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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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    Future doctors and anaphylaxis: What do they know? what should we do?
    (2019) Ozdemir, Pinar Gokmirza; Beken, Burcin; Yazicioglu, Mehtap; Celik, Velat; Sut,
    Aim: Anaphylaxis is a severe, potentially life-threatening systemic hypersensitivity reaction. Previous studies reveal that there are many potential deficiencies in the knowledge of doctors regarding the diagnosis and management of anaphylaxis in different health-care settings.The main purpose of this study was to assess the knowledge of 4th-6th-year medical students regarding the diagnosis and management of anaphylaxis.Material and Methods: The study was designed as a cross-sectional survey. The total number of 4th-, 5th-, and 6th-grade medical students at Trakya University Medical School was 651, and 172 (26%) agreed to participate in the study. The participants were asked to answer the questionnaire forms were including the questions assessing students’ knowledge about the diagnosis and management of anaphylaxis, before and after a training session about anaphylaxis.Results:Awareness of students about symptoms indicating anaphylaxis other than cutaneous and respiratory symptoms was between 40% and 77% in the initial test. Although the majority of participants (94%) chose epinephrine as the first-line drug for the treatment of anaphylaxis, correct answers about dosage, concentration, and the route for administration of epinephrine were low when compared with the final test (p 0.001 for each item). While 14% stated they felt they could diagnose and treat anaphylaxis in the initial test, this increased 83% after the training (p 0.001).Conclusion: The study revealed that, knowledge of medical students relating diagnosis and treatment of anaphylaxis is unsatisfactory. Much more attention is needed in medical-school education concerning anaphylaxis management to prevent anaphylaxis-related mortalities in the future.