Knowledge, attitudes, and behaviors of residents and specialists working in tertiary healthcare institutions about drug allergy

Q4 Medicine
H. Ateş, E. Şahiner
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Abstract

Aims: We evaluated the knowledge, attitudes, and behaviors of residents and specialists working in tertiary healthcare institutions about drug allergy. Methods: Residents and specialist medical doctors working at a tertiary health institution were included in the study. A questionnaire consisting of questions evaluating occupational and demographic characteristics, knowledge, attitudes, and behaviors about drug allergy was prepared and administered to the participants. Result: Only 26 (21.3%) of the participants had attended any training on drug allergies. Of the participants, 73 (59.8%) felt competent in taking and interpreting an accurate allergy history for drugs. Of the participants, 107 (87.7%) knew that it is often impossible to reach a definite conclusion about drug allergy based on anamnesis alone. Only half of the participants stated that they could spare enough time for detailed anamnesis about drug allergy in their daily practice. Only 19 (15.6%) of the participants stated that they referred patients with suspected drug allergies to an allergist at a rate of 90-100%. When the answers of the assistant and specialists were compared;the proportion of respondents to the question of the most important drug classes responsible for allergic reactions, including antibiotics and aspirin/other NSAIDs (28.9% vs. 67.7%;p<.001). And the rate of those who responded corticosteroids+antihistamines+adrenaline to the question of the most recommended drug classes to treat drug allergies was found to be higher in specialist physicians (19.8% vs. 71%;p<.001). Conclusion: This cross-sectional study showed a low level of awareness, knowledge, and competency in the management of drug allergies among residents and specialists from different fields.
在三级医疗机构工作的居民和专家关于药物过敏的知识、态度和行为
目的:我们评估三级医疗机构的住院医师和专家对药物过敏的知识、态度和行为。方法:在三级医疗机构工作的住院医师和专科医生被纳入研究。准备一份调查问卷,对参与者进行药物过敏的职业和人口特征、知识、态度和行为的评估。结果:仅有26人(21.3%)参加过药物过敏培训。在参与者中,73人(59.8%)认为自己有能力服用和解释准确的药物过敏史。其中107人(87.7%)知道仅凭记忆往往无法得出药物过敏的明确结论。只有一半的参与者表示他们在日常实践中可以抽出足够的时间对药物过敏进行详细的记忆。只有19名(15.6%)的参与者表示,他们以90-100%的比例将疑似药物过敏的患者转介给过敏专科医生。当比较助理和专家的回答时,回答引起过敏反应最重要的药物类别的比例,包括抗生素和阿司匹林/其他非甾体抗炎药(28.9%比67.7%,p< 0.001)。在治疗药物过敏的最推荐药物类别问题上,使用皮质类固醇+抗组胺药+肾上腺素的比例在专科医生中更高(19.8%比71%;p< 0.001)。结论:本横断面研究显示,不同领域的住院医师和专家对药物过敏管理的认识、知识和能力水平较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gulhane Medical Journal
Gulhane Medical Journal Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
48
期刊介绍: History of the Gulhane Medical Journal goes back beyond the second half of the nineteenth century. "Ceride-i Tıbbiye-yi Askeriye" is the first journal published by the Turkish military medical community between 1871 and 1931. This journal was published as "Askeri Tıp Mecmuası", "Askeri Sıhhiye Mecmuası","Askeri Sıhhiye Dergisi" and "GATA Bülteni" between 1921 to 1931, 1931 to 1949, 1949 to 1956 and 1956 to 1998, respectively. The journal is currently being published as "Gülhane Tıp Dergisi" ("Gulhane Medical Journal") since the September 1998 issue.
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