Food Allergy Management at School in the Era of Immunotherapy

Hui, Jessica; Copeland, Mandy; Lanser, Bruce J.

doi:10.1007/s11882-020-00933-5

Cited by 7 publications

(8 citation statements)

References 63 publications

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“…Even if 75% have or already had students with food allergy, almost half of the participants of our study answered that their school did not have an emergency action plan and they did not know that intramuscular adrenaline is the indicated medication to use and how to use it. It has been shown that all schools must have established protocols in order to reduce the incidence of fatal allergic reactions and school training with epinephrine autoinjectors every 6 months should be done to increase adherence to proper technique 3,4 The 2019 Chicago Food Allergy Research survey before and after a 1-h educational session in six private schools in Houston also showed that a 1-h educational session improved knowledge and attitudes in personnel in the intervention schools. 5 Our work is descriptive and representative of the reality in schools in the reference area of a Level III Hospital in Portugal's second largest city.…”

Section: Food Allergy In Preschool Age: Knowledge Evaluation Of Teach...mentioning

confidence: 99%

Food allergy in preschool age: Knowledge evaluation of teachers and educational assistants

et al. 2022

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Section: Food Allergy In Preschool Age: Knowledge Evaluation Of Teach...mentioning

confidence: 99%

Food allergy in preschool age: Knowledge evaluation of teachers and educational assistants

et al. 2022

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“…Anaphylaxis is a severe allergic reaction that can be fatal, and the only treatment is an epinephrine injection 33 . Nevertheless, the participants in the present study were most uncomfortable administering epinephrine injections, possibly because of lack of training, in that only 1.4% of the participants reported being trained to administer the injection.…”

Section: Discussionmentioning

confidence: 60%

“…The insignificant associations between sociodemographic factors and food allergy management determined in the present study and also another study in Saudi Arabia 46 may indicate that sociodemographic factors may not be substantial factors when it comes to food allergy management. More attention should be focused on the policies and guidelines to improve food allergy management, including hygiene policies, a food ban or no food sharing policy, epinephrine availability, a personalised action plan, the need for food allergy training, and open dialogue and engagement between school policymakers, school personnel and parents, as well as an anti‐bullying policy 33 . These can serve as guidelines for school policymakers to develop a comprehensive plan and strategy for protecting children with food allergies when they are at school.…”

Section: Discussionmentioning

confidence: 99%

Food allergy knowledge, attitude and management among preschool personnel in Malaysia

Lim

Law

2023

J Human Nutrition Diet

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BackgroundChildren are vulnerable, and they may experience their first serious food allergy reaction at school, where they spend much of their time. The present study aims to determine the level of food allergy knowledge, attitude and management (KAM) among preschool personnel in Klang Valley, Malaysia.MethodsA cross‐sectional study was conducted with 292 personnel working in Klang Valley preschools. The participants completed an online questionnaire asking about sociodemographic information and food allergy KAM. Mann–Whitney U and chi‐squared tests were used to compare the KAM level between public and private preschool personnel and examine the association of KAM of food allergy with various sociodemographic factors, respectively.ResultsSome 86.3% of the participants demonstrated a low level of food allergy knowledge, 64.7% showed a negative food allergy attitude and 57.9% indicated fair food allergy management. The total mean score for food allergy knowledge was higher (p < 0.01) among the private preschool personnel compared to the public group, although there was no significant difference in attitude (p = 0.244) or practice (p = 0.171). Age group (p < 0.01) and monthly income (p < 0.05) were significantly associated with the level of attitude, whereas no sociodemographic factor was associated with knowledge and management of food allergy.ConclusionsMost preschool personnel in Klang Valley have a low level of food allergy knowledge, negative attitudes and a fair level of ability to manage food allergy reactions. The findings of the present study may guide future studies to improve the food allergy KAM of preschool personnel and provide a safer environment for children with food allergies.

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“…When food crosses the disturbed digestive barrier, proinflammatory cytokines, such as IL25 and IL33, are released, which activate dendritic and lymphoid cells [1,15,27]. These activated cells lead to naive T transformation with the acquisition of the Th2 cellular phenotype, which stimulates B cells to produce food allergenspecific IgE [28][29][30]. This sensitization is the recognition of a food antigen as a threat.…”

Section: Physiopathologymentioning

confidence: 99%

Food Allergy a Constant Concern to the Medical World and Healthcare Providers: Practical Aspects

Sur

Armat

Duca

et al. 2021

Life

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Food allergy (FA) is a condition with a growing incidence and is a constant concern for the medical world and healthcare providers. With potential symptoms including anaphylaxis, in the event of an allergic reaction the patient’s life may well be endangered. The diagnosis of FA is a continuous challenge because mild cases tend to be ignored or diagnosed late and young children with allergies are cared for by parents, who are not always able to accurately interpret symptoms. It is very important to be able to differentiate FAs from food intolerance and toxic reactions to food. An accurate diagnosis is required to provide personalized management of an FA. More sophisticated and accurate diagnostic tests, including component diagnosis and epitope reactivity, allow the provision of a directed diagnosis, a more accurate therapeutic approach, and a useful prognostic evaluation. Tests used in current practice include the specific search for serum IgE, elimination diets, oral food challenges, single, blind, and double-blind (DBPCFC) tests, as well as skin tests. The risk of anaphylaxis can be assessed by molecular diagnostics/component-resolved diagnosis (CRD) and by conducting a basophilic activation test (BAT). These tests allow a planned, personalized treatment based on molecular and clinical profiles. CRD can determine the individual profile of allergic molecular reactivity and enable the formulation of a prognostic judgment. Our article highlights the importance of knowing the immune mechanisms, diagnostics, and immunotherapies in FAs. Starting from observing exposure to food allergens, to identifying allergic reactions, analysing the severity of clinical manifestations, noting the possibilities of diagnosis, and illustrating adequate management strategies.

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Food Allergy Management at School in the Era of Immunotherapy

Cited by 7 publications

References 63 publications

Food allergy in preschool age: Knowledge evaluation of teachers and educational assistants

Food allergy in preschool age: Knowledge evaluation of teachers and educational assistants

Food allergy knowledge, attitude and management among preschool personnel in Malaysia

Food Allergy a Constant Concern to the Medical World and Healthcare Providers: Practical Aspects

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