국내 단일 병원 의료관계자들의 아나필락시스 인지도 조사
A single hospital survey of anaphylaxis awareness among health care providers and medical students
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초록
Purpose: Anaphylaxis is a rapidly progressive allergic reaction that requires precise recognition and immediate management. However, health care providers, awareness of anaphylaxis has not been acknowledged. The aim of this study is to investigate the extent of knowledge and principal management skills on anaphylaxis among medical personnel and students. Methods: We performed a questionnaire survey on knowledge, education, and managing skills for anaphylaxis to physicians, nurses, health personnel, and medical students in Ajou University Medical Center, from 26 June to 31 October, 2014. The survey contained 2 main sections: questions about demographic data and 2 types of questionnaire (type I for all participants and type II for only medical staffs) for self-assessment on anaphylaxis. Results: A total of 1,615 participants (128 doctors, 828 nurses, 436 students, and 223 health personnel) completed the survey. For questionnaire I, the percentages of correct answers in doctors, nurses, medical students, and health personnel were 77.5%, 56.4%, 47.8%, and 28.0% respectively, showing significant differences between groups (P<0.001). For questionnaire II, 93% of doctors and 75.6% of nurses indicated epinephrine as the drug of choice, and 79.7% of doctors and 71.3% of nurses selected the correct intramuscular route. More than 3 quarters of the doctors (80.5%) selected epinephrine within the first 5 steps of treatment, but only 48% included epinephrine within the first 3 steps. Conclusion: Our study showed considerable lack of knowledge on anaphylaxis among health care providers, especially on the specific management steps of anaphylaxis. As significant gaps on overall knowledge of anaphylaxis were observed between different groups of medical personnel, regular education should be implemented for each department in the health care setting.
Abstract
Purpose: Anaphylaxis is a rapidly progressive allergic reaction that requires precise recognition and immediate management. However, health care providers, awareness of anaphylaxis has not been acknowledged. The aim of this study is to investigate the extent of knowledge and principal management skills on anaphylaxis among medical personnel and students. Methods: We performed a questionnaire survey on knowledge, education, and managing skills for anaphylaxis to physicians, nurses, health personnel, and medical students in Ajou University Medical Center, from 26 June to 31 October, 2014. The survey contained 2 main sections: questions about demographic data and 2 types of questionnaire (type I for all participants and type II for only medical staffs) for self-assessment on anaphylaxis. Results: A total of 1,615 participants (128 doctors, 828 nurses, 436 students, and 223 health personnel) completed the survey. For questionnaire I, the percentages of correct answers in doctors, nurses, medical students, and health personnel were 77.5%, 56.4%, 47.8%, and 28.0% respectively, showing significant differences between groups (P<0.001). For questionnaire II, 93% of doctors and 75.6% of nurses indicated epinephrine as the drug of choice, and 79.7% of doctors and 71.3% of nurses selected the correct intramuscular route. More than 3 quarters of the doctors (80.5%) selected epinephrine within the first 5 steps of treatment, but only 48% included epinephrine within the first 3 steps. Conclusion: Our study showed considerable lack of knowledge on anaphylaxis among health care providers, especially on the specific management steps of anaphylaxis. As significant gaps on overall knowledge of anaphylaxis were observed between different groups of medical personnel, regular education should be implemented for each department in the health care setting.
참고문헌 (19)
- Simons FE, "International consensus on (ICON) anaphylaxis", World Allergy Organ J, 7, pp.9~ (2014)
- Panesar SS, "The epidemiology of anaphylaxis in Europe: a systematic review", Allergy, 68, pp.1353~1361 (2013)
- Tejedor Alonso MA, "Epidemiology of anaphylaxis", Clin Exp Allergy, 45, pp.1027~1039 (2015)
- 임대현, "소아청소년에서 아나필락시스의 역학", Korean Journal of Pediatrics, 51(4), pp.351~354 (2008), 대한소아과학회
- 이수영, "응급실 내원 소아청소년에서 심한 식품알레르기의 발생 빈도와 임상 특징", 천식 및 알레르기, 32(3), pp.169~175 (2012), 대한천식알레르기학회
- 장광천, "한국 아나필락시스의 진료", Allergy Asthma & Respiratory Diseases, 1(3), pp.181~196 (2013), 대한 소아알레르기 호흡기학회
- 예영민, "Predictors of the Severity and Serious Outcomes of Anaphylaxis in Korean Adults: A Multicenter Retrospective Case Study", Allergy, Asthma & Immunology Research, 7(1), pp.22~29 (2015), 대한천식알레르기학회
- Turner PJ, "Increase in anaphylaxis-related hospitalizations but no increase in fatalities: an analysis of United Kingdom national anaphylaxis data, 1992-2012", J Allergy Clin Immunol, 135, pp.956~963 (2015)
- Koplin JJ, "An update on epidemiology of anaphylaxis in children and adults", Curr Opin Allergy Clin Immunol, 11, pp.492~496 (2011)
- Ibrahim I, "Knowledge of anaphylaxis among Emergency Department staff", Asia Pac Allergy, 4, pp.164~171 (2014)
- Jung-Wu S, "Anaphylaxis knowledge and practice preference of pediatric emergency medicine physicians: a national survey", Pediatrics, 134(Suppl 3), pp.S148~S149 (2014)
- Grossman SL, "Anaphylaxis knowledge and practice preferences of pediatric emergency medicine physicians: a national survey", J Pediatr, 163, pp.841~846 (2013)
- Jacobsen RC, "Anaphylaxis knowledge among paramedics: results of a national survey", Prehosp Emerg Care, 16, pp.527~534 (2012)
- Baccıoglu A, "Level of knowledge about anaphylaxis among health care providers", Tuberk Toraks, 61, pp.140~146 (2013)
- Droste J, "Hospital doctors' knowledge of adrenaline (epinephrine) administration in anaphylaxis in adults is deficient", Resuscitation, 81, pp.1057~1058 (2010)
- Jeong JW, "Anaphylaxis: hospital doctors' knowledge of management guidelines", Allergy Clin Immunol, 131, pp.AB221~ (2013)
- "Anaphylaxis quiz" (2014)[URL]
- Rudders SA, "An update on self-injectable epinephrine", Curr Opin Allergy Clin Immunol, 13, pp.432~437 (2013)
- Plumb B, "Correct recognition and management of anaphylaxis: not much change over a decade", Postgrad Med J, 91, pp.3~7 (2015)