Export file:

Format

  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text

Content

  • Citation Only
  • Citation and Abstract

Knowledge and experience of radiologists working in Istanbul on radiographic contrast medium anaphylaxis

1 Maltepe University, School of Medicine, Department of Radiology, Istanbul, Turkey
2 Maltepe University, School of Medicine, Department of Pediatrics, Istanbul, Turkey
3 Pediatrician and Pediatric Allergist, Acibadem International Hospital, Istanbul, Turkey

Topical Section: Allergic asthma

Radiologists are among the physicians with the highest probability of encountering cases with anaphylaxis. Therefore, they should be familiar with the recent developments in the diagnosis and treatment of anaphylaxis. In this study, we aimed to investigate the level of knowledge of the radiologists about the current diagnostic criteria and management of anaphylaxis in addition to their personal experiences on radiographic contrast medium (RCM) induced systemic reactions. Radiologists working in Istanbul were randomly selected and asked to fill out a 16-item questionnaire related to their experience on radiographic contrast medium anaphylaxis and knowledge about current anaphylaxis diagnosis and management guidelines. The study group consisted of 106 physicians 11 (10.4%) of whom have reported that they had encountered anaphylaxis due to radiographic contrast medium during their own practice. They have also reported two cases of mortality due to RCM. Most of the physicians were familiar with the signs and symptoms of anaphylaxis and about two thirds of them chose epinephrine as the first-line medication for treatment of anaphylaxis. Radiologists may encounter patients with RCM-induced anaphylaxis. Therefore they should be aware of the diagnosis and management of anaphylaxis.
  Figure/Table
  Supplementary
  Article Metrics

Keywords anaphylaxis; radiographic contrast medium; radiologist

Citation: Gozde Arslan, Ayla Balci, Rahmi Cubuk, Feyzullah Cetinkaya. Knowledge and experience of radiologists working in Istanbul on radiographic contrast medium anaphylaxis. AIMS Allergy and Immunology, 2017, 1(2): 71-77. doi: 10.3934/Allergy.2017.2.71

References

  • 1. Lieberman P, Kemp SF, Oppenheimer J, et al. (2005) The diagnosis and management of anaphylaxis: an updated practice parameter. J Allergy Clin Immunol 115: 483–523.
  • 2. Lieberman P (2002) Anaphylactic reactions during surgical and medical procedures. J Allergy Clin Immunol 110: S64–S69.    
  • 3. Simons FE, Ebisawa M, Sanchez-Borges M, et al. (2015) 2015 update of the evidence base: World Allergy Organization anaphylaxis guidelines. World Allergy Organ J 28: 8–32.
  • 4. Krugman SD, Chiaramonte DR, Matsui EC (2006) Diagnosis and management of food-induced anaphylaxis: a national survey of pediatricians. Pediatrics 118: 554–560.    
  • 5. Altman AM, Jr CC, Simons FE, et al. (2015) Anaphylaxis in America: a national physician survey. J Allergy Clin Immunol 135: 830–833.    
  • 6. Lightfoot CB, Abraham RJ, Mammen T, et al. (2009) Survey of radiologists' knowledge regarding the management of severe contrast material-induced allergic reactions. Radiology 251: 691–696.    
  • 7. Cutroneo P, Polimeni G, Curcuruto R, et al. (2007) Adverse reactions to contrast media: an analysis from spontaneous reporting data. Pharmacol Res 56: 35–41.    
  • 8. Tapping CR, Culverwell AD (2009) Are radiologists able to manage serious anaphylactic reactions and cardiopulmonary arrest? Brit J Radiol 82: 793–799.    
  • 9. Morzycki A, Bhatia A, Murphy K (2016) Adverse reactions to contrast material: a Canadian update. Can Assoc Radiol J, In press.
  • 10. Dillman JR, Strouse PJ, Ellis JH, et al. (2007) Incidence and severity of acute allergic-like reactions to i.v. nonionic iodinated contrast material in children. Ajr Am J Roentgenol 188: 1643–1647.
  • 11. Katayama H, Yamaguchi K, Kozuka T, et al. (1990) Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media. Radiology 175: 621–628.
  • 12. Hunt C, Hartman R, Hensley G (2009) Frequency and severity of adverse effects of iodinated and gadolinium contrast materials: retrospective review of 456,930 doses. Ajr Am J Roentgenol 193: 1124–1127.    
  • 13. Wolf GL, Arenson RL, Cross AP (1989) A prospective trial of ionic vs nonionic contrast agents in routine clinical practice: comparison of adverse effects. Ajr Am J Roentgenol 152: 939–944.    
  • 14. Simons FE, Gu X, Simons KJ (2001) Epinephrine absorption in adults: intramuscular versus subcutaneous injection. J Allergy Clin Immunol 108: 871–873.    
  • 15. Sadler DJ, Parrish F, Coulthard A (1994) Intravenous contrast media reactions: how do radiologists react? Clin Radiol 49: 879–882.    
  • 16. Greenberger PA, Patterson GA, Radin RC (1984) Two pretreatment regimens for high-risk patients receiving radiographic contrast media. J Allergy Clin Immunol 74: 540–543.    
  • 17. Brockow K, Christiansen C, Kanny G, et al. (2005) Management of hypersensitivity reactions to iodinated contrast media. Allergy 60: 150–158.    

 

Reader Comments

your name: *   your email: *  

Copyright Info: 2017, Gozde Arslan, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

Download full text in PDF

Export Citation

Copyright © AIMS Press All Rights Reserved