A 15-year of the clinical features of anaphylaxis in pediatric patients (ages 0-18 years) admitted at De La Salle University Medical Center (2000-2014)

Publication Date

2014

Document Type

Research

Abstract

This was a cross sectional retrospective study determining the demographic clinical profile of pediatric patients admitted at DLSUMC due to anaphylaxis using medical admission charts. This was a 14-year review of all pediatric patients from June 2000 to June 2014 with diagnosis of Anaphylaxis. Total enumeration was used. Data was analyzed through frequency distribution and proportions. In conclusion, this study showed that there is an increasing trend in the recognition of pediatric patients who had an anaphylactic reaction starting 2011. This can be attributed to the revision of the criteria for the diagnosis of anaphylaxis in 2011. The most common perceived trigger factor was food followed by drugs and unidentified causes. There was a male predilection with a 1.9:1 male to female ratio wherein most of the patients belong to the 5-9 and 10-14 years age groups. Although studies have shown that patients who have allergies most likely has a family history of allergy, this study showed that most had no family history of allergy. Cutaneous symptoms of urticaria and or angioedema are the most common manifestations of anaphylaxis followed by respiratory symptom of dyspnea. Although studies revealed that epinephrine should be the first line of treatment, this study showed that first generation antihistamine was the most common drug given. Anaphylaxis is a life threatening condition but in this study patients showed that there is no need for intensive care unit admission and required an average hospital stay of 24-48 hours.

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