<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542023000400263</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v32.i4.29358</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Anaphylaxis in the Pediatric Emergency Department of a central hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[Anafilaxia no Serviço de Urgência Pediátrica de um hospital central]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Liliana Patrícia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa]]></surname>
<given-names><![CDATA[Cátia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedrosa]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de Vila Nova de Gaia/Espinho Department of Allergy and Clinical Immunology ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar de Vila Nova de Gaia/Espinho Department of Pediatrics ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>32</volume>
<numero>4</numero>
<fpage>263</fpage>
<lpage>268</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542023000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542023000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542023000400263&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Anaphylaxis is a potentially life-threatening medical emergency. Early diagnosis and treatment are crucial. In children, the diagnosis is complicated by some unique features of the pediatric population. Food is the most common etiology in pediatric patients. The aim of this study was to characterize the episodes of anaphylaxis identified in the Pediatric Emergency Department (ED) of a central hospital between 2012 and 2021 according to the 2014 EAACI guidelines. Seventy-eight anaphylaxis episodes were included, 44 of which were first episodes. Children&#8217;s median age was 9.5 years (range 6 months-17 years) and 62.8% were male. A history of atopy was present in 52.6% of cases and asthma and/or allergic rhinitis in 50.9%. The most common trigger was food (74.4%) and the most common food was milk (27.6%). Mucocutaneous manifestations occurred in 94.9%, respiratory manifestations in 80.8%, gastrointestinal manifestations in 38.5%, and cardiovascular manifestations in 21.8%. Epinephrine treatment was administered in 83.3% of episodes. Patients with an epinephrine autoinjector (EAI) used it in 52.9% of episodes. The median (range) monitoring time was 13 (3-26) hours. At discharge, EAI was prescribed in 84.1% of first episodes, and 95.5% were referred for specialty consultation. As reported in the literature, food etiology prevailed in the described anaphylaxis cases. Epinephrine was the first-line treatment in most cases. EAI was used in approximately half of patients. Despite growing awareness, it is essential to alert patients and health professionals to the importance of epinephrine in the management of these cases.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A anafilaxia é uma emergência médica potencialmente fatal. O diagnóstico e tratamento precoces são essenciais. Nas crianças, o diagnóstico é dificultado pelas particularidades inerentes a esta faixa etária, sendo a etiologia alimentar a mais frequente. O objetivo deste estudo foi caracterizar os episódios de anafilaxia identificados no Serviço de Urgência Pediátrica de um hospital central entre 2012 e 2021 segundo as recomendações da EAACI 2014. Foram incluídos 78 episódios de anafilaxia, 44 dos quais correspondentes a um primeiro episódio. A mediana de idades das crianças foi de 9,5 anos (6 meses-17 anos) e 62,8% era do sexo masculino. Foi documentada história de atopia em 52,6% dos casos e asma e/ou rinite alérgica em 50,9%. A etiologia mais frequente foi alimentar (74,4%), sendo o leite o alimento mais comumente implicado (27,6%). Foram identificadas manifestações mucocutâneas em 94,9%, manifestações respiratórias em 80,8%, manifestações gastrointestinais em 38,5% e manifestações cardiovasculares em 21,8% dos casos. Foi administrado tratamento com adrenalina em 83,3% dos episódios. Os doentes portadores de autoinjetor de epinefrina (AIE) usaram-no em 52,9% dos episódios. A mediana (variação) de tempo de vigilância foi de 13 (3-26) horas. No momento da alta, foi prescrito em 84,1% dos episódios inaugurais e 95,5% foram referenciados para consulta de especialidade. Tal como reportado na literatura, a etiologia alimentar prevaleceu nos casos de anafilaxia descritos. A epinefrina foi a primeira linha de tratamento na maioria dos episódios. O AIE foi utilizado por cerca de metade dos doentes que o possuíam. Apesar da crescente consciencialização, é essencial alertar doentes e profissionais de saúde para a importância da epinefrina no tratamento destes casos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[epinephrine]]></kwd>
<kwd lng="en"><![CDATA[allergy]]></kwd>
<kwd lng="en"><![CDATA[anaphylaxis]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="pt"><![CDATA[alergia]]></kwd>
<kwd lng="pt"><![CDATA[anafilaxia]]></kwd>
<kwd lng="pt"><![CDATA[criança]]></kwd>
<kwd lng="pt"><![CDATA[epinefrina]]></kwd>
<kwd lng="pt"><![CDATA[Pediatria]]></kwd>
</kwd-group>
</article-meta>
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