Yıl: 2022 Cilt: 20 Sayı: 2 Sayfa Aralığı: 71 - 76 Metin Dili: İngilizce DOI: 10.21911/aai.602 İndeks Tarihi: 08-05-2023

The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis

Öz:
Objective: Allergen immunotherapy (AIT) employs incremental amounts of an antigen to selected patients to promote clinical tolerance towards the offending allergen. The adverse reactions to AIT include local side effects such as induration in the field of application, itching and hyperemia, or systemic side effects such as shortness of breath, urticaria, hypotension, abdominal pain, vomiting and anaphylaxis. It is important that patients receiving AIT and their parents know about possible adverse reactions and can intervene when necessary. We aimed to assess the knowledge and attitudes towards anaphylaxis of the caregivers/parents of allergic children who receive subcutaneous immunotherapy (SCIT). Materials and Methods: We gathered information using a structured questionnaire on the subject demographics and clinical informa- tion as regards the type of allergies and symptoms; and employed specific questions to capture information on the knowledge and attitudes of the patients’ parents about the symptoms and management strategies of anaphylaxis and the use of an epinephrine autoinjector. All pediatric allergy patients’ parents who were received SCIT between 2016 and 2019 at the Yeditepe University Hospital’s pediatric allergy clinic were included in the study. Results: We studied 101 participants who completed the questionnaire. The median age of the patients receiving SCIT was 12.0 (min- max, 5.0-17.0) years, and 52.5% of the study group were boys. Only less than half of the subjects had some idea about anaphylaxis. Seventy-eight percent had no idea that food might lead to anaphylaxis. Seventy percent of the participants did not expect SCIT to cause anaphylaxis; 6% had no idea about this anaphylaxis at all. Most of the parents did not know how to react to anaphylaxis and the majority had no clue about the epinephrine autoinjector. Conclusion: We identified important knowledge gaps among the parents of children receiving SCIT about anaphylaxis or its management. We emphasize the necessity of educating the parents of children receiving SCIT on anaphylaxis as well as the application of epinephrine autoinjectors when indicated.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Cox L, Nelson H, Lockey R, Calabria C, Chacko T, Finegold I, et al. Allergen immunotherapy: A practice parameter third update. J Allergy Clin Immunol 2011;127:S1-55.
  • 2. Kim JM, Lin SY, Suarez-Cuervo C, Chelladurai Y, Ramanathan M, Segal JB, et al. Allergen-specific immunotherapy for pediatric asthma and rhinoconjunctivitis: A systematic review. Pediatrics 2013;131:1155-67.
  • 3. Bernstein DI, Wanner M, Borish L, Liss GM; Immunotherapy Committee, American Academy of Allergy, Asthma and Immunology. Twelve-year survey of fatal reactions to allergen injections and skin testing: 1990-2001. J Allergy Clin Immunol 2004;113:1129-36.
  • 4. Cox L, Larenas-Linnemann D, Lockey RF, Passalacqua G. Speaking the same language: The World Allergy Organization Subcutaneous Immunotherapy Systemic Reaction Grading System. J Allergy Clin Immunol 2010;125:569-74.
  • 5. Kartal O, Gulec M, Caliskaner Z, Musabak U, Sener O. Safety of subcutaneous immunotherapy with inhalant allergen extracts: A single-center 30-year experience from Turkey. Immunopharmacol Immunotoxicol 2015;37:280-6.
  • 6. Cox L, Aaronson D, Casale TB, Honsinger R, Weber R. Allergy immunotherapy safety: Location matters! J Allergy Clin Immunol Prac 2013;1:455-7.
  • 7. Lockey RF, Benedict LM, Turkeltaub PC, Bukantz SC. Fatalities from immunotherapy (IT) and skin testing (ST). J Allergy Clin Immunol 1987;79(4):660-77.
  • 8. Reid MJ, Lockey RF, Turkeltaub PC, Platts-Mills TA. Survey of fatalities from skin testing and immunotherapy 1985-1989. J Allergy Clin Immunol 1993;92:6-15.
  • 9. Epstein TG, Liss GM, Murphy-Berendts K, Bernstein DI. Immediate and delayed-onset systemic reactions after subcutaneous immunotherapy injections: ACAAI/AAAAI surveillance study of subcutaneous immunotherapy: Year 2. Ann Allergy Asthma Immunol 2011;107:426-31.
  • 10. Epstein TG, Liss GM, Murphy-Berendts K, Bernstein DI. AAAAI and ACAAI surveillance study of subcutaneous immunotherapy, Year 3: What practices modify the risk of systemic reactions? Ann Allergy Asthma Immunol 2013;110:274-8.
