Practices in the prescription of adrenaline autoinjectors
Practices in the prescription of adrenaline autoinjectors
BACKGROUND:
Anecdotally, the prescription of adrenaline autoinjectors seems to be very variable. We aimed to survey the practice in this area and look at the differences between paediatric allergists and general paediatricians, the factors influencing prescription and implementation of current guidelines.
METHODS:
We developed an online survey containing 10 paediatric allergy cases and emailed a link to paediatricians. Respondents were asked to identify their prescribing decision in each case, the factors influencing their decisions and which guidelines they had read.
RESULTS:
Responses were collated from 54 paediatric allergists and 27 general paediatricians. Almost all respondents had read at least one guideline. Prescribing decisions were very inconsistent, and significant influencing factors included peanut or tree nut allergy, trace reactions, remote facilities and parental anxiety.
CONCLUSIONS:
This study demonstrates that most paediatricians have read at least one anaphylaxis guideline. However, reading the guidelines does not seem to have influenced their daily practice. This suggests that there is a need for improved implementation of anaphylaxis guidelines amongst paediatricians.
adrenaline autoinjector, anaphylaxis, children, guidelines, teenagers
124-128
Johnson, Mark J.
ce07b5dd-b12b-47df-a5df-cd3b9447c9ed
Foote, Keith D.
3d6ecd5d-78d2-4385-bd20-4c0a8ac880e2
Moyses, Helen E.
6dba7e08-81cf-4162-8a88-0c86fc8eece2
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
March 2012
Johnson, Mark J.
ce07b5dd-b12b-47df-a5df-cd3b9447c9ed
Foote, Keith D.
3d6ecd5d-78d2-4385-bd20-4c0a8ac880e2
Moyses, Helen E.
6dba7e08-81cf-4162-8a88-0c86fc8eece2
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Abstract
BACKGROUND:
Anecdotally, the prescription of adrenaline autoinjectors seems to be very variable. We aimed to survey the practice in this area and look at the differences between paediatric allergists and general paediatricians, the factors influencing prescription and implementation of current guidelines.
METHODS:
We developed an online survey containing 10 paediatric allergy cases and emailed a link to paediatricians. Respondents were asked to identify their prescribing decision in each case, the factors influencing their decisions and which guidelines they had read.
RESULTS:
Responses were collated from 54 paediatric allergists and 27 general paediatricians. Almost all respondents had read at least one guideline. Prescribing decisions were very inconsistent, and significant influencing factors included peanut or tree nut allergy, trace reactions, remote facilities and parental anxiety.
CONCLUSIONS:
This study demonstrates that most paediatricians have read at least one anaphylaxis guideline. However, reading the guidelines does not seem to have influenced their daily practice. This suggests that there is a need for improved implementation of anaphylaxis guidelines amongst paediatricians.
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More information
Published date: March 2012
Keywords:
adrenaline autoinjector, anaphylaxis, children, guidelines, teenagers
Organisations:
Human Development & Health
Identifiers
Local EPrints ID: 351128
URI: http://eprints.soton.ac.uk/id/eprint/351128
ISSN: 0905-6157
PURE UUID: 660d7338-85c6-4fea-ae8d-b4ef59a1b539
Catalogue record
Date deposited: 16 Apr 2013 15:17
Last modified: 15 Mar 2024 04:02
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Contributors
Author:
Mark J. Johnson
Author:
Keith D. Foote
Author:
Helen E. Moyses
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