目的:表征人们的意识,坚持,和障碍2017年国家过敏和传染病研究所(NIAID)花生过敏预防指南中的儿科卫生保健劳动力研究设计:儿科医生,家庭医生,高级实践提供商(APP),和为婴儿提供护理的皮肤科医生被要求进行基于人群的在线调查,从2022年6月6日至2022年7月3日管理。调查收集了有关NIAID指南意识的信息,实施,和障碍以及与准则相关的担忧。
结果:共有250名儿科医生,250名家庭医生,504名高级实践从业者(APP),253名皮肤科医生符合纳入标准。与皮肤科医生(58%)相比,儿科医生(76%)的自我报告指南意识明显更高,家庭医生(52%),和APP(45%)(P<0.05)。在了解指南的参与者中,大多数报告在其临床实践中使用部分或全部指南。报告的6个月大婴儿花生引种的实践模式是可变的,并且并不总是与指南一致。特别是对于轻度至中度特应性皮炎的婴儿。
结论:尽管儿科医生自我报告的NIAID指南意识水平最高,无论提供者类型如何,意识都是次优的。迫切需要对所有儿科临床医生进行教育,以促进基于证据的花生过敏预防实践。
OBJECTIVE: To characterize the awareness of, adherence to, and barriers to the 2017 National Institute of Allergy and Infectious Diseases (NIAID) peanut allergy prevention guidelines among the pediatrics health care workforce.
METHODS: Pediatricians, family physicians, advanced practice providers (APPs), and dermatologists who provide care for infants were solicited for a population-based online survey, administered from June 6, 2022, through July 3, 2022. The survey collected information about NIAID
guideline awareness, implementation, and barriers as well as concerns related to the
guidelines.
RESULTS: A total of 250 pediatricians, 250 family physicians, 504 APPs, and 253 dermatologists met inclusion criteria. Self-reported
guideline awareness was significantly higher for pediatricians (76%) compared with dermatologists (58%), family physicians (52%), and APPs (45%) (P < .05). Among participants who were aware of the
guidelines, most reported using part or all of the
guidelines in their clinical practices. Reported practice patterns for peanut introduction in 6-month-old infants were variable and did not always align with guidelines, particularly for infants with mild-to-moderate atopic dermatitis.
CONCLUSIONS: Although pediatricians have the highest self-reported level of NIAID
guideline awareness, awareness was suboptimal irrespective of provider type. Education for all pediatric clinicians is urgently needed to promote evidence-based peanut allergy prevention practices.