation in Egypt

Contact Info

Product

Resources

About