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Órgano Oficial de Difusión de la Comisión Nacional de Arbitraje Médico

2019, Number 3

Rev CONAMED 2019; 24 (3)

Anaphylaxis in children and adults: prevention, diagnosis and treatment

Sienra-Monge JJL, Navarrete-Rodríguez EM, Chávez-Flores U, Lezana-Fernández MA, Baeza-Bastarrachea RA, Baeza-Bacab MA, Escalante-Domínguez AJ, Macías-Weinmann A, Magaña-Cobos A, Del-Rio-Navarro B, Torres-Lozano C, Estrada-Reyes E, Campos-Romero FH, Gómez-Vera J, Mancilla-Ramírez J, Castañón-González JA, Leija-Martínez JJ, Fernández-Soto JR, Ortega-Cisneros M, Sifuentes-Valenzuela MC, Hernández-Román MP, Bermejo-Guevara MA, Pineda-Maldonado ML, Ortega-Maldonado M, Muñoz-Hernández O, Cardona V, Meneses-González F

Language: Spanish
References: 192
Page: 107-164
PDF size: 701.99 Kb.


ABSTRACT

Anaphylaxis is a condition that requires immediate assistance for its resolution, it can occur in different settings: office, hospital, school, home or some other public space. The information contained herein forms part of known guidelines on prevention, diagnosis and treatment. Epidemiological aspects, triggers, risk factors and co-factors are addressed; physiopathological mechanisms that are translated into presentation phenotypes are explained in a didactic way. Clinical diagnosis is emphasized based on established criteria, classifications are mentioned to evaluate the severity of the reaction, as well as the role of clinical or laboratory tests. As relevant aspects, the first choice treatment with adrenaline, instructions on auto-injectors and different elements for the complementary and second choice treatment are dealt with. They also refer to aspects to consider when discharging a patient and follow-up measures, with a preventive emphasis on the community. Finally, the allergy clinic approach to deciding on immunomodulation options is mentioned.


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