Clinical review: The suggested management pathway for urticaria in primary care

Tanno, Luciana Kase; Angier, Elizabeth; Clark, E. W.; Price, David; Zuberbier, Torsten; Maurer, Marcus

doi:10.1002/clt2.12195

Cited by 8 publications

(5 citation statements)

References 60 publications

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“…Primary healthcare providers and emergency physicians should be able to perform the patient history and order the basic laboratory tests required for the diagnosis of CU. The international CU guideline has been helpfully modified specifically for use by primary healthcare providers, along with guidance on when to refer to a specialist (i.e., a dermatologist or allergist/immunologist) [32]. In general, primary healthcare providers should refer a patient to specialty care if the diagnosis is in question or they do not have experience managing the CU, and they should do so in a timely manner to avoid the delays that patients experience in diagnosis and receiving care [6].…”

Section: Principle 2: I Deserve Access To Specialty Care For My Cumentioning

confidence: 99%

“…Patient surveys indicate that the main reason patients switch physicians is because they are not satisfied with the efficacy of their treatment [34]. Surveys of healthcare providers in different countries demonstrate that the knowledge of CU guidelines among non-specialists is often lacking [35,36], and that non-specialists tend to treat CU as an acute allergic disease [32]. Furthermore, access to biologics and advanced therapies sometimes used to treat CU may be limited to specialists.…”

Section: Principle 2: I Deserve Access To Specialty Care For My Cumentioning

confidence: 99%

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A Patient Charter for Chronic Urticaria

Maurer,

Albuquerque,

Boursiquot

et al. 2023

Adv Ther

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Chronic urticaria (CU) is the recurring development of wheals (aka ''hives'' or ''welts''), angioedema, or both for more than 6 weeks. Wheals and angioedema occur with no definite triggers in chronic spontaneous urticaria, and in response to known and definite physical triggers in chronic inducible urticaria. Approximately 1.4% of individuals globally will have CU during their lifetime. The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patient's physical and mental quality of life. CU also places a financial burden on patients and

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Section: Principle 2: I Deserve Access To Specialty Care For My Cumentioning

confidence: 99%

Section: Principle 2: I Deserve Access To Specialty Care For My Cumentioning

confidence: 99%

A Patient Charter for Chronic Urticaria

Maurer,

Albuquerque,

Boursiquot

et al. 2023

Adv Ther

Self Cite

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“…Another illustration is the prescription of cyclosporine (CsA) for CSU therapy when omalizumab fails or is not appropriate. [141][142] Papular urticaria, a separate type of urticaria, is more common in the Calabar region of Nigeria and affects children attending wealthy schools more frequently than those attending public schools. These are also reported to have a significant prevalence among women, as seen in surveys conducted at hospitals.…”

Section: Advancementmentioning

confidence: 99%

Skin and Soft Tissue Infections: Current Advancement in Epidemiology, Pathogenesis and Management

Goel¹,

Garima²,

Aggarwal³

et al. 2023

J. Pure Appl. Microbiol.

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Skin and soft tissue infections are brought on by invasion of microbes on the skin and underlying soft tissues (SSTIs). They appear in a series of shapes, causes the high level of severeness. Differentiating between SSTI situations that require prompt attention and surgical or medical intervention from those that don’t is difficult. SSTIs are most prevalent in emergency rooms and affect 7% to 10% of hospitalised patients. SSTIs are characterised by inflammatory components as well as other symptoms including fever, quickly growing lesions, and bullae. The creation of a severity categorization approach to specify suitable empirical treatment would improve the management of SSTIs. Based on the patient’s status knowledge of potential infections, an antibiotic medicine is chosen. Oral antibiotics are sufficient for simple mild-to-moderate infections; however, intravenous antibiotics are required for complicated severe infections.

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“…[6] Yet, primary care physicians received little or no training concerning this disease area. [7,8] Previous research about the characteristics of FA counsel in primary care is lacking. There is also evidence that primary care physicians have fair to poor knowledge about FA.…”

Section: Introductionmentioning

confidence: 99%

The epidemiology of food allergy in primary care clinic: A cross-sectional study

Al Hasan,

Al Hasan

2023

Medicine

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Food allergy (FA) is an increasing global public health concern. Little is known about FA counsel in primary care clinics. The objective of this study is to describe the characteristics of FA in primary care clinics. It also aims to report the national primary care physicians’ current knowledge and practices. An electronic cross-sectional questionnaire was distributed to primary care physicians working at the Ministry of Health primary care clinics, across Kuwait’s’ 6 health districts, between May and June 2023. The questionnaire was made of 3 sections: participants’ demographic, FA counsel characteristics, participants’ knowledge and practices during FA counsel, and 37 variable tools. Eight-seven percent of primary care physicians counseled a patient with FA within the last 12 months. Most FA patients were children and infants. Approximately 2 out of 10 primary physicians counseled > 1 FA case/week. Prevalence of clinical presentation was: angioedema (23%), many skin hives (21%), few skin hives (19%), and mouth itch (9.4%). Prevalence of allergens was; peanuts (46%), shellfish (37%), eggs (36%), and tree nuts (36%), respectively. The mean of primary care physicians’ correct answers about FA was 58% and only 26% of primary care physicians acquired a sufficient amount of knowledge about FA, scoring above 67%. Their Knowledge scores about FA: clinical presentation 7 ± 1.6, diagnostic tests 2 ± 1, treatment 2.6 ± 1, and prevention 3 ± 1. In practice, correct treatment was offered by 30% of physicians, and 55% made the right referrals 86% are longing for training about FA. FA is a common counsel in primary care clinics. The most common FA presentation is a severe allergic reaction in the pediatric population. The current primary care physicians have insufficient knowledge about counseling FA and long for further training. Collectively, protocols and training for FA counseling should be launched in primary care.

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Clinical review: The suggested management pathway for urticaria in primary care

Cited by 8 publications

References 60 publications

A Patient Charter for Chronic Urticaria

A Patient Charter for Chronic Urticaria

Skin and Soft Tissue Infections: Current Advancement in Epidemiology, Pathogenesis and Management

The epidemiology of food allergy in primary care clinic: A cross-sectional study

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