anaphylaxis%20(pediatric)
ANAPHYLAXIS (PEDIATRIC)

Anaphylaxis is a serious generalized or systemic hypersensitivity reaction that is rapid in onset and potentially fatal.

Diagnosis can be made if it is acute in onset of minute to several hour duration that involves the skin, mucosal tissue or both plus having signs & symptoms either respiratory or cardiovascular compromise.

It involves immunological response with IgE, IgG or immune complexes. Non-immunological mechanisms are also involved and termed as nonallergic anaphylaxis that is relatively uncommon in children.

Protracted, severe anaphylaxis are reactions occurring up to 32 hours despite aggressive management.

 

Patient Education

  • Patient, parents and caregivers should be able to apply the following objectives:
    • Identify and avoid triggers and cofactors
    • Recognize early warning symptoms of anaphylaxis
    • Risk of a biphasic reaction
    • What to do should an anaphylaxis episode occur again
    • Training on the correct use and timing of an Adrenalin/Epinephrine injector
    • The need for referral to an allergy specialist (including the process of referral)
    • Information about support groups
  • Education and management plan should be individualized
  • At-risk patient should be protected by wearing accurate and up-to-date medical identification listing their confirmed trigger factors, relevant comorbidities and concurrent medications
  • Individualized instruction and coaching may help to diminish the anxiety among caregivers
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