Erdem Topal1, Hacer İlbilge Ertoy Karagöl2, Özlem Yılmaz3, Mustafa Arga4, Burcu Köksal5, Özlem Özbek Yılmaz5, Hülya Anıl6, Koray Harmancı6, Şeyhan Kutluğ7, Fadıl Öztürk7, Hasan Cem Razi8, İpek Türktaş9, Mehmet Sadık Demirsoy9, Arzu Bakırtaş9. 1. Department of Pediatrics, Division of Pediatric Allergy and Asthma, İnönü University School of Medicine, Malatya Turkey. 2. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey. 3. Department of Pediatric Allergy and Asthma, Mersin City Hospital, Mersin, Turkey. 4. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Medeniyet University School of Medicine, İstanbul, Turkey. 5. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Başkent University School of Medicine, Ankara, Turkey. 6. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey. 7. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Ondokuz Mayıs University School of Medicine, Samsun, Turkey. 8. Department of Pediatric Allergy and Asthma, Acıbadem Hospital, Ankara, Turkey. 9. Department of Pediatrics, Division of Pediatric Allergy and Asthma, Gazi University School of Medicine, Ankara, Turkey.
Abstract
AIM: It has been shown by a great number of studies that the correct use of adrenaline auto injectors prescribed to patients with anaphylaxis is associated with the design of the auto injector, in addition to training. The aim of this study was to compare the skills of adults in using two different auto injectors prescribed to patients with anaphylaxis. MATERIAL AND METHODS: Parents of patients aged between 1 and 18 years who referred to allergy outpatients were included in the study. RESULTS: A total of 630 volunteers from nine centers were included in the study. Four hundred fifty-seven (72.5%) of the participants were females and 235 (37.3%) were undergraduates. The rate of showing all the steps of auto injector trainers correctly by the participants was found as (60.2%) (n=379) for EpiPen and 42.9% (n=270) for Penepin (p<0.001). The most frequent mistake with both auto injector trainers was the step of "place appropriate injection tip into outer thigh/press the trigger so it clicks." When the preferences of the volunteers were asked after training and application, 527 (83.7%) chose EpiPen, stating that it was easier and simpler to use. CONCLUSIONS: Our study showed that the correct usage rates of both adrenaline auto injectors were much lower than expected and there could be mistakes in the application of both. It could be appropriate to make improvements in the design of Penepin, which is still the only available adrenaline auto injector in Turkey, such that its application steps will be simpler and quicker.
AIM: It has been shown by a great number of studies that the correct use of adrenaline auto injectors prescribed to patients with anaphylaxis is associated with the design of the auto injector, in addition to training. The aim of this study was to compare the skills of adults in using two different auto injectors prescribed to patients with anaphylaxis. MATERIAL AND METHODS: Parents of patients aged between 1 and 18 years who referred to allergy outpatients were included in the study. RESULTS: A total of 630 volunteers from nine centers were included in the study. Four hundred fifty-seven (72.5%) of the participants were females and 235 (37.3%) were undergraduates. The rate of showing all the steps of auto injector trainers correctly by the participants was found as (60.2%) (n=379) for EpiPen and 42.9% (n=270) for Penepin (p<0.001). The most frequent mistake with both auto injector trainers was the step of "place appropriate injection tip into outer thigh/press the trigger so it clicks." When the preferences of the volunteers were asked after training and application, 527 (83.7%) chose EpiPen, stating that it was easier and simpler to use. CONCLUSIONS: Our study showed that the correct usage rates of both adrenaline auto injectors were much lower than expected and there could be mistakes in the application of both. It could be appropriate to make improvements in the design of Penepin, which is still the only available adrenaline auto injector in Turkey, such that its application steps will be simpler and quicker.
Entities:
Keywords:
Adrenaline auto injector; EpiPen; Penepin; anaphylaxis
Authors: Hugh A Sampson; Anne Muñoz-Furlong; Ronna L Campbell; N Franklin Adkinson; S Allan Bock; Amy Branum; Simon G A Brown; Carlos A Camargo; Rita Cydulka; Stephen J Galli; Jane Gidudu; Rebecca S Gruchalla; Allen D Harlor; David L Hepner; Lawrence M Lewis; Phillip L Lieberman; Dean D Metcalfe; Robert O'Connor; Antonella Muraro; Amanda Rudman; Cara Schmitt; Debra Scherrer; F Estelle R Simons; Stephen Thomas; Joseph P Wood; Wyatt W Decker Journal: J Allergy Clin Immunol Date: 2006-02 Impact factor: 10.793
Authors: Sandra M Salter; Richard Loh; Frank M Sanfilippo; Rhonda M Clifford Journal: Allergy Asthma Clin Immunol Date: 2014-09-19 Impact factor: 3.406