Tree nut-induced anaphylaxis in Canadian emergency departments: Rate, clinical characteristics, and management

Ducharme, Laurence; Gabrielli, Sofianne; Clarke, Ann E.; Morris, Judy; Gravel, Jocelyn; Lim, Rodrick; Chan, Edmond S.; Goldman, Ran D.; O’Keefe, Andrew; Gerdts, Jennifer; Chu, Derek K.; Upton, Julia; Hochstadter, Elana; Bretholz, Adam; McCusker, Christine; Zhang, Xun; Ben‐Shoshan, Moshe

doi:10.1016/j.anai.2022.06.008

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…The most common culprit individual tree nut, however, varies. For example, walnut and hazelnut in many countries in Europe [10,11,15] and Korea [12], almond and cashew in Mexico [13], pistachio in Jordan [14], cashew in China [16], and walnut, hazelnut, and cashew in Canada [19 ▪ ].…”

Section: Epidemiologymentioning

confidence: 99%

“…For example, one case-series employing a peanut and tree nut allergy risk mitigation counselling plan reported a 15% reaction rate at a median follow-up of 21 months (8.6% per year) [40], and a similar rate at a median of 48 months (3.1% per year) [41]. Tree nut allergic reactions, like food allergic reactions in general, are most likely to occur in at home [19 ▪ ,42].…”

Section: Prognosismentioning

confidence: 99%

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Tree nut allergy: a systematic review

Chu

2022

Current Opinion in Pediatrics

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Purpose of reviewSystematic scoping review, focusing on randomized clinical trials of recent research addressing tree nut allergy.Recent findingsThis review addresses published, unpublished, and re-analyzed studies on tree nut allergy definition, epidemiology, etiology, diagnosis, prognosis, and therapy.SummaryThe importance of tree nut allergy spans nations, economies, and cultures. While broad themes in epidemiology, etiology, diagnosis, prognosis, and therapy are emerging, the next major advance in tree nut allergy will require large, robust studies to deliver results important to patients and families.

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Section: Epidemiologymentioning

confidence: 99%

Section: Prognosismentioning

confidence: 99%

Tree nut allergy: a systematic review

Chu

2022

Current Opinion in Pediatrics

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“…Food allergies are commonly diagnosed in infancy and the early childhood years [1,7,8]. An estimated 5-15% of all food allergic reactions occur in early learning and childcare centres (ELCCs) [9,10]. Moreover, it was reported that an estimated one-third of all food allergic reactions occurring at ELCCs were amongst children who reacted for the first time, or amongst children whom staff were unaware had a diagnosed food allergy [11,12].…”

Section: Introductionmentioning

confidence: 99%

Food Allergy Education and Management in Early Learning and Childcare Centres: A Scoping Review on Current Practices and Gaps

et al. 2023

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Anaphylaxis has occurred in preschools/schools yet there are no consistent food allergy (FA) management practices in early learning and childcare centres (ELCC) across jurisdictions. Presently, there are no reviews that have synthesized FA-related knowledge and management practices within ELCC. We aimed to perform a scoping review of FA management in ELCC, and report on perceived gaps or barriers. A PRISMA-ScR-guided search was conducted for North American, European and Australian articles in English/French in the OVID-MedLine, Scopus, and PsycInfo databases. Two independent reviewers screened the titles/abstracts of 2010 articles and full-text screened 77 articles; 15 of which were specifically related to ELCC. If the two reviewers could not agree to the relevance of a given study, a third reviewer provided guidance. This third reviewer also screened French articles. Thematic and descriptive reports of the studies were presented. We reported solely on pre-Coronavirus Disease pandemic ELCC studies. We included ten articles in this review, which provide evidence that ELCC staff have variable baseline knowledge, comprehension, experience, and practices in place to manage FA. ELCC staff also have limited FA-related training and experience regarding administration of epinephrine auto-injectors (EAI). Emergency Anaphylaxis Plans (EAP) were described in four studies. One study reported the parental influence on the site’s food purchasing and FA management. Three studies provided educational interventions, which demonstrated increased and sustained FA-related knowledge and confidence post-intervention. Participants deemed the training beneficial and desired annual training and more FA resources to be available. Across jurisdictions, ELCC staff have provided care and administered EAI in emergencies, but training remained variable. Communication and care planning amongst ELCC staff, and parents, is crucial. Annual education, available EAI and EAPs are tools necessary for effectively managing emergencies.

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Specific IgE to individual allergen components: Tree nuts and seeds

Asarnoj¹,

Nilsson²

2024

Encyclopedia of Food Allergy

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Tree nut-induced anaphylaxis in Canadian emergency departments: Rate, clinical characteristics, and management

Cited by 10 publications

References 22 publications

Tree nut allergy: a systematic review

Tree nut allergy: a systematic review

Food Allergy Education and Management in Early Learning and Childcare Centres: A Scoping Review on Current Practices and Gaps

Specific IgE to individual allergen components: Tree nuts and seeds

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