creators_name: Adiga, Shalini creators_name: Nayak, Veena creators_name: Bairy, KL creators_id: drshali2000@yahoo.co.in editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2009-03-28 09:31:34 lastmod: 2011-03-11 08:57:20 metadata_visibility: show title: Treatment of Anaphylaxis in Adults: A Questionnaire Survey ispublished: pub subjects: OJHAS full_text_status: public keywords: Anaphylaxis, Adrenaline abstract: Objective: To identify the medications that medical students, interns and casualty medical officers are likely to prescribe when treating an adult patient with anaphylaxis, and to ascertain the dose and route of administration of adrenaline they would use. Design: A questionnaire study survey. Setting: Kasturba medical college hospital, Manipal (Udupi District) and public health centers of Udupi district, Karnataka. Subjects: Data collected from 39 second year medical students, 35 interns and 35 casualty medical officers. Main outcome measure: To determine the percentage of use of adrenaline for the treatment of anaphylaxis in the correct dose, strength and route. Results: Majority (73 .3%) of participants correctly opted to use adrenaline. Only 9 participants have written the correct dose, route and concentration of adrenaline. 41.28% and 66.05% participants preferred to use antihistamines and corticosteroids respectively. Conclusion: This study has shown that confusion exists regarding the correct route of administration and dose of adrenaline to be used when treating anaphylaxis. This confusion applied to medical students, interns and medical officers. Therefore doctors must be made aware of the guidelines to treat anaphylaxis effectively. date: 2009-02-25 date_type: published publication: Online Journal of Health And Allied Sciences volume: 7 number: 4 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1.Marshall SE, Immunological factors in medicine. In: Boom NA, Colledge NR, Walker BR, Hunter JAA. Davidson’s principles and practice of medicine. 20th ed, New York: Elsevier Health Sciences 2006; p 465-478. Suzy T, Jill R, Treatment of anaphylaxis in adults: results of a survey of doctors at Dunedin Hospital, New Zealand. The New Zealand Medical journal. 2007;120:1252-1258. 2.Gompels LL, Bethune C, Johnston SL, Gompels MM. Proposed use of adrenaline (epinephrine) in anaphylaxis and related conditions: a study of senior house officers starting accident and emergency posts. Postgrad Med J 2002;78:416–418. 3.Ricardo J, Gerald JC. Survey of the use of epinephrine (adrenaline) for anaphylaxis by junior hospital doctors. Postgrad Med J 2007; 83:610-611. 4.Hoffman BB. Adrenoceptor-activating and other sympathomimetic drugs, In: Katzung BG, Basic and clinical pharmacology.10th edition, Singapore: McGraw-Hill companies; 2007.p137. 5.Kishiyama JL, Adelman DC. Allergic and immunologic disorders, In: McPhee SJ, Papadakis MA, Tierney LM. Current medical diagnosis and treatment . 47th edition, New York: McGraw-Hill companies; 2008.p691 6.Oswalt ML, Kemp SF. Anaphylaxis: Office management and prevention. Immunol Allergy Clin N Am 2007;27:177-91. citation: Adiga, Shalini and Nayak, Veena and Bairy, KL (2009) Treatment of Anaphylaxis in Adults: A Questionnaire Survey. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/6393/1/2008-4-6.pdf