Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
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Ann. Allergy Asthma Immunol. · Aug 2017
Factors associated with epinephrine administration for anaphylaxis in children before arrival to the emergency department.
Epinephrine is the first-line treatment for anaphylaxis but may be underused by patients and medical personnel. ⋯ This study identifies factors associated with prehospital management of anaphylaxis for children, which highlight that epinephrine administration may be occurring with considerable delay. Increased awareness and education of caregivers, patients, and medical professionals are necessary to provide optimal management.
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Ann. Allergy Asthma Immunol. · Apr 2017
An analysis of anaphylaxis cases at a single pediatric emergency department during a 1-year period.
Case series of anaphylaxis can vary regarding causes, treatments, and follow-up of patients. Unfortunately, case series that are specific to the pediatric population are few. ⋯ At our center, foods are the most common trigger for pediatric anaphylaxis. Patients continue to be undertreated, and referral to an allergist from the ED is rare.
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Ann. Allergy Asthma Immunol. · Mar 2017
Stratified premedication strategy for the prevention of contrast media hypersensitivity in high-risk patients.
Although the severity of hypersensitivity reactions to iodinated contrast media varies, it is well correlated with the severity of recurrent reactions; however, prophylaxis protocols are not severity-stratified. ⋯ In a total severity-based stratified prophylaxis regimens and changing iodinated contrast media can be considered in patients with a history of previous hypersensitivity reaction to iodinated contrast media to reduce the risk of breakthrough reactions.