Adrenaline (epinephrine) autoinjector use in preschools

Joshi, Preeti; Katelaris, Constance H.; Frankum, Brad

doi:10.1016/j.jaci.2009.06.033

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…An increasing incidence of food allergies and anaphylaxis, especially in children aged 5 years and younger, has been reported in multiple countries, including the United States, United Kingdom, and Australia [ 16 ]. Because intramuscular epinephrine is the definitive therapy for anaphylaxis, it is imperative to establish a knowledge base and increase preparedness among preschool staff regarding recognition of anaphylaxis and the use of an epinephrine autoinjector [ 7 , 13 , 15 , 17 ]. To our knowledge, this is the first study to assess anaphylaxis recognition and epinephrine administration preparedness among multiple categories of preschool staff (e.g., school directors, teachers, teaching assistants, ancillary staff).…”

Section: Discussionmentioning

confidence: 99%

“…Because children spend much of their time in a school environment, potential exposure to allergens and subsequent anaphylactic reactions are anticipated at many preschools and schools [ 5 ]. Nevertheless, recent studies have shown that few preschool staff are trained to administer epinephrine, and those who have received training are still often unable to properly administer the appropriate therapy [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, many preschools do not have a nurse on staff who could quickly treat a child in anaphylaxis; thus, classroom teachers are responsible for taking action and administering an epinephrine autoinjector when needed. However, deficits exist in staff education regarding recognition of symptoms of food allergy and knowledge about the correct use of an epinephrine autoinjector during anaphylaxis [ 7 , 14 ]. Although recognition and management of anaphylaxis has been studied in preschool directors [ 13 , 15 ], little is known about whether preschool teachers and other staff members can recognize anaphylaxis and properly use an epinephrine autoinjector.…”

Section: Introductionmentioning

confidence: 99%

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Anaphylaxis Preparedness among Preschool Staff before and after an Educational Intervention

et al. 2015

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Introduction. Children with severe food allergies may spend many hours in the preschool setting. Little is known about anaphylaxis recognition and management preparedness among preschool staff. The objective of this study was to assess anaphylaxis preparedness among preschool staff. Methods. Anonymous questionnaires were administered before and after a 40-minute educational seminar on anaphylaxis recognition and management. Results. In total, 181 individuals participated in the preintervention survey and 171 participated in the postintervention survey. The comfort level with recognizing anaphylaxis and administering an epinephrine autoinjector significantly increased after the intervention (P < .001 for both). Of the 5 steps needed to administer an epinephrine autoinjector, staff named a mean (SD) of 3 (1.3) steps in the correct order compared with 4.2 (1.1) steps after the educational intervention (P < .001). Conclusion. This study shows that a brief education intervention can significantly increase caregiver comfort regarding identifying anaphylaxis and administering an epinephrine autoinjector.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anaphylaxis Preparedness among Preschool Staff before and after an Educational Intervention

et al. 2015

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“…The correct use of the emergency kit is also instructed within the training programme. The trainer transfers comprehensive information but also provides practical advice regarding allergies [24] .…”

Section: Educational Program For Anaphylaxis Patients and Familiesmentioning

confidence: 99%

Educational Programmes in Food Allergy

Kugler

Brockow²,

Ring³

2015

Food Allergy: Molecular Basis and Clinical Practice

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About 17% of German children and adolescents suffer from at least one of the following atopic illnesses: allergic rhinoconjunctivitis, atopic eczema or asthma. Consistent professional therapy is necessary to limit the health-related risks and improve these medical conditions. The consequences of a diagnosis often mean an additional task for the parents of diseased children, where they have to act simultaneously as an educator and therapist for their children. Structured educational programmes were developed for a few diseases such as asthma and atopic eczema in order to prepare parents and affected children to accept this important responsibility. Moreover, a structured programme for anaphylaxis is being developed. These proposals aim not only to transfer knowledge about the disease but also to effectively support self-reliant treatment and emotional coping with the disease as well as its collateral strain.

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“…Important pitfalls and challenges include ambiguities in labeling of manufactured foods, 27 avoidance of unintentional exposures at school and other settings, [28][29][30] prevention of risk-taking behaviors, 31 increased education about epinephrine use, 32 and management of the stress of living with food allergy. 33 Thankfully, numerous studies are evaluating more definitive measures to treat or reduce the risks of food allergy.…”

Section: Treatmentmentioning

confidence: 99%

Advances in allergic skin disease, anaphylaxis, and hypersensitivity reactions to foods, drugs, and insects in 2009

Sicherer¹,

Leung²

2010

Journal of Allergy and Clinical Immunology

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This review highlights some of the research advances in anaphylaxis and hypersensitivity reactions to foods, drugs, and insects, as well as advances in allergic skin disease that were reported in the Journal in 2009. Among key epidemiologic observations, several westernized countries report that more than 1% of children have peanut allergy, and there is some evidence that environmental exposure to peanut is a risk factor. The role of regulatory T cells, complement, platelet-activating factor, and effector cells in the development and expression of food allergy were explored in several murine models and human studies. Delayed anaphylaxis to mammalian meats appears to be related to IgE binding to the carbohydrate moiety galactose-alpha-1,3-galactose, which also has implications for hypersensitivity to murine mAb therapeutics containing this oligosaccharide. Oral immunotherapy studies continue to show promise for the treatment of food allergy, but determining whether the treatment causes tolerance (cure) or temporary desensitization remains to be explored. Increased baseline serum tryptase levels might inform the risk of venom anaphylaxis and might indicate a risk for mast cell disorders in persons who have experienced such episodes. Reduced structural and immune barrier function contribute to local and systemic allergen sensitization in patients with atopic dermatitis, as well as increased propensity of skin infections in these patients. The use of increased doses of nonsedating antihistamines and potential usefulness of omalizumab for chronic urticaria was highlighted. These exciting advances reported in the Journal can improve patient care today and provide insights on how we can improve the diagnosis and treatment of these allergic diseases in the future.

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Adrenaline (epinephrine) autoinjector use in preschools

Cited by 10 publications

References 3 publications

Anaphylaxis Preparedness among Preschool Staff before and after an Educational Intervention

Anaphylaxis Preparedness among Preschool Staff before and after an Educational Intervention

Educational Programmes in Food Allergy

Advances in allergic skin disease, anaphylaxis, and hypersensitivity reactions to foods, drugs, and insects in 2009

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