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    The assessment of teachers’ knowledge and schools’readiness about food allergy and anaphylaxis in a Northwest city of Turkey
    (2019) Gokmirza Ozdemir, Pinar; Yazicioglu, Mehtap; Ones, Ulker; Ceylan, Mahir; Dogru, Mahmut; Berberoglu, Ufuk
    Aim: To investigate teachers’ knowledge and preparedness of schools about food allergy and anaphylaxis in elementary schools in Edirne city.Material and Methods: The study was performed as a cross sectional survey study. Questionnaires were answered by 560 teachers, all of them were working in 35 public elementary schools in Edirne. In addition to questions concerning food allergies, teachers were asked about their attitudes in the case of a life-threatening food-induced allergic reaction. The presence of a nurse or other trained personnel, an action plan for management of anaphylaxis, and/or epinephrine availability and use in these schools in the case of such a reaction were also evaluated.Results: The vast majority of teachers (97.3%) reported they had not been informed about food allergies, and only 19.1% stated that “shock” may be related to a food allergy situation. Only 4 schools (11.4%) employed a nurse. Examination of school drugs cabinets revealed no epinephrine in any school, and none of the students were found to carry epinephrine autoinjectors. Furthermore, none of the schools had an emergency action plan related to food-induced allergic reactions. Conclusion: The current study revealed an urgent need to inform elementary school teachers of Edirne about food allergies and their treatment and to improve access to emergency treatments and action plans.
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    Effects of modifying visual inhaler spacer usage instructions on correct usage rate of untrained users
    (Wiley, 2020) Topal, Erdem; Arga, Mustafa; Ozmen, Hakan; Dogru, Mahmut; Alatas, Cem; Mustu, Elif Busra; Celiksoy, Mehmet Halil
    Background Pressurized metered-dose inhalers (pMDIs) used with spacers are considered the method of choice for delivery of inhaled drugs in preschool-age children. The aim of this study was to determine the effects of modifying the visual inhaler spacer usage guidelines on the correct usage rate. Methods The parents and caregivers of patients <6 years old who were prescribed inhalers with spacers for the first time were included in our study. The participants were randomly divided into a modified visual inhaler spacer usage guidelines group and an unmodified visual inhaler spacer usage guidelines group. All study participants underwent face-to-face interviews and completed questionnaires. Results A total of 510 participants with a median age of 31 (range, 20-46) years were included in this study. The modified visual guidelines group included 254 (49.6%) participants, and the unmodified visual guidelines group included 256 (50.4%) participants. One hundred sixty-five (65.2%) of the 254 participants in the modified visual guidelines group correctly demonstrated the inhaler spacer technique. In contrast, only 21 (8.2%) of the 256 participants in the unmodified visual guidelines group correctly demonstrated the inhaler spacer technique (p < 0.001). When comparing the inhaler spacer usage steps between the 2 groups, the modified visual guidelines group demonstrated the steps more correctly and more quickly (p < 0.001). Conclusion The current visual inhaler spacer usage guidelines are insufficient. We believe that improving the visual inhaler spacer usage guidelines, in particular, will increase the correct usage rate and decrease the number of usage errors.