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Research ArticleOpen Access

Prevalence of Anaphylaxis among children 3 to 18 years old in Kuweit

Volume 5 - Issue 5

Abdaljabbar Farhan*1,2

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    • 1The New Mowasat Hospital, Kuwait
    • 2Faculty of Medicine, University of Southampton, Southampton, UK

    *Corresponding author: Abdaljabbar Farhan, The New Mowasat Hospital, Kuwait and Faculty of Medicine, University of Southampton, Southampton, UK

Received: June 13, 2018;   Published: June 20, 2018

DOI: 10.26717/BJSTR.2018.05.001259

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Abstract

Introduction:

Anaphylaxis is an acute though potentially life-threatening multisystem allergic reaction characterized by a rapid inception and progression following exposure to an allergen. Even though anaphylaxis has been on the rise for the past decade with reported rates of 350% increase among food induced and 230% increase among nonfood induced reactions, there is still paucity of data on the prevalence and outcome of anaphylaxis in various populations. This study aims to i. Assess the lifetime prevalence of anaphylaxis among the paediatric population. ii. identify the most at risk age and iii. Evaluate the main trigger for the condition in children.

Methodology: A descriptive cross-sectional study with a multistage stratified cluster sampling of children aged three to eighteen was conducted in Kuwait. 2828 registered students of both genders and all nationalities in the selected governmental and private schools were sequentially recruited in the school years 2014-2015 and 2015-2016 over a period of 9 months to participate in the study.

Results: The overall prevalence of anaphylaxis in the study population was 4.24 per 1000 with a 95% confidence interval of 1.85-6.64 per 1000 population. A total of 12(0.42%) participants fulfilled all the criteria for diagnosing probable anaphylaxis, out of which 66.7% were diagnosed during the incidence by a medical physician. Food was the major trigger in 9 (75.0%) children overall, of which nuts was the most common (33.3%), followed equally by milk and egg (16.7%) and another 16.7% for other types of unspecified food. Medicine was the trigger in 2 (16.7%) of them and one was not sure of the trigger.

Conclusion:

Anaphylaxis in children is a stimulating and challenging subject requiring targeted studies, starting with those assessing the prevalence of this emerging serious disease, to those highlighting the lack of availability, utilization and correct use of the treatment and the necessity of an emergency action plan.

Abstract| Introduction| Methodology | Results| Discussion| Conclusion| References|