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강원도 내 소아청소년 교육기관 아나필락시스 실태 및 관리: 보건교사 및 보육교사 설문조사
박진성 ( Jin-sung Park ),김자경 ( Ja Kyoung Kim ),권재우 ( Jae-woo Kwon ) 대한천식알레르기학회 2022 Allergy Asthma & Respiratory Disease Vol.10 No.1
Purpose: Anaphylaxis may be life-threatening, and thus requires early recognition and a rapid response. We investigated current demands imposed by anaphylaxis and the responses of pediatric and youth educational institutions. We surveyed school nurses and childcare teachers in Gangwon-do Province, South Korea. Methods: The online survey featured 2 questionnaires: one exploring demands imposed by anaphylaxis and the current response status and the other evaluating awareness of anaphylaxis among school nurses and childcare teachers. Results: A total of 105 school nurses and 263 childcare teachers responded, of whom 16.2% and 1.9% reported that they had en countered anaphylaxis at work, and 6.7% and 11.0% had epinephrine auto-injectors (EAIs) available, respectively. Furthermore, 7.6% of school nurses and 3.0% of childcare teachers had been requested by parents to obtain institutional EAIs. Screening for anaphy laxis at the beginning of each school year was performed in 81.9% of schools and 41.1% of childcare institutions, and 55.2% of schools and 44.5% of childcare institutions had formulated action plans for anaphylaxis. Anaphylaxis education had been received by 72.4% of school nurses and 38.8% of childcare teachers. However, anaphylaxis awareness and coping skills seemed to be lacking in most participants. Conclusion: Given the nontrivial numbers of pediatric patients with anaphylaxis and thus the demand for assistance, the lack of in stitutional prevention and management systems (screening, action plans, and coping skills) is of concern. In addition to increasing teacher awareness, institutional changes are required. (Allergy Asthma Respir Dis 2022;10:15-21)
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조상원 ( Sang Won Cho ),이근무 ( Gun Moo Lee ),박진성 ( Jin Sung Park ),권재우 ( Jae Woo Kwon ),김자경 ( Ja Kyoung Kim ) 대한천식알레르기학회(구 대한알레르기학회) 2017 Allergy Asthma & Respiratory Disease Vol.5 No.6
Purpose: Ultrarush immunotherapy (ultra-RIT) is more convenient and higher compliant than conventional immunotherapy, but it has rarely used in clinical practice due to severe systemic reactions. This study aimed to determine the safety of ultra-RIT in children and adolescents. Methods: We investigated 19 patients who received ultra-RIT with the same schedule between January 2011 and May 2016. They were sensitized to house dust mites (HDMs) and/or pollen and had their symptoms associated with positive allergens. Over a 1-day hospitalization period, all patients received ultra-RIT subcutaneously 3 times, increasing at hourly intervals. Systemic reactions were classified according to the World Allergy Organization grade system. Results: Systemic reactions occurred in 14 patients (73.7%). The mean time to adverse reactions after the last injection was 36 min utes, and the majority of systemic reactions were pruritus and urticaria. In addition, the injection of HDM alone or HDM plus pollen caused more than grade 2 systemic reactions in about 50% each of the patients. Conclusion: Since ultra-RIT caused a higher incidence of systemic reactions in children and adolescents, it should be carried out cautiously in the hospitalization rather than the office. (Allergy Asthma Respir Dis 2017;5:336-343)
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양민석 ( Min-suk Yang ),반가영 ( Ga-young Ban ),김민혜 ( Min-hye Kim ),임경환 ( Kyung-hwan Lim ),권혁수 ( Hyouk-soo Kwon ),송우정 ( Woo-jung Song ),정재우 ( Jae-Woo Jung ),이정민 ( Jeongmin Lee ),서동인 ( Dong In Suh ),권재우 ( Ja 대한천식알레르기학회 2017 Allergy Asthma & Respiratory Disease Vol.5 No.5
Diagnostic methods for drug allergy include the patient’s history, in vivo skin test, in vitro laboratory test, and provocation test. How-ever, the history is often not reliable, procedures for in vivo and in vitro tests are not standardized, and provocation tests are some-times harmful to patients. Generally, skin prick and intradermal tests are useful for immediate reactions; in contrast, patch test and delayed reading of both skin prick and intradermal tests are helpful for delayed reactions. A drug provocation test is the gold stan-dard for both responses, and it is necessary to be aware of exact indications and contraindications with appropriate drugs, doses, and intervals. To date, several methods have been developed to detect culprit agents for drug hypersensitivity reactions, but they are neither completely well validated nor standardized. Based on this awareness and necessity, the Korean Academy of Asthma, Al-lergy and Clinical Immunology launched the Standardization Committee to review the international guidelines and the literature, and then developed the consensus report on the procedures and applications of diagnostic tests for drug allergy. (Allergy Asthma Respir Dis 2017;5:239-247)
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