许多医生并不知道治疗过敏症的最佳疗法
导读 | 遭受机体过敏变态反应的个体都想在第一时间了解最新的疗法信息,但是这并不总是很容易的,有些医生甚至并不知道某些疗法可以治疗过敏反应。 |
遭受机体过敏变态反应的个体都想在第一时间了解最新的疗法信息,但是这并不总是很容易的,有些医生甚至并不知道某些疗法可以治疗过敏反应。
近日在美国过敏症、哮喘和免疫学年会上(ACAAI),研究人员表示,他们开展了一项研究,主要对409名医生(内科和儿科)围绕过敏症的疗法来进行调查;所有的医生都接受了关于过敏症疗法的6个问题提问,但由于儿科医生主要治疗儿童的过敏症,因此其额外多进行了3个问题的回答。
研究者Kara Wada表示,我们询问了医生们,当病人误服食物过敏原后出现了呕吐和荨麻疹时应该在第一时间采取的最佳疗法,仅有50%的内科医生知道是立即使用肾上腺素,85%的内科医生认为流感疫苗并不应该给对鸡蛋过敏的病人注射,而如今我们都知道对于那些对鸡蛋过敏的个体进行流感疫苗的注射是非常安全的。
仅有27%的儿科医生可以正确鉴定出4岁以下儿童是以鸡蛋和牛奶中为过敏原,34%的医生可以鉴别出蓝莓是过敏原,13%的医生认为过敏原是人造食品;所有的医生都认为,在进行CT扫描和其它成像之前应当询问个体是否对碘、贝类及人工染料过敏,因为贝类中包含碘,因此许多医生还将贝类过敏反应同碘反应之间联系了起来;然而碘并不是人类机体中发现的过敏原。研究人员表示,大部分的儿科医生都认为,皮肤单刺试验用于检测食品或可吸入过敏原在儿童三岁之前并不准确及可靠。(转化医学网360zhyx.com)
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"We asked what the best first treatment was for a patient experiencing vomiting and hives after eating a known food allergen," said allergist and ACAAI member Kara Wada, MD, lead study author. "Only 50 percent of internal medicine physicians knew it was epinephrine. And 85 percent of internal medicine physicians thought the flu vaccine shouldn't be given to egg-allergic patients. It's now known that it's safe for those with egg allergies to get the flu shot."
Other myths reported in the survey include:
•Only 27 percent of the pediatric physicians correctly identified the most common causes of food allergy in children under 4 years of age as both eggs and milk. 34 percent identified strawberries and 13 percent thought it was artificial food coloring.
•Both groups thought it was necessary to ask about allergies to iodine, shellfish and artificial dyes before ordering a CT scan and other imaging procedures which use iodinated contrast for better imaging. Since shellfish contain iodine, many physicians have linked a contrast reaction to a shellfish allergy. However, shellfish allergy has nothing to do with the reaction, and iodine can't be an allergen as it is found in the human body.
•The majority of pediatricians thought that skin prick testing for food or inhaled allergens isn't accurate or reliable until 3 years of age. While skin prick testing is rarely conducted on infants younger than 6 months old, there is otherwise no age limit.
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游客2014-11-10 09:51:50不知道中国医生有多少知道这些