Management of food allergies in schools: A perspective for allergists

Young, Michael C.; Muñoz-Furlong, Anne; Sicherer, Scott H.

doi:10.1016/j.jaci.2009.04.004

Cited by 123 publications

(115 citation statements)

References 69 publications

Supporting

Mentioning

110

Contrasting

Unclassified

Order By: Relevance

“…It would be expected that children with moderate/severe food allergy would be more likely than those with mild food allergy to use an IEP, since those children are more likely to require specific strategies to avoid exposure to allergens and to maximize availability of needed treatment. It is estimated that 20 %of food allergy anaphylactic reactions and approximately one-quarter of first-time reactions to food among allergic children occur at school [13,14]. However, in this analysis only 20 %of children with moderate/severe food allergy reported using an IEP, and many school districts report low compliance rates with the American College of Allergy, Asthma, and Immunology recommendations of having an emergency management plan (EMP) in place for food allergic students [13,15].…”

Section: Discussionmentioning

confidence: 84%

Among Children with Food Allergy, Do Sociodemographic Factors and Healthcare Use Differ by Severity?

Branum

Simon

Lukacs

2012

Matern Child Health J

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 84%

Among Children with Food Allergy, Do Sociodemographic Factors and Healthcare Use Differ by Severity?

Branum

Simon

Lukacs

2012

Matern Child Health J

View full text Add to dashboard Cite

“…Consideration of these gaps is particularly important given the increasing prevalence of anaphylaxis, especially in young children (74). Although this apparent rise in the prevalence of anaphylaxis may be explained by the recently broadened definition of anaphylaxis (2,75), the findings of our review highlight the current landscape of anaphylaxis management across different settings and populations. However, the extent of deficits reported in the included studies is surprising and troubling, as children at risk for anaphylaxis depend on others to help treat them (i.e., family, schools, and community), yet at every level, deficiencies have been identified.…”

Section: Discussionmentioning

confidence: 91%

Gaps in anaphylaxis management at the level of physicians, patients, and the community: a systematic review of the literature

Kastner

Harada

Waserman

2010

Allergy

116

View full text Add to dashboard Cite

To cite this article: Kastner M, Harada L, Waserman S. Gaps in anaphylaxis management at the level of physicians, patients, and the community: a systematic review of the literature. Allergy 2010; 65: 435–444.AbstractDiagnosis and management of anaphylaxis can be a challenge because reactions are often unexpected and progress quickly. The focus of anaphylaxis management has mostly been on the acute episode, with little attention given to the long‐term management of patients at risk. This is compounded by conflicting information in current guidelines and a general lack of agreement among clinicians about which management strategies are the most appropriate. We systematically reviewed the literature to identify and summarize studies that investigated gaps in anaphylaxis management. Our search included MEDLINE, EMBASE, CINAHL, and Evidence‐Based Medicine Reviews. Studies were included if they addressed an outcome describing gaps in anaphylaxis knowledge, education, anaphylaxis management, and quality of life (QOL). Populations of interest were health care professionals involved in the care of patients at risk for anaphylaxis, and patients of any age, their parents, caregivers, and teachers in primary care, hospital or community settings. Of 5014 citations that were identified, the final 59 studies (selected from 75 full‐text articles) met the inclusion criteria. Two hundred and two gaps were identified and classified according to major themes: gaps in knowledge and anaphylaxis management (physicians and patients); gaps in follow‐up care (physicians); and QOL of patients and caregivers. Findings from this systematic review revealed gaps in anaphylaxis management at the level of physicians, patients, and the community. Findings will be used to provide a basis for developing interventional strategies to help address these deficiencies.

show abstract

“…However, there is also significant risk from community exposure (1). The most common location for anaphylaxis to occur in the community is the school or kindergarten, accounting for 16-22% of reactions (11)(12)(13)(14)(15)(16). Between 10% and 18% of FA or anaphylaxis reactions occur at school (1,17).…”

Section: Why the Community Is Importantmentioning

confidence: 99%

“…The reality is that many facilities are poorly prepared to protect students. Essential components of policies for the prevention of food allergen exposure are missing (1,45), teachers have poor knowledge of anaphylaxis triggers, symptoms, and AAIs (16,(46)(47)(48), and PEMPs are not currently consistently provided for the majority of students with FA (16).…”

Section: Schoolmentioning

confidence: 99%

EAACI Food Allergy and Anaphylaxis Guidelines: managing patients with food allergy in the community

Muraro¹,

Agache²,

Clark³

et al. 2014

Allergy

140

155

View full text Add to dashboard Cite

The European Academy of Allergy and Clinical Immunology (EAACI) Food Allergy and Anaphylaxis Guidelines, managing patients with food allergy (FA) in the community, intend to provide guidance to reduce the risk of accidental allergic reactions to foods in the community. This document is intended to meet the needs of early-childhood and school settings as well as providers of non-prepackaged food (e.g., restaurants, bakeries, takeaway, deli counters, and fast-food outlets) and targets the audience of individuals with FA, their families, patient organizations, the general public, policymakers, and allergists. Food allergy is the most common trigger of anaphylaxis in the community. Providing children and caregivers with comprehensive information on food allergen avoidance and prompt recognition and management of allergic reactions are of the utmost importance. Provision of adrenaline auto-injector devices and education on how and when to use these are essential components of a comprehensive management plan. Managing patients at risk of anaphylaxis raises many challenges, which are specific to the community. This includes the need to interact with third parties providing food (e.g., school teachers and restaurant staff) to avoid accidental exposure and to help individuals with FA to make safe and appropriate food choices. Education of individuals at risk and their families, their peers, school nurses and teachers as well as restaurant and other food retail staff can reduce the risk of severe/fatal reactions. Increased awareness among policymakers may improve decision-making on legislation at local and national level.

show abstract

Management of food allergies in schools: A perspective for allergists

Cited by 123 publications

References 69 publications

Among Children with Food Allergy, Do Sociodemographic Factors and Healthcare Use Differ by Severity?

Among Children with Food Allergy, Do Sociodemographic Factors and Healthcare Use Differ by Severity?

Gaps in anaphylaxis management at the level of physicians, patients, and the community: a systematic review of the literature

EAACI Food Allergy and Anaphylaxis Guidelines: managing patients with food allergy in the community

Contact Info

Product

Resources

About