کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5647486 | 1587120 | 2017 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Epinephrine Autoinjectors: New Data, New Problems
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کلمات کلیدی
EPSEAIRCTrandomized control trial - آزمایش تصادفی کنترلAnaphylaxis - آنافیلاکسی یا بیشدفاعی emergency department - بخش اورژانسEpinephrine autoinjector - تزریق خودکار اپینفرینIntravenous - داخل وریدیTreatment guidelines - دستورالعمل های درمانbody mass index - شاخص توده بدنBMI - شاخص توده بدنیIntramuscular - عضلانیconfidence interval - فاصله اطمینانodds ratio - نسبت شانس ها
موضوعات مرتبط
علوم زیستی و بیوفناوری
ایمنی شناسی و میکروب شناسی
ایمونولوژی
پیش نمایش صفحه اول مقاله
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چکیده انگلیسی
Epinephrine is the first-line treatment for anaphylaxis. Despite this, there have been identified gaps in the management of anaphylaxis including infrequent or delayed use of epinephrine for acute allergic reactions, as well as inadequate epinephrine autoinjector (EAI) training, and prescription rates of these devices for patients at risk. This paper reviews new data, and new problems in recently published literature on EAIs. A database search was conducted for publications between January 2015 and February 2017 using keywords related to EAIs including their functionality and features, carriage, prescription rates, barriers, and side effects. Eligibility criteria included patients at risk for anaphylaxis, caregivers, and health care professionals. Experimental studies and observational studies were included. Of 1,737 potentially relevant articles, 19 were used for analysis. These articles addressed specific aspects of an EAI, including (1) information on features and functionality; (2) prescriptions; (3) training on their use; and (4) carriage and use at the time of reaction by patients, schools, camps, emergency departments, and paramedics. Our review highlights that existing gaps in anaphylaxis management remain unaddressed. Patient needs are largely unmet, and very few studies are being designed to clarify and instill best practice, and to determine how to increase adherence to existing anaphylaxis guidelines through integrated knowledge translation strategies.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Allergy and Clinical Immunology: In Practice - Volume 5, Issue 5, SeptemberâOctober 2017, Pages 1180-1191
Journal: The Journal of Allergy and Clinical Immunology: In Practice - Volume 5, Issue 5, SeptemberâOctober 2017, Pages 1180-1191
نویسندگان
Susan MSc, MDCM, FRCPC, Ernie MBA(c), Moshe MD, MSc, Lana MD, Andrea Burke MD, Matthew MD, MBA, MSc,