Anaphylaxis: Are doctors adequately aware? A study on perceptions and practices among first contact-level doctors in state healthcare institutions in Gampaha district

Abstract

Background: , in spite of treatment and facilities being readily available in most instances. Suboptimal knowledge and practices of first contact level doctors are likely to cause mismanagement. Objective: To evaluate the awareness of first-contact-level doctors in Gampaha district on diagnosis and management of anaphylaxis and to describe their current practices in anaphylaxis. Method: A descriptive study was conducted among first-contact-level doctors in state healthcare institutions in Gampaha district to assess diagnosis, management and practices on anaphylaxis, using a self-administered questionnaire. Results: Data from 98 doctors were analyzed and 95.9% correctly identified adrenaline as the first line treatment but only 76.5% knew the correct mode of administration and 30.6%, the correct adult dose and strength. Only 59.2% were aware of adrenaline self-administration and 29.6%, about auto-injectors. Only 2% correctly diagnosed