Anaphylaxis in pediatric population: A 1-year survey on the Medical Emergency Service in Liguria, Italy

Int J Immunopathol Pharmacol. 2015 Dec;28(4):590-4. doi: 10.1177/0394632015580909. Epub 2015 Apr 21.

Abstract

Anaphylaxis is a severe, life-threatening, generalized, or systemic hypersensitivity reaction. The diagnosis is mainly based on a clinical ground. This study aimed to evaluate the records of both phone calls and medical visits for anaphylaxis managed by the Liguria Medical Emergency Service (MES) in a pediatric population, occurred during 2013. The phone call is managed at each center and classified according to a level of care intensity and a presumed level of criticality, according to established criteria. Criticality is then re-evaluated (detected criticality) at the end of the medical visit following the same score adding the black code for patients who died. Most of the phone calls (86) to the MES were recorded in summer (40.7%), followed by spring (26.7%), autumn (16.3%), and winter (16.3%). Forty-eight patients (55.8%) were male. Anaphylaxis was confirmed in about half of patients. In addition, almost all subjects (97.7%) were referred to the Emergency Room. In conclusion, the present study shows that anaphylaxis represents a serious and relevant medical problem in the pediatric population and should be ever carefully managed.

Keywords: anaphylaxis; calls; children; medical emergency service.

Publication types

  • Letter

MeSH terms

  • Adolescent
  • Anaphylaxis / therapy*
  • Child
  • Child, Preschool
  • Emergency Medical Services*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Italy
  • Male