Anaphylaxis. How often patients carry epinephrine in real life?
- PMID: 24912909
Anaphylaxis. How often patients carry epinephrine in real life?
Abstract
Background: Epinephrine is an important life-saving treatment in patients with anaphylaxis.
Objective: To evaluate how many patients with a history of anaphylaxis, carry epinephrine with them during medical consultation.
Material and methods: A prospective study was done in the Allergy Unit of the University of Antioquia (Medellin, Colombia), we recruited patients, of all ages, from August 2012 to June 2013, who were referred with suspected anaphylactic reaction for the last 18 months, and were asked about carrying epinephrine with them.
Results: Among 120 patients with a history of anaphylaxis, only 69 (57.5%) had epinephrine in their house or office, and 33 (27.5%) carried it in the medical consultation after 6 months of being prescribed.
Conclusions: Most patients with a history of anaphylaxis do not carry epinephrine with them all the time, and it is necessary to advise the patients, to improve their compliance to treatment.
Antecedentes: la epinefrina es un tratamiento importante en los pacientes con anafilaxia.
Objetivo: evaluar cuántos pacientes con antecedentes de anafilaxia portaban la epinefrina durante la consulta médica. MATERIAL Y MÉTODOS: estudio observacional efectuado en la Unidad de Alergología de la Universidad de Antioquia, Medellín, Colombia, entre agosto de 2012 y junio de 2013. Preguntamos a los pacientes con antecedente de reacción anafiláctica en los últimos 18 meses si portaban, o tenían en su casa, epinefrina para autoaplicación en caso de sufrir anafilaxia.
Resultados: de 120 pacientes con antecedente de anafilaxia, sólo 69 (57.5%) tenían adrenalina en la casa o en el lugar de trabajo, y 33 (27.5%) portaban la adrenalina durante la consulta, luego de seis meses de haber sido prescrita.
Conclusiones: la mayoría de los pacientes con antecedente de anafilaxia no portan epinefrina para autoinyección, y consideramos necesario mejorar el apego al tratamiento en este grupo de pacientes.
Keywords: Allergy; Anaphylaxis; Compliance; Epinephrine; Histamine.
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