24  14  3 .. - .. 2564

Original Article

Misdiagnosis of Anaphylaxis in

Children in Buriram Hospital

Lalita Tearprasert

Department of Pediatric, Buriram Hospital

Siriraj Medical Bulletin 2021;14(3) : 24-32

Abstract

Background: Incidence of anaphylaxis in children varies associated with differences

in population, places of occurrence, and geographic areas. Misdiagnosis and improper

treatment were found.

Objective: To investigate the incidence, characteristic, and factors inuencing the

diagnosis of anaphylaxis children in Buriram Hospital, Thailand

Methods: A retrospective review, based on ICD-10 electronic medical records of

anaphylactic children in Buriram Hospital from January 2017 to December 2019.

Results: A total of 131 episodes of anaphylaxis in 113 children were analyzed.

Misdiagnosis 46 episodes (35.1%), all were overdiagnosis. The incidence rate was 110 episodes

per 100,000 patients. Most were male. Median age range 10 to 14 years. Skin were the most

common presentation (99.2%). Foods were the most common culprit (35.1%). Signicant

factors of correct diagnosis were presenting with respiratory system (p=0.002), cardiovascular

(p=0.019), cause and route of allergen (p<0.001). Pediatricians were more over diagnosis than

general doctors (p=0.021).

Conclusion: The incidence of anaphylaxis in Buriram hospital appears the same as

other hospitals in Thailand. All of misdiagnosis were overdiagnosis. Signicant factors were

presenting symptoms, cause and route of allergen, diagnosed person and place of diagnosis.

Improper treatment and follow-up were found. Anaphylactic guideline might contribute to a

better diagnosis and management.

Keywords: anaphylaxis; diagnosis; allergen; epinephrine; incidence

Correspondence to: Lalita Tearprasert

Email: Jing.pedgy@gmail.com

Received: 9 March 2021

Revised: 6 May 2021

Accepted: 13 May 2021

http://dx.doi.org/10.33192/Simedbull.2021.23

Siriraj Medical Bulletin

 

(Anaphylaxis)  



ลลิตา เตียประเสริฐ

  







 



 



 

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





 









 













8





 











26  14  3 .. - .. 2564

Original Article







 























 











 





 











 



 



 







 

 

 

 







 













































 

























 



 













 









 





 



Siriraj Medical Bulletin



 









 P-value



    



    

    

    

    

    

    

    





    

    

    

    



    

    

    

    

    

    

28  14  3 .. - .. 2564

Original Article



    

    

    

    

    







   

   







   

   

 

   

   







   





   

    

    

 























 









 









 P-value

 

   

   

   

   



 

   

   

   





    

    

    

    

    



    



    

    

    



 

   

   



    



    

    

Siriraj Medical Bulletin

30 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564

Original Article



 















 





























 























 











 















 























 























 















 





Siriraj Medical Bulletin

















 































































 















 













 



















 























 









 











32 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564

Original Article

















 



























 































































































































































