Examination of patients who presented with food-induced immediate allergic reactions to the emergency room in our hospital

概要

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Objective: Food allergy which infancy suffers from much may cause an emergency visit because of an immediate symptom. We examined patients who visited the emergency room in our hospital. Subjects and method: We evaluated symptoms, nurses' triage assessments, and potential treatments for 101 patients who presented with immediate food allergies to our hospital between January 2009 and December 2010. We also examined 6 patients who were brought in by ambulance to the hospital. Result: The causal foods were eggs in 40 (39.6%), cow's milk in 17 (16.8%) and fish eggs in 10 (9.9%) patients. According to the triage by the nurse, two patients (1.9%) were 'resuscitation', 28 patients (26.9%) were 'emergency', 36 patients (35.9%) were 'associate emergency' and 17 patients (16.8%) were 'non-emergency'. Adrenaline was administered to 4 patients (4.0%). For the 6 patients who were brought in by ambulance to the hospital, the causal foods were milk (2 patients), eggs (2 patients), and nuts (1 patient). Conclusion: The major causal foods for immediate allergic symptoms were eggs, milk, and fish eggs. Adrenaline was administered in low doses to the patients. It was thought that we have to share knowledge about initial correspondence include adrenaline injection.
日本小児アレルギー学会の論文