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- Title
Approach of family physicians to anaphylaxis in terms of diagnosis and treatment in Ankara: case survey method.
- Authors
GİNİŞ, Tayfur; Toyran, Müge; CİVelek, Ersoy; ErkoÇOĞLu, Mustafa; VezİR, Emine; Azkur, Dilek; KocabaŞ, Can Naci
- Abstract
Objective: Anaphylaxis is a severe, rapidly progressive, life-threatening allergic reaction which can cause death. Early diagnosis and prompt initiation of definitive therapy are essential to reduce the mortality and morbidity. The aim of our study was to determine the knowledge and practices of primary care physicians about the diagnosis and the treatment of anaphylaxis. Materials and Methods: A survey was carried out with primary care physicians between April-June 2012 in Ankara. The physicians were asked to answer the questions which consisted of case reports with/without a history of anaphylaxis. Results: A total of 107 primary care physicians were participated in the survey. 58 (54.2%) of the participants were male. Participating physicians had a mean of 18.1 ± 5.8 years of experience. Only 18 (16.8%) of them were trained on anaphylaxis. None of them answered all the questions correctly. The rate of correct answers was 53.7% for all questions, while it was 54% for questions about anaphylaxis. The proportion of correct answer for non-anaphy-lactic cases was 53.8%. Seven participant physician could not answer any questions related with anaphylactic cases. The proportion of adrenaline usage as a first choice was 12.8%. There was no gender differences in terms of the proportion of correct answers (p= 0.894). Conclusion: About half of the primary care physicians can not recognize anaphylactic cases. Moreover, it is determined that the majority of the physicians who diagnose anaphylaxis do not use adrenaline as a first choice medication. These findings demonstrate that there is a lack of knowledge about diagnosis and treatment of anaphylaxis. Educational programs should be focused on improving the standard of practice among primary care physicians regarding anaphylaxis.
- Publication
Asthma Allergy Immunology / Astim Allerji Immunoloji, 2012, Vol 10, Issue 3, p129
- ISSN
1308-9234
- Publication type
Journal Article