Carrying rates of epinephrine devices in children with food-induced anaphylaxis.
Anaphylaxis
Child
Epinephrine
Food hypersensitivity
Syringes
Journal
Asia Pacific allergy
ISSN: 2233-8276
Titre abrégé: Asia Pac Allergy
Pays: Netherlands
ID NLM: 101561954
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
25
02
2019
accepted:
07
04
2019
entrez:
16
5
2019
pubmed:
16
5
2019
medline:
16
5
2019
Statut:
epublish
Résumé
Carrying epinephrine can save lives in patients with anaphylaxis. The feature of epinephrine in prefilled syringe that commonly prescribed in Thailand may influence the willingness to carry. However, the rates of carrying prefilled syringe epinephrine are unknown in children with history of food-induced anaphylaxis. To determine the rate of epinephrine carrying in children with history of food-induced anaphylaxis and factors influencing the decision to use the devices. A cross-sectional study was conducted by performing the structured interview in the parent(s) who were the main caregiver of the children with history of food-induced anaphylaxis. The parents of 99 children (male, 50.5%) were interviewed. The median age of the child was 11 years old (range, 9 months to 18 years). Rate of carrying epinephrine was 84.7% (always 57.6%, some occasions 27.2%). The most common reason for not carrying was the thoughts that the children could avoid the food allergens. The first-aid facility at school was available in 48.3%. Rate of carrying epinephrine tended to be lesser in children attend the schools without first aid facility ( Most children with history of food-induced anaphylaxis carried epinephrine, but only half used it at the episodes. Interventions to promote epinephrine-carrying and injection training are needed in our setting.
Sections du résumé
BACKGROUND
BACKGROUND
Carrying epinephrine can save lives in patients with anaphylaxis. The feature of epinephrine in prefilled syringe that commonly prescribed in Thailand may influence the willingness to carry. However, the rates of carrying prefilled syringe epinephrine are unknown in children with history of food-induced anaphylaxis.
OBJECTIVE
OBJECTIVE
To determine the rate of epinephrine carrying in children with history of food-induced anaphylaxis and factors influencing the decision to use the devices.
METHODS
METHODS
A cross-sectional study was conducted by performing the structured interview in the parent(s) who were the main caregiver of the children with history of food-induced anaphylaxis.
RESULTS
RESULTS
The parents of 99 children (male, 50.5%) were interviewed. The median age of the child was 11 years old (range, 9 months to 18 years). Rate of carrying epinephrine was 84.7% (always 57.6%, some occasions 27.2%). The most common reason for not carrying was the thoughts that the children could avoid the food allergens. The first-aid facility at school was available in 48.3%. Rate of carrying epinephrine tended to be lesser in children attend the schools without first aid facility (
CONCLUSION
CONCLUSIONS
Most children with history of food-induced anaphylaxis carried epinephrine, but only half used it at the episodes. Interventions to promote epinephrine-carrying and injection training are needed in our setting.
Identifiants
pubmed: 31089454
doi: 10.5415/apallergy.2019.9.e12
pii: 2019090205
pmc: PMC6494658
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e12Déclaration de conflit d'intérêts
Conflict of Interest: The authors have no financial conflicts of interest.
Références
Pediatrics. 2000 Feb;105(2):359-62
pubmed: 10654956
J Allergy Clin Immunol. 2000 Jul;106(1 Pt 1):171-6
pubmed: 10887321
Arch Dis Child. 2002 Jan;86(1):26-7
pubmed: 11806876
Public Health. 2003 Jul;117(4):256-9
pubmed: 12966746
J Allergy Clin Immunol. 2005 Jul;116(1):164-8
pubmed: 15990790
Pediatr Allergy Immunol. 2006 May;17(3):221-6
pubmed: 16672011
Ann Allergy Asthma Immunol. 2007 Feb;98(2):157-62
pubmed: 17304883
Clin Exp Allergy. 2011 Jun;41(6):869-77
pubmed: 21481022
Clin Transl Allergy. 2012 Feb 02;2(1):3
pubmed: 22409884
Pediatr Allergy Immunol. 2012 Aug;23(5):428-32
pubmed: 22554351
Pediatr Allergy Immunol. 2013 May;24(3):222-9
pubmed: 23173610
Int J Immunopathol Pharmacol. 2014 Oct-Dec;27(4):597-605
pubmed: 25572739
Pediatr Allergy Immunol. 2016 Feb;27(1):28-34
pubmed: 26269417
Ann Allergy Asthma Immunol. 2015 Nov;115(5):341-84
pubmed: 26505932
Prehosp Emerg Care. 2016;20(2):239-44
pubmed: 26555274
Asian Pac J Allergy Immunol. 2015 Dec;33(4):281-8
pubmed: 26708391
Asian Pac J Allergy Immunol. 2018 Dec;36(4):248-256
pubmed: 29981566