Knowledge of pediatricians working in emergency sector about anaphylaxis treatment

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João Carlos Pina Faria
Tifani Dawidowicz Fernandes


Introduction: Anaphylaxis is a severe, acute and potentially fatal systemic reaction. It presents several triggers and different mechanisms, however, the acute treatment is the same in all the cases. Objective: To evaluate the knowledge about treatment of anaphylaxis and anaphylactic shock (AS) of pediatricians who works in the pediatric emergency sector. Methods: Cross-sectional study through the use of a multiplechoice questionnaire with 10 questions about the treatment of anaphylaxis and AS. All the emergency room pediatricians of a general pediatric hospital were invited. Results: Fifty of fifty-ne pediatricians agreed to take part of the study. The mean of right answers was 6.32 and median of 7 (minimum 2 and maximum 10). There was an appropriate recognition about the drug of choice to initiate the treatment of anaphylaxis and AS in 96% and 92%, respectively. On the route of adrenaline administration, the adequacy of the answers was 64%. Regarding to adrenaline dose 70% were right, however the recognition of the maximum dose was 44%. When asked about the interval to repeat the adrenaline, 38% responded correctly. About adjuvant therapies to treat AS the score was 74% and 60% when questioned about the drug that prevents biphasic anaphylactic reaction. In relation to the observation time, 54% answered the appropriate period. The right answers about available self-injectable adrenaline presentations were 40%. Conclusion: There were difficulty to recognize the maximum dose, self-injectable adrenaline dose and the correct time to repeat the adrenaline/medication, which increase the risk of overdose and adverse effects.


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Faria, J. C. P., & Fernandes, T. D. (2018). Knowledge of pediatricians working in emergency sector about anaphylaxis treatment. ABCS Health Sciences, 43(1).
Original Articles
Author Biographies

João Carlos Pina Faria, Curso de Medicina, Disciplina de Pediatria, Setor de Urgências e Emergências Pediátricas, Faculdade de Medicina do ABC (FMABC) – Santo André (SP)

Preceptor do curso de medicina da Faculdade de Medicina do ABC, departamento de pediatria, setor de urgências e emergências pediátricas

Tifani Dawidowicz Fernandes, Curso de Medicina, Centro Universitário São Camilo (CUSC) – Ipiranga (SP)

Aluna de medicina do Centro Universitário São Camilo



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