Evidence map›Paper›PMID 34765433›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2021

Physicians' knowledge and practice concerning diagnosis and management of anaphylaxis: The situation in Egypt.

Zeinab Awad El-Sayed, Rasha El-Owaidy, Shahenaz Mahmoud Hussein, Dina Hossam, Ihab H El-Sawi, Ahmad Adel, Mohamed Almalky, Emad Elshebiny, Ahmed Yehia Ismaeel, Naglaa S Osman and 5 more

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In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Zeinab Awad El-SayedPediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.
Rasha El-OwaidyPediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.
Shahenaz Mahmoud HusseinDepartment of Pediatrics, Al-Azhar University-Boys, Cairo, Egypt.
Dina HossamDepartment of Pediatrics, Cairo University, Cairo, Egypt.
Ihab H El-SawiDepartment of Pediatrics, Alexandria University, Alexandria, Egypt.
Ahmad AdelDepartment of Pediatrics, Suez General Hospital, Suez, Egypt.
Mohamed AlmalkyFaculty of Medicine, Zagazig University, Zagazig, Egypt.
Emad ElshebinyDepartment of Internal Medicine, Rheumatology and Immunology Division, Faculty of Medicine, Menoufia University, Egypt.
Ahmed Yehia IsmaeelDepartment of Internal Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Naglaa S OsmanPediatric Allergy, Immunology and Rheumatology Unit, Department of Pediatrics, Assiut University, Faculty of Medicine, Assiut, Egypt.
Walaa ShomanDepartment of Pediatrics, Faculty of Medicine, Alexandria University, Egypt.
Maher A Abdel HafezDepartment of Pediatrics, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed Abdel-Fattah IbrahimDepartment of Pediatrics, Mataryya Teaching Hospital, Cairo, Egypt.
Ashraf Abdel-Baki SalamaPediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.
Ali SobhDepartment of Pediatrics, Mansoura University Children's Hospital, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ain Shams University Hospital · EGAlexandria University · EGAl-Azhar University · EGAssiut University · EGBeni-Suef University · EGCairo University · EGChildren's Hospital Mansoura University · EGMenoufia University · EGSuez University · EGTanta University · EGZagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly recognition of an anaphylaxis event is crucial for instituting lifesaving management. We sought to explore knowledge and practice towards anaphylaxis in a sample of physicians from ten Egyptian governorates.

methodsAn eighteen question-based questionnaire was developed by expert allergists to evaluate the knowledge and practice towards anaphylaxis, based on the World Allergy Organization guidelines for the assessment and management of anaphylaxis. The questionnaires were distributed, and the answered forms collected via emails, and data were tabulated, and analysed.

resultsIn this cross-sectional study, a total of 242 physicians completed the survey (183 (75.6%) paediatricians, 32 (13.2%) internists, 22 (9.1%) intensivists and five (2.1%) anaesthetists). Only 91 participants (37.6%) identified all the four proposed anaphylaxis clinical scenarios while 70, 45 and 36 identified three, two and one scenario, respectively. Loss of consciousness and abdominal symptoms were not recognised as possible presentations of anaphylaxis by 64.5% and 80.2% of the participants, respectively. Epinephrine was considered the first line treatment by 98 (40.5%), corticosteroids by 77 (31.8%) and antihistamines by 25 (10.3%). 75 (31%) responders identified the right dose of epinephrine while 119 (49.2%) identified the proper route. Concerning practice, 83 physicians (39.2%) used epinephrine for all cases of anaphylaxis, 88 (41.5%) used it for refractory cases only whereas 41 (19.3%) did not use epinephrine at all. DISCUSSION: Our survey shows that the knowledge of Egyptian physicians and their practice towards anaphylaxis are still inadequate. The current situation reinforces the need to disseminate and encourage the adoption of the international guidelines for anaphylaxis diagnosis and treatment.

Indexed as

AnaphylaxisEpinephrineFatal allergic reactionsKnowledgePractice

Identifiers

PMID34765433
PMCPMC8567155
OpenAlexW3208892816

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.