Introduction: Although drug allergy workup for pediatric patients (skin and drug provocation tests [DPT]) is performed, the procedures are troublesome, painful, and time-consuming. The aim of this study was to assess parents’ perception of and satisfaction with their child’s drug allergy workup. Further, to evaluate parents’ tendency to use the tested drug following a negative DPT and the consequences of re-exposure. Methods: Parents of children that underwent drug allergy workup from January 2017 to August 2020 in the Pediatric Allergy Department of Trakya University Medical Faculty were included. Satisfaction levels were assessed via a telephone questionnaire (3 open-ended, 7 multiple-choice questions). Satisfaction was scored on a Likert scale (1: very unsatisfied and 5: very satisfied). Results: A total of 102 parents participated the study. Fifty-two (51%) of patients were male, and median age was 6.2 years and a median time interval between admission and test appointment of 1 month; 16.7% had a positive drug allergy workup, with 88.3% reporting being satisfied (56.9%) or very satisfied (31.4%) with the workup. Satisfaction levels were inversely related to the time between admission and test appointment (rho: −0.254, p = 0.01), with 8.2% reporting they did not use the tested drug when necessary despite a negative result. The tested drug was used by 35 individuals (41.1%), 33 (94.2%) tolerating without reaction. Conclusion: Most parents were satisfied with the workup, but levels were inversely related to the admission and procedure time interval. Drug allergy workup should be performed as soon as possible to relieve parents’ anxiety and achieve more patient satisfaction.
Int Arch Allergy Immunol

中文翻译：

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儿童药物过敏检查是否令父母满意？

简介：虽然对儿科患者进行了药物过敏检查（皮肤和药物激发试验 [DPT]），但该程序麻烦、痛苦且耗时。本研究的目的是评估父母对孩子药物过敏检查的看法和满意度。此外，评估父母在 DPT 阴性后使用测试药物的倾向以及再次接触的后果。方法：纳入2017年1月至2020年8月在特拉基亚大学医学院儿科过敏科接受药物过敏检查的儿童家长。通过电话问卷（3 个开放式问题，7 个多项选择题）评估满意度。满意度采用李克特量表评分（1：非常不满意，5：非常满意）。结果：共有102名家长参加了研究。52 名 (51%) 患者为男性，中位年龄为 6.2 岁，入院和预约考试之间的中位时间间隔为 1 个月；16.7% 的药物过敏检查呈阳性，88.3% 的人对检查感到满意（56.9%）或非常满意（31.4%）。满意度水平与入院和预约测试之间的时间成反比（rho：-0.254， p = 0.01），8.2% 的人表示尽管结果为阴性，但他们在必要时没有使用测试药物。35人（41.1%）使用了受试药物，33人（94.2%）耐受无反应。结论：大多数父母对检查感到满意，但水平与入院和手术时间间隔成反比。应尽快进行药物过敏检查，以减轻父母的焦虑，提高患者的满意度。
Int Arch 过敏免疫