关键词: Adverse drug reaction Contrast medium Education Safety Training

来  源:   DOI:10.1186/s13244-024-01658-z   PDF(Pubmed)

Abstract:
OBJECTIVE: To collect real-world data about the knowledge and self-perception of young radiologists concerning the use of contrast media (CM) and the management of adverse drug reactions (ADR).
METHODS: A survey (29 questions) was distributed to residents and board-certified radiologists younger than 40 years to investigate the current international situation in young radiology community regarding CM and ADRs. Descriptive statistics analysis was performed.
RESULTS: Out of 454 respondents from 48 countries (mean age: 31.7 ± 4 years, range 25-39), 271 (59.7%) were radiology residents and 183 (40.3%) were board-certified radiologists. The majority (349, 76.5%) felt they were adequately informed regarding the use of CM. However, only 141 (31.1%) received specific training on the use of CM and 82 (18.1%) about management ADR during their residency. Although 266 (58.6%) knew safety protocols for handling ADR, 69.6% (316) lacked confidence in their ability to manage CM-induced ADRs and 95.8% (435) expressed a desire to enhance their understanding of CM use and handling of CM-induced ADRs. Nearly 300 respondents (297; 65.4%) were aware of the benefits of contrast-enhanced ultrasound, but 249 (54.8%) of participants did not perform it. The preferred CM injection strategy in CT parenchymal examination and CT angiography examination was based on patient\'s lean body weight in 318 (70.0%) and 160 (35.2%), a predeterminate fixed amount in 79 (17.4%) and 116 (25.6%), iodine delivery rate in 26 (5.7%) and 122 (26.9%), and scan time in 31 (6.8%) and 56 (12.3%), respectively.
CONCLUSIONS: Training in CM use and management ADR should be implemented in the training of radiology residents.
UNASSIGNED: We highlight the need for improvement in the education of young radiologists regarding contrast media; more attention from residency programs and scientific societies should be focused on training about contrast media use and the management of adverse drug reactions.
CONCLUSIONS: • This survey investigated training of young radiologists about use of contrast media and management adverse reactions. • Most young radiologists claimed they did not receive dedicated training. • An extreme heterogeneity of responses was observed about contrast media indications/contraindications and injection strategy.
摘要:
目的:收集有关年轻放射科医师关于造影剂(CM)使用和药物不良反应(ADR)管理的知识和自我认知的真实世界数据。
方法:一项调查(29个问题)分发给40岁以下的居民和获得委员会认证的放射科医师,以调查年轻放射科社区关于CM和ADR的当前国际状况。进行描述性统计分析。
结果:来自48个国家/地区的454名受访者(平均年龄:31.7±4岁,范围25-39),271名(59.7%)为放射科住院医师,183名(40.3%)为董事会认证的放射科医师。大多数(349,76.5%)认为他们充分了解了CM的使用情况。然而,只有141人(31.1%)在居住期间接受了有关CM使用的专门培训,而82人(18.1%)接受了有关管理ADR的培训。尽管266名(58.6%)知道处理ADR的安全协议,69.6%(316)对他们管理CM引起的ADR的能力缺乏信心,而95.8%(435)表示希望增强他们对CM使用和处理CM引起的ADR的理解。近300名受访者(297人;65.4%)意识到超声造影的好处,但249名(54.8%)参与者没有执行。在CT实质检查和CT血管造影检查中,优选的CM注射策略是基于318(70.0%)和160(35.2%)患者的瘦体重,预定的固定金额为79(17.4%)和116(25.6%),碘输送率分别为26例(5.7%)和122例(26.9%),扫描时间为31(6.8%)和56(12.3%),分别。
结论:应在放射科住院医师的培训中实施CM使用和管理ADR的培训。
我们强调需要改进年轻放射科医师关于造影剂的教育;住院医师计划和科学团体的更多注意力应集中在关于造影剂使用和药物不良反应管理的培训上。
结论:•本调查调查了对年轻放射科医师使用造影剂和处理不良反应的培训。大多数年轻的放射科医生声称他们没有接受专门的培训。•观察到关于造影剂适应症/禁忌症和注射策略的反应的极端异质性。
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