An Internet-based survey of anaphylactic reactions to foods
| Autor: | Philippe Eigenmann, F. D. Pastore, Samuel Antonio Zamora |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: |
Male
Allergy North America/epidemiology Internet based Skin Tests/methods Immunology and Allergy Favorable outcome Child New Zealand/epidemiology Aged 80 and over Epinephrine/therapeutic use Hematologic Tests ddc:618 Incidence Middle Aged Europe Hematologic Tests/methods Epinephrine Child Preschool Female Anaphylaxis/drug therapy/epidemiology/etiology Anaphylaxis medicine.drug Adult medicine.medical_specialty Food/adverse effects Adolescent Immunology Australia/epidemiology Europe/epidemiology medicine Humans Intensive care medicine Skin Tests Aged Internet business.industry Australia Infant Newborn Infant Anaphylactic reactions medicine.disease Food hypersensitivity Health Surveys Surgery Food North America business New Zealand |
| Zdroj: | Allergy, Vol. 56, No 6 (2001) pp. 540-3 |
| ISSN: | 0105-4538 |
| Popis: | A favorable outcome of anaphylaxis depends on the rapidity of adequate initial management and epinephrine injection. However, few data on the management of anaphylactic reactions are available. The aim of this study was to investigate the management and awareness of anaphylaxis to foods by mean of an Internet-based survey.Visitors to a website with information on food allergy were invited to join the survey. Items in the survey included the management of anaphylactic reactions, investigations done by the diagnosing physician, and information given to the responder in anticipation of a new anaphylactic reaction.Almost all of the 264 responders were from North America, Europe, Australia, or New Zealand (263/264). The most recent reaction was treated by epinephrine injection in 68.7% (180/262) of cases, or by antihistamines in 14.1% (37/262). Epinephrine was the first treatment for the most severe reaction in only 43.9% (101/230), while antihistamines were given first in 43.5% (100/230). One-third (62/210 = 29.5%) of the responders diagnosed by a physician received neither a diagnostic blood test nor a skin test. Responders diagnosed by an allergist were more often investigated (91/105 = 86.7%) than those diagnosed by a pediatrician or an internist (29/44 = 65.9%), a general practitioner (22/45 = 48.9%), or another physician (6/16 = 37.5%) (P0.001). Most responders had received instructions on how to deal with a new episode of anaphylaxis (244/263 = 92.8%). Responders instructed by an allergist were most frequently satisfied with the instructions (115/131 = 87.8%).A large number of responders did not receive epinephrine for treatment of their most severe, or most recent anaphylactic reaction, and did not undergo allergy tests. The conventional management of anaphylaxis might still be improved. |
| Databáze: | OpenAIRE |
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