Parental use of EpiPen for children with food allergies

Kim, Jennifer; Sinacore, James; Pongracic, Jacqueline A.

doi:10.1016/j.jaci.2005.03.039

Cited by 108 publications

(99 citation statements)

References 16 publications

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“…Factors associated with greater knowledge are a prior practical demonstration, consultation with an allergy specialist rather than a general physician, and independently seeking additional information from a patient organization (41). Factors correlating with confidence to administer auto-injectors are prior administration, regular training, and empowerment by healthcare professionals to manage a severe allergic reaction (42).…”

Section: Families Caregivers and The Allergistmentioning

confidence: 99%

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

Muraro¹,

Agache²,

Clark³

et al. 2014

Allergy

141

155

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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.

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Section: Families Caregivers and The Allergistmentioning

confidence: 99%

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

Muraro¹,

Agache²,

Clark³

et al. 2014

Allergy

141

155

View full text Add to dashboard Cite

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“…Auto-injectors Seven studies identified that many patients did not carry an auto-injector or did not have one available at the time of a reaction (29,34,50,53,57,67,68). One study suggested that hesitation in using or forgetting to carry the device may in part explain these behaviors (19).…”

Section: Theme 2: Anaphylaxis Managementmentioning

confidence: 99%

“…One study suggested that hesitation in using or forgetting to carry the device may in part explain these behaviors (19). Furthermore, even when patients or parents of children with anaphylaxis carried auto-injectors, many did not use it (39,50,58,73). The most common reasons for not using auto-injectors were: 'I recognized the symptoms but gave Benadryl first' and 'I did not think the reaction was serious' (50).…”

Section: Theme 2: Anaphylaxis Managementmentioning

confidence: 99%

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

Kastner

Harada

Waserman

2010

Allergy

117

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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.

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“…Some of these signs and symptoms can also be present in other conditions, and first aid rescuers should not be expected to make a diagnosis of anaphylaxis. [27][28][29][30] Older patients who suffer from anaphylactic reactions know their signs and symptoms and many carry a lifesaving epinephrine auto-injector. With proper training, parents can be taught to correctly use an auto-injector to administer epinephrine to their allergic children.…”

Section: Anaphylaxismentioning

confidence: 99%

“…Because of the difficulty in making a diagnosis of anaphylaxis [27][28][29][30]38,39 and the potential harm from epinephrine if the diagnosis is incorrect, 40 -43 first aid providers are advised to seek medical assistance if symptoms persist, rather than routinely administering a second dose of epinephrine. In unusual circumstances, when advanced medical assistance is not available, a second dose of epinephrine may be given if symptoms of anaphylaxis persist (Class IIb, LOE C).…”

Section: Anaphylaxismentioning

confidence: 99%