Management of hymenoptera sting anaphylaxis: A preventive medicine survey |
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| Affiliation: | 1. Family Practice Department, Naval Hospital, Camp Pendleton, California, and Clinical Investigation Department, Naval Hospital, San Diego, California, USA;2. San Diego Clinical Research Associates, Carlsbad, California, USA;1. Istanbul University, Istanbul Faculty of Medicine, Department of Pediatrics, Division of Pediatric Allergy and Immunology, Istanbul, Turkey;2. Istanbul University, Institute of Child Health, Department of Pediatric Basic Sciences, Istanbul, Turkey;3. Hacettepe University, Faculty of Medicine, Department of Pediatrics, Division of Pediatric Infectious Diseases, Ankara, Turkey;1. School of Biological and Health Systems Engineering (SBHSE), Arizona State University, Tempe, AZ 85287, USA;2. Barrow Brain Tumor Research Center, Barrow Neurological Institute, Phoenix, AZ 85013, USA;1. The University of Washington School of Medicine, United States;2. Division of Cardiology, University of Washington, United States;3. Department of Emergency Medicine, University of Washington, United States;4. Department of Health Services, University of Washington, United States;5. Department of Medicine, University of Washington, United States;6. Seattle Fire Department, United States;1. kaleo, Inc., Richmond, Virginia;2. Core Human Factors, Inc., Bala Cynwyd, Pennsylvania;3. DP Clinical, Inc., Rockville, Maryland |
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| Abstract: | The evaluation of aftercare instructions given to patients suffering from hymenoptera sting anaphylaxis was the objective of the study. Part of this evaluation included asking the physicians questions to examine the knowledge on which they based their aftercare instructions. Survey questionnaires were completed by 124 of 174 (71%) physicians who worked in an emergency department or urgent care center. Fifty-eight percent of the physicians never provided written avoidance instructions, 24% provided or prescribed anaphylaxis ID bracelets, 44% referred all of their patients to an allergist for further evaluation, and 73% reported prescribing an Epi-pen or Ana-kit to all hymenoptera sting anaphylaxis victims. Twenty-four percent of physicians did not know where to obtain anaphylaxis identification bracelets. This survey demonstrates that a substantial number of physicians practicing emergency medicine are not providing appropriate aftercare instructions to patients, and substantiates the need for educational efforts to increase the awareness of physicians concerning the implications of hymenoptera allergy and the value of proper preventive measures. |
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