Direct challenges for delabeling drug allergy in pediatric patients

Sara Concha; Josefina Castagnoli; Florencia Neumann; Arturo Borzutzky; Rodrigo Hoyos

doi:10.1016/j.jaci.2020.12.080

Direct challenges for delabeling drug allergy in pediatric patients

Journal of Allergy and Clinical Immunology ◽

10.1016/j.jaci.2020.12.080 ◽

2021 ◽

Vol 147 (2) ◽

pp. AB10

Author(s):

Sara Concha ◽

Josefina Castagnoli ◽

Florencia Neumann ◽

Arturo Borzutzky ◽

Rodrigo Hoyos

Keyword(s):

Drug Allergy ◽

Pediatric Patients

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Drug Allergy in Pediatric Patients

Pediatric Annals ◽

10.3928/00904481-20110316-07 ◽

2011 ◽

Vol 40 (4) ◽

pp. 200-204 ◽

Cited By ~ 2

Author(s):

J. Pablo Abonia ◽

Mariana Castells

Keyword(s):

Drug Allergy ◽

Pediatric Patients

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Does Drug Allergy Workup in Children Satisfy Their Parents?

International Archives of Allergy and Immunology ◽

10.1159/000518583 ◽

2021 ◽

pp. 1-7

Author(s):

Pinar Gokmirza Ozdemir ◽

Velat Celik ◽

Burcin Beken ◽

İbrahim Arcanlı ◽

Mehtap Yazicioglu

Keyword(s):

Drug Allergy ◽

Pediatric Patients ◽

Time Interval ◽

Procedure Time ◽

Multiple Choice Questions ◽

Pediatric Allergy ◽

Provocation Tests ◽

Median Time Interval ◽

Drug Provocation Tests ◽

Telephone Questionnaire

Introduction: Although drug allergy workup for pediatric patients (skin and drug provocation tests [DPT]) is performed, the procedures are troublesome, painful, and time-consuming. The aim of this study was to assess parents’ perception of and satisfaction with their child’s drug allergy workup. Further, to evaluate parents’ tendency to use the tested drug following a negative DPT and the consequences of re-exposure. Methods: Parents of children that underwent drug allergy workup from January 2017 to August 2020 in the Pediatric Allergy Department of Trakya University Medical Faculty were included. Satisfaction levels were assessed via a telephone questionnaire (3 open-ended, 7 multiple-choice questions). Satisfaction was scored on a Likert scale (1: very unsatisfied and 5: very satisfied). Results: A total of 102 parents participated the study. Fifty-two (51%) of patients were male, and median age was 6.2 years and a median time interval between admission and test appointment of 1 month; 16.7% had a positive drug allergy workup, with 88.3% reporting being satisfied (56.9%) or very satisfied (31.4%) with the workup. Satisfaction levels were inversely related to the time between admission and test appointment (rho: −0.254, p = 0.01), with 8.2% reporting they did not use the tested drug when necessary despite a negative result. The tested drug was used by 35 individuals (41.1%), 33 (94.2%) tolerating without reaction. Conclusion: Most parents were satisfied with the workup, but levels were inversely related to the admission and procedure time interval. Drug allergy workup should be performed as soon as possible to relieve parents’ anxiety and achieve more patient satisfaction.

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Audiology Service Models in a Family Physician Practice Setting

Perspectives on Audiology ◽

10.1044/poa6.1.24 ◽

2010 ◽

Vol 6 (1) ◽

pp. 24-32 ◽

Cited By ~ 2

Author(s):

Sridhar Krishnamurti

Keyword(s):

Pediatric Patients ◽

Practice Patterns ◽

Healthcare Delivery ◽

Direct Consequence ◽

Direct Access ◽

Practice Setting ◽

Pediatric Populations ◽

Family Practice Physicians ◽

Primary Focus ◽

Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

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