RESULT OF TREATING ANAPHYLAXIS IN INTENSIVE CARE & TOXICOLOGY UNIT AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL FROM 2018 TO 2019

Ngô Anh Vinh1,, Nguyễn Hùng Mạnh2, Bùi Thị Hương2, Phạm Thị Thu Hiền2
1 ietnam National Children's Hospital
2 Nghe An Obstetrics and Pediatrics Hospital

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Abstract

Purpose: Evaluate treatment results of anaphylaxis in intensive care and toxicology unit at Nghe An Obstetrics and Pediatrics hospital. Methods: A cross-sectional study on twenty-eighth patients diagnosed with anaphylaxis and was treated in intensive care and toxicology unit at Nghe An Obstetrics and Pediatrics hospital from January 2018 to September 2019. Results: Antibiotic is the main cause of anaphylaxis, accounting for 82.1%, followed by vaccines at 14.3%. Grade III anaphylaxis accounted for the majority (64.3%) and 10.7% had a history of allergy. After treatment: 25 patients (89.3%) were discharged from the hospital in stable condition,  3 patients (10.7%) died. All patients were initially managed with intramuscular adrenaline and received respiratory support. All deaths were grade III of anaphylaxis and were caused by intravenous antibiotic allergens. Conclusions: It is vital to detect anaphylaxis early and manage it promptly. Intramuscular adrenaline as soon as possible for grade II anaphylaxis or higher.

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References

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