Barriers and challenges affecting parents’use of adrenaline autoinjector in children with anaphylaxis  

作　　者：Hassib Narchi Ahmed Elghoudi Klithem Al Dhaheri 

机构地区：[1]College of Medicine and Health Sciences,United Arab Emirates University,Al Ain 17666,United Arab Emirates [2]Department of Pediatrics,Sheikh Khalifa Medical City,Abu Dhabi 51900,United Arab Emirates [3]Child Health Institute,Al Ain Hospital,Al Ain 1006,United Arab Emirates [4]Department of Pediatric,Tawam Hospital,Al Ain 15258,United Arab Emirates

出　　处：《World Journal of Clinical Pediatrics》2022年第2期151-159,共9页世界临床儿科杂志

摘　　要：BACKGROUND Anaphylaxis is a life-threatening condition that develops as a reaction to exposure to an allergen which can be found in common foods such as cow's milk,egg,fish,and nuts in children.The use of an intramuscular adrenaline auto-injector(AAI)is considered the most essential treatment in these situations and parents and caregivers are always encouraged to carry this device for use in an emergency which commonly takes place in public places such as restaurants,schools,and parks,where medical staff are not guaranteed to be available.However,previous studies,in different settings,have reported underuse of the AAI by parents.AIM To explore the reasons for underutilisation of the AAI in our community.METHODS A cohort of parents attending the paediatric allergy clinic at Al Ain Hospital in the United Arab Emirates completed a questionnaire survey aimed at assessing their understanding and knowledge of their child's allergy management,including their aptitude with the use of the AAI,as well as their competence and comfort in providing this treatment in an emergency.RESULTS Of 47 parents participating in the study,39 were Emirati parents(83%and most parents who completed the survey were mothers(66%).As expected,food was the main cause of allergic reactions requiring prescription of the auto-injector device.Tree nuts and peanuts were noted to be the most common offending food in these children(62%and 38%,respectively).A doctor provided demonstrations and training on using the auto-injector device to 94%of the parents.More than two-thirds of the parents and caregivers(79%)were deemed knowledgeable on the indication for use of the device.Reluctance to administer the device was expressed by many of the parents,despite their satisfaction with the coaching they received on using the device in the study.CONCLUSION Ongoing coaching and teaching of parents on use of the AAI is paramount.However,this should be carried out together with psychological support to aid the parents to eliminate their hesitancy and acquire suffic

关 键 词：ANAPHYLAXIS ADRENALINE Food allergy Barriers EDUCATION Management 

分 类 号：R725.9[医药卫生—儿科]