Acute urticarial and outpatient treatment given in two pediatric care hospitals

Abstract

Background: Acute urticaria is a frequent dermatosis, it is estimated that it occurs in 20% of the world population. Prevalence rates vary according to the population of each country between 3.4 and 6.4%. In Honduras at the IHSS Israel Salinas, acute urticaria is the fourth most frequent cause of pediatric dermatological outpatient dermatosis.

Objective: The objective of the study was to determine the clinical-sociodemographic characteristics and emergency room management in two Regional Hospitals of San Pedro Sula, in the period January 2016 - July 2017.

Patients and Methods: The design of the research was transversal observational, with descriptive scope. We included 83 pediatric patients diagnosed with acute urticaria, evaluated in the emergencies of the Israel Salinas Honduran Social Security Hospital and Mario Catarino Rivas National Hospital.

Results: the age group and affected race were the younger infants 68.67% (n=57) and the mestizo race 86.75% (n=72). They had no immunoallergic history 63.86% (n=53). The food related to urticaria was the egg 9.64% (n=8) and among the medications the antibiotics 23.08% (n=19). The treatment administered most frequently was double therapy 65.21% (n=30) and 17 patients were admitted (20.48%).

Conclusion: The therapeutic management and the criteria of admission used in the emergency service do not follow the guidelines of international guidelines.