Identification of peanuts and tree nuts: are allergists smarter than their patients?

Kao, Larkin Elderon; Bhangoo, Parmbir S.; Roy, Lindsay E.; Bird, J. Andrew

doi:10.1016/j.anai.2013.07.010

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Given difficulty among children, adults and health care professionals to correctly identify peanuts and tree nuts,(11, 12) and high risk of cross-contamination, we analyzed epinephrine administered for combined peanut and tree nut reactions rather than only peanuts. However, our survey focused on peanut-free rather than peanut and tree nut-free policies and we compared these policies to epinephrine administration for peanuts and tree nuts.…”

Section: Discussionmentioning

confidence: 99%

“…Although nurses could enter “peanut” or “tree nut” (including specific tree nuts, e.g., walnut), in some cases only the word “nut” was supplied. Given difficulty among students, family and staff to correctly identify peanuts and tree nuts,(11, 12) high risk of cross-contamination among peanuts and tree nuts, (13) and generic use of the term “nut,” our analysis was based on “peanut or tree nut” exposure.…”

Section: Methodsmentioning

confidence: 99%

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Impact of school peanut-free policies on epinephrine administration

Bartnikas

Huffaker

Sheehan

et al. 2017

Journal of Allergy and Clinical Immunology

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Background Children with food allergies spend a large proportion of time in school but characteristics of allergic reactions in schools are not well studied. Some schools self-designate as peanut-free or have peanut-free areas, but the impact of policies on clinical outcomes has not been evaluated. Objective We sought to determine the effect of peanut-free policies on rates of epinephrine administration for allergic reactions in Massachusetts public schools. Methods In this retrospective study, we analyzed (1) rates of epinephrine administration in all Massachusetts public schools and (2) Massachusetts public school nurse survey reports of school peanut-free policies from 2006–2011 and whether schools self-designated as “peanut-free” based on policies. Rates of epinephrine administration were compared for schools with or without peanut restrictive policies. Results The percentage of schools with peanut restrictive policies did not change significantly in the study timeframe. There was variability in policies used by schools self-designated as peanut-free. No policy was associated with complete absence of allergic reactions. Both self-designated peanut-free schools and schools banning peanuts from being served in school or brought from home reported allergic reactions to nuts. Policies restricting peanuts from home, served in schools or having peanut-free classrooms did not affect epinephrine administration rates. Schools with peanut-free tables, compared to without, had lower rates of epinephrine administration (IR per 10,000 students 0.2 and 0.6, respectively, P=0.009). Conclusions These data provide a basis for evidence-based school policies for children with food allergies. Further studies are required before decisions can be made regarding peanut-free policies in schools.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Impact of school peanut-free policies on epinephrine administration

Bartnikas

Huffaker

Sheehan

et al. 2017

Journal of Allergy and Clinical Immunology

View full text Add to dashboard Cite

show abstract

“…3 Two similar studies, one published in abstract form, found that guardians of nut-allergic children were not better at identifying nuts than the control cohort. 4,5 In our cohort, guardians of children with nut allergy were not better at identifying nuts than the control children and guardian group. This is a safety gap that needs to be addressed by allergists, who often advise careful introduction of likely tolerated nuts,…”

Section: The Ability Of Children and Families With And Without Nut Al...mentioning

confidence: 62%

“…However, previous studies have shown people with PN/TN allergy may not be better at identifying nuts than control groups. [2][3][4][5] We conducted a cross-sectional study of 126 child and guardian pairs (63 cases and 63 controls). Cases included children ≥5 years of age with PN and/or TN allergy and their guardians.…”

Section: The Ability Of Children and Families With And Without Nut Al...mentioning

confidence: 99%

“…A similar study also compared allergists to their patients. 5 Ferdman et al enrolled 100 children and found that out of a possible 11 nuts, the mean number correctly identified by both groups (37 allergic and 63 nonallergic) was only 2.7. 2 Hostetler et al recruited 1105 participants (649 adults) to identify 19 forms of nuts.…”

Section: The Ability Of Children and Families With And Without Nut Al...mentioning

confidence: 99%

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