Anaphylaxis in schools and other child-care settings☆,☆☆,★,★★
Section snippets
IDENTIFYING THE PROBLEM
The diagnosis of allergy with a risk of anaphylactic reactions is made on the basis of the patient’s history and confirmed with appropriate skin and/or blood tests done by appropriately trained allergy specialists. Treatment protocols should be physician prescribed for use in the school setting.
School personnel should develop a system of identifying children with life-threatening allergies to prevent anaphylactic reactions, and they should also be prepared to deal with those that occur despite
AVOIDANCE STRATEGIES
Avoidance of a specific allergen is the cornerstone of management in preventing anaphylaxis.
TREATMENT STRATEGIES
Accidental food ingestion can occur despite avoidance measures. Treatment should be immediately available for these emergency situations.
Treatment protocols need to be prescribed by a physician. The school staff should have written instructions from the child’s physician and signed by the parents, providing easy to follow steps for recognizing a reaction and administering medication. Several federal laws protect the rights of disabled children, which include those with life-threatening food
References (10)
The incidence of severe adverse reactions to food in Colorado
J Allergy Clin Immunol
(1992)The natural history of food sensitivity
J Allergy Clin Immunol
(1982)Studies of 400 Hymenoptera sting deaths in the United States
J Allergy Clin Immunol
(1973)- et al.
Biphasic and protracted anaphylaxis
J Allergy Clin Immunol
(1986) - et al.
Fatal and near fatal reactions to food in children and adolescents
N Engl J Med
(1992)
Cited by (118)
Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis
2022, Wilderness and Environmental MedicinePhysician instructions to inject epinephrine with mild or no symptoms on food allergy and anaphylaxis emergency plans
2020, Journal of Allergy and Clinical Immunology: In PracticeEpinephrine Use in Clinical Trials of Sublingual Immunotherapy Tablets
2017, Journal of Allergy and Clinical Immunology: In PracticeReply
2016, Journal of Allergy and Clinical Immunology: In PracticeIntention to prescribe self-injectable epinephrine: Are there differences depending on who assesses the patient post-reaction?
2015, Allergologia et ImmunopathologiaA workshop with practical training for anaphylaxis management improves the self-efficacy of school personnel
2015, Allergology International
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From the American Academy of Allergy, Asthma and Immunology.
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Reprint requests: AAAAI Executive Office, 611 E Wells St, Milwaukee, WI 53202.
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J Allergy Clin Immunol 1998;102:173-6.
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