Physicians Working At Different Clinical Settings: Can They Recognize and Manage Anaphylaxis?

Year 2022, Volume: 44 Issue: 1, 112 - 119, 14.01.2022

Raif Yıldız , Pınar Gökmirza Özdemir , Necdet Süt , Gülfer Mehtap Yazıcıoğlu

https://doi.org/10.20515/otd.960249

Cited By: 2

Abstract

Anaphylaxis is defined as a severe hypersensitivity reaction that can cause sudden onset and death. Therefore, it is vital that the diagnosis is made and the timely administration of epinephrine. In this study, it was aimed to determine the knowledge and attitudes of the physicians in Edirne city center regarding the diagnosis and treatment of anaphylaxis. The study was designed as cross sectional survey. Physicians were visited in their institutions. A written questionnaire was applied face-to-face and it included questions about diagnosis and management of anaphylaxis. A total of 347 physician agreed to participate in the study. 43.5% of the physicians did not read any literature, book chapters or guidelines about the diagnosis criteria. Only 16.7% of responders knew all sign and symptoms of anaphylaxis. Twenty eight percent of physicians knew that correct route and dose of epinephrine administration. Associated factors with the knowledge about correct dose and route of epinephrine administration were the number of encounters with anaphylaxis cases and presence of treatment scheme in the instutition; OR (95% CI) were 3.520 (1.879-6.593) and 1.961 (1.168-3.290) respectively. 45.5% of the responders knew that there are no absolute contraindications to administer epinephrine in the case of anaphylactic shock. The study revealed that, knowledge of physicians relating diagnosis, treatment and management of anaphylaxis is unsatisfactory in our city. We think that it would be beneficial to provide physicians with in-service training regarding the diagnosis and management of anaphylaxis.

Keywords

Anaphylaxis, anaphylaxis management, physician, knowledge

Farklı Düzey Sağlık Basamaklarında Çalışan Hekimlerin Anafilaksi Tanı ve Yönetimi ile İlgili Bilgi Düzeyleri

Abstract

Anafilaksi, ani başlangıçlı ve ölüme neden olabilen ciddi bir aşırı duyarlılık reaksiyonu olarak tanımlanır. Bu nedenle tanının konulması ve epinefrinin zamanında uygulanması hayati önem taşımaktadır. Bu çalışmada Edirne il merkezindeki hekimlerin anafilaksi tanı ve tedavisine ilişkin bilgi ve tutumlarının belirlenmesi amaçlanmıştır. Çalışma, kesitsel araştırma olarak tasarlandı. Hekimler kurumlarında ziyaret edildi. Yüz yüze yazılı bir anket uygulandı. Anket anafilaksi tanı ve yönetimi ile ilgili soruları içeriyordu. Toplam 347 hekim çalışmaya katılmayı kabul etti. Hekimlerin toplam %43,5'i tanı kriterleri ile ilgili herhangi bir literatür, kitap bölümü veya kılavuz okumamıştı. Yanıt verenlerin yalnızca %16,7'si anafilaksinin tüm belirti ve semptomlarını biliyordu. Hekimlerin yüzde yirmi sekizi, epinefrin uygulamasının doğru yolunu ve dozunu biliyordu. Epinefrinin doğru dozu ve uygulama yolu bilgisi ile ilişkili faktörler; anafilaksi vakaları ile karşılaşma sayısı ve kurumda tedavi şemasının varlığı; OR (%95 GA) sırasıyla 3,520 (1,879-6,593) ve 1,96 (1,168-3,290) idi. Yanıt verenlerin %45,5’i, anafilaktik şok durumunda epinefrin uygulamak için mutlak kontrendikasyon olmadığını biliyordu. Çalışma, ilimizde anafilaksi tanı, tedavi ve yönetimine ilişkin hekimlerin bilgilerinin yetersiz olduğunu ortaya koymuştur. Anafilaksi tanı ve yönetimi konusunda hekimlere hizmet içi eğitim verilmesinin faydalı olacağını düşünmekteyiz.

Keywords

Anafilaksi, anafilaksi yönetimi, hekim, bilgi

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