Allergy Asthma Respir Dis.  2017 May;5(3):135-140. 10.4168/aard.2017.5.3.135.

Pediatric anaphylaxis at a university hospital including the rate of prescribing epinephrine auto-injectors

• Gang JS
• Kim HS
• Bang HH
• Kim TH
• Lee HJ
• Hwangbo Y
• Park JS

• KMID: 2379940
• DOI: http://doi.org/10.4168/aard.2017.5.3.135

Abstract

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.

Keyword

Anaphylaxis; Epinephrine; Management; Child

MeSH Terms

Anaphylaxis*
Cardiovascular System
Child
Chungcheongnam-do
Emergency Service, Hospital
Epinephrine*
Follow-Up Studies
Gastrointestinal Tract
Histamine Antagonists
Humans
Hypersensitivity
Korea
Respiratory System
Retrospective Studies
Skin
Steroids
Epinephrine
Histamine Antagonists
Steroids

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