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©The Author(s) 2022.
World J Clin Pediatr. Mar 9, 2022; 11(2): 151-159
Published online Mar 9, 2022. doi: 10.5409/wjcp.v11.i2.151
Published online Mar 9, 2022. doi: 10.5409/wjcp.v11.i2.151
Table 1 Characteristics of the 47 participating families
Informant | ||
Father | 16 (34) | |
Mother | 31 (66) | |
Child’s nationality | ||
Emirati | 39 (83) | |
Foreign | 8 (17) | |
Child’s age group | ||
< 5 yr | 21 (45) | |
5-10 yr | 20 (42) | |
> 10 yr | 6 (13) | |
Child’s sex | ||
Male | 25 (53) | |
Female | 22 (47) | |
Indication for AAI | ||
Food allergy | 42 (89) | |
Idiopathic anaphylaxis | 2 (4) | |
Insect/venom-induced allergy | 3 (7) | |
Number of AAI prescribed | ||
1 | 10 (21) | |
2 | 33 (70) | |
3 | 3 (7) | |
4 | 1 (2) | |
Parents’ awareness of when to use the AAI | ||
Rash with breathing difficulty | 37 (79) | |
Rash with swollen lips | 9 (19) | |
Unsure | 1 (2) | |
Training provided by | ||
Doctor | 44 (94) | |
Nurse | 1 (2) | |
Pharmacist | 1 (2) | |
Do not remember | 1 (2) | |
Has used an AAI before | 17 (36) |
Table 2 Frequency of food allergens causing anaphylaxis as reported by parents
Allergen | n | % |
Tree nuts | 29 | 62 |
Peanuts | 18 | 38.5 |
Egg | 9 | 19 |
Cow’s milk | 8 | 17 |
Sesame | 7 | 15 |
Shrimp | 4 | 8.5 |
Strawberry | 4 | 8.5 |
Wheat | 3 | 6.5 |
Lentil | 3 | 6.5 |
Others | 11 | 23 |
Table 3 Univariate analysis of parents and children’s characteristics in association with their reported outcome of training on a Likert scale
Satisfaction with the training received | Competency in using the AAI | Comfortable and not scared to use the AAI | ||
Child’s gender | Male | 3.3 ± 1.0 | 3.5 ± 0.6 | 3.5 ± 0.7 |
Female | 3.2 ± 1.1 | 3.7 ± 0.8 | 3.3 ± 0.9 | |
P value1 | 0.7 | 0.2 | 0.5 | |
Age group (yr) | < 5 | 3.3 ± 1.1 | 3.6 ± 0.7 | 3.5 ± 0.8 |
5-10 | 3.3 ± 1.0 | 3.7 ± 0.8 | 3.4 ± 0.8 | |
> 10 | 2.8 ± 1.1 | 3.6 ± 0.8 | 3.1 ± 0.9 | |
P value2 | 0.6 | 0.8 | 0.7 | |
Diagnosis | Food allergy | 3.2 ± 1.1 | 3.6 ± 0.7 | 3.4 ± 0.8 |
Idiopathic anaphylaxis | 2.5 ± 0.7 | 3.0 ± 0 | 2.5 ± 0.7 | |
Insect/venom induced allergy | 3.6 ± 0.6 | 3.6 ± 0.6 | 3.3 ± 0.6 | |
P value2 | 0.5 | 0.4 | 0.2 |
Table 4 Association between parents’ reported outcome of training and baseline characteristics in an ordered logistic regression model
Satisfaction with the training received | Competence in using the AAI | Comfortable and not scared to use the AAI | |
Informant | 0.7 (-5.6,2.1); 0.2 | -0.9 (-2.2, 0.4); 0.2 | -0.4 (-1.7, 0.8); 0.4 |
Nationality | -0.5 (-2.1, 1.0); 0.5 | 0.5 (-1.1, 2.1); 0.5 | -0.1 (-1.6, 1.3); 0.8 |
Age group | -0.5 (-1.4, 0.4), 0.3 | 0.1 (-0.8, 1.1); 0.7 | -0.3 (-1.2, 0.6); 0.5 |
Gender | -0.2 ((-1.4, 1.0); 0.7 | -0.2 (-1.4, 1.0); 0.7 | 0.7 (-0.4, 1.9); 0.2 |
Diagnosis | 0.2 (-0.9, 1.4); 0.6 | -0.4 (-1.5, 0.8); 0.5 | -0.4 (-1.6, 0.7); 0.5 |
Training provider | 0.4 (-2.2, 3.0); 0.7 | -16.4 (-4320, 4287); 0.9 | -1.2 (-4.0, 1.5); 0.3 |
Has used AAI before | 0.3 (-0.9, 1.6); 0.6 | 1.6 (0.2, 2.9); 0.02 | 0.1 (-1.1, 1.4); 0.8 |
- Citation: Narchi H, Elghoudi A, Al Dhaheri K. Barriers and challenges affecting parents’ use of adrenaline auto-injector in children with anaphylaxis. World J Clin Pediatr 2022; 11(2): 151-159
- URL: https://www.wjgnet.com/2219-2808/full/v11/i2/151.htm
- DOI: https://dx.doi.org/10.5409/wjcp.v11.i2.151