  • 11. Epstein TG, Liss GM, Murphy-Berendts K, Bernstein DI. Risk factors for fatal and nonfatal reactions to subcutaneous immunotherapy: National surveillance study on allergen immunotherapy (2008-2013). Ann Allergy Asthma Immunol 2016;116:354-9.
  • 12. Epstein TG, Liss GM, Murphy-Berendts K, Bernstein DI. AAAAI/ ACAAI surveillance study of subcutaneous immunotherapy, years 2008-2012: An update on fatal and nonfatal systemic allergic reactions. J Allergy Clin Immunol Pract 2014;2:161-7.
  • 13. Ercan H, Ozen A, Karatepe H, Berber M, Cengizlier R. Primary school teachers’ knowledge about and attitudes toward anaphylaxis. Pediatr Allergy Immunol 2012;23:428-32.
  • 14. Amin HS, Liss GM, Bernstein DI. Evaluation of near-fatal reactions to allergen immunotherapy injections. J Allergy Clin Immunol 2006;117:169-75.
  • 15. Jutel M, Agache I, Bonini S, Burks AW, Calderon M, Canonica W, et al. International Consensus on Allergen Immunotherapy II: Mechanisms, standardization, and pharmacoeconomics. J Allergy Clin Immunol 2016;137:358-68.
  • 16. Muraro A, Roberts G, Worm M, Bilò MB, Brockow K, Fernández Rivas M, et al. EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: Guidelines from the European Academy of Allergy and Clinical Immunology. Allergy 2014;69:1026-45.
  • 17. Simons FE, Ardusso LR, Dimov V, Ebisawa M, El-Gamal YM, Lockey RF, et al. World Allergy Organization. World Allergy Organization Anaphylaxis Guidelines: 2013 update of the evidence base. Int Arch Allergy Immunol 2013;162:193-204.
  • 18. Orhan F, Civelek E, Şahiner UM, Arga M, Can D, Çalışkaner AZ, et al. Anaphylaxis: Turkish National Guideline 2018. Asthma Allergy Immunology 2018;16:1-61.
APA BERBER M, Ercan Saricoban H, ugras m, ÖZER A (2022). The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. , 71 - 76. 10.21911/aai.602
Chicago BERBER MUSTAFA,Ercan Saricoban Hulya,ugras meltem,ÖZER Ahmet The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. (2022): 71 - 76. 10.21911/aai.602
MLA BERBER MUSTAFA,Ercan Saricoban Hulya,ugras meltem,ÖZER Ahmet The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. , 2022, ss.71 - 76. 10.21911/aai.602
AMA BERBER M,Ercan Saricoban H,ugras m,ÖZER A The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. . 2022; 71 - 76. 10.21911/aai.602
Vancouver BERBER M,Ercan Saricoban H,ugras m,ÖZER A The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. . 2022; 71 - 76. 10.21911/aai.602
IEEE BERBER M,Ercan Saricoban H,ugras m,ÖZER A "The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis." , ss.71 - 76, 2022. 10.21911/aai.602
ISNAD BERBER, MUSTAFA vd. "The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis". (2022), 71-76. https://doi.org/10.21911/aai.602
APA BERBER M, Ercan Saricoban H, ugras m, ÖZER A (2022). The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. Astım Allerji İmmünoloji, 20(2), 71 - 76. 10.21911/aai.602
Chicago BERBER MUSTAFA,Ercan Saricoban Hulya,ugras meltem,ÖZER Ahmet The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. Astım Allerji İmmünoloji 20, no.2 (2022): 71 - 76. 10.21911/aai.602
MLA BERBER MUSTAFA,Ercan Saricoban Hulya,ugras meltem,ÖZER Ahmet The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. Astım Allerji İmmünoloji, vol.20, no.2, 2022, ss.71 - 76. 10.21911/aai.602
AMA BERBER M,Ercan Saricoban H,ugras m,ÖZER A The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. Astım Allerji İmmünoloji. 2022; 20(2): 71 - 76. 10.21911/aai.602
Vancouver BERBER M,Ercan Saricoban H,ugras m,ÖZER A The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis. Astım Allerji İmmünoloji. 2022; 20(2): 71 - 76. 10.21911/aai.602
IEEE BERBER M,Ercan Saricoban H,ugras m,ÖZER A "The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis." Astım Allerji İmmünoloji, 20, ss.71 - 76, 2022. 10.21911/aai.602
ISNAD BERBER, MUSTAFA vd. "The Attitudes of Patients’ Parents Receiving Allergen-Specific Immunotherapy Against Anaphylaxis". Astım Allerji İmmünoloji 20/2 (2022), 71-76. https://doi.org/10.21911/aai.602