What Is Anaphylaxis? Pediatric Residents' Perception and Treatment of Anaphylactic Reactions.

Abstract:

:To assess knowledge regarding symptoms and treatment of anaphylaxis, a vignette of a child having an allergic reaction to a peanut was presented to residents in an allergy clinic. Twelve sets of clinical outcomes ranging from severe multi-organ to mild single organ involvement were described, and residents were asked if each symptom set met criteria for diagnosis of anaphylaxis, whether epinephrine should be administered acutely and prescribed at follow-up, and whether peanuts should be avoided in the future. Of cases that met the definition of anaphylaxis 28.8% were incorrectly diagnosed, in 13.6% of cases they would allow peanuts to be eaten again, and in 23.9% of cases they would not prescribe epinephrine at follow-up. In 26.1% of cases meeting criteria for acute anaphylaxis residents would not administer epinephrine. Deficits regarding the diagnosis and treatment of anaphylaxis by residents were identified, and increased educational efforts are needed.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Ferdman RM

doi

10.1177/0009922820946012

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

25-31

issue

1

eissn

0009-9228

issn

1938-2707

journal_volume

60

pub_type

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