- Poster presentation
- Open Access
Adrenaline auto-injector prescription and patients’ administration proficiency
Clinical and Translational Allergy volume 5, Article number: P12 (2015)
Adrenaline is the first-line emergency treatment for anaphylaxis. The only adrenaline auto-injector (AAI) currently available in Portugal is Anapen®. The aim of this study was to evaluate adrenaline prescription in the Emergency Department (ED) and the patients' capacity to correctly simulate adrenaline administration.
Patients with food allergy (FA) and hymenoptera venom allergy (HVA) followed in our department were invited to simulate adrenaline administration with an Anapen® trainer and a medical record review was performed.
A total of 36 individuals (50% male, mean age 34.5 years) were included; 28 with HVA (26 on venom immunotherapy) and 8 with FA. Twenty-seven went to an ED. Adrenaline was administered in only 3 and just5 of them were discharged with an AAI prescription. The remaining 22 had their AAI prescribed and taught how to use it, only after consultation with an Allergist. Twenty-three (64%) had their Anapen® with them and 19 (53%) admitted carrying it on a daily basis. Fourteen (39%) performed the simulation correctly, although 7 of them did not massage the injection site, as instructed by the manufacturer. On average, 2 training sessions were performed per patient but, despite this, 22 (61%) failed at various steps, including 4 who injected with the wrong end. Six reported using their Anapen® in a real life situation, but curiously 4 of them did not simulate the administration effectively.
According to the WAO guidelines, patients with anaphylaxis history should carry an AAI. Adrenaline underuse and a deficient prescription of adrenaline (14%) on discharge from the ED as well in non-specialized centres was evident. Approximately two thirds of our patients failed to demonstrate proper administration, regardless of previous patient education. This is an unacceptably high proportion of at risk patients. This device requires repeated and regular training sessions since this is the only AAI available in Portugal. Adrenaline is potentially lifesaving if the patient is willing to use it and is capable of injecting it correctly. Practice makes perfect.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.
The Creative Commons Public Domain Dedication waiver (https://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Amaral, L., Coimbra, A. & Placido, J.L. Adrenaline auto-injector prescription and patients’ administration proficiency. Clin Transl Allergy 5 (Suppl 3), P12 (2015). https://doi.org/10.1186/2045-7022-5-S3-P12
- Emergency Department
- Training Session
- Food Allergy
- Life Situation