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Managing children with food allergies in childcare and school

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Abstract

In the past decade the rise in life-threatening allergic reactions to foods in young children has necessitated increased interaction among personnel in the psychosocial, medical, and educational arenas regarding the multifaceted aspects of this concerning problem. Schools and childcare facilities are vital venues for the continued growth and development of children outside the home. However, these facilities offer unique challenges to caring for the food-allergic child, requiring that the medical, educational, and caretaking communities work in unison to provide the safest environment for all children. Despite the potential obstacles, these settings offer a tremendous opportunity for the development and implementation of strategies to provide for proper identification of children at risk, to increase awareness and prevention, and for the provision of optimal treatment of food-related anaphylactic reactions occurring outside the home.

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References and Recommended Reading

  1. Wood RA: The natural history of food allergy. Pediatrics 2003, 111:1631–1637.

    PubMed  Google Scholar 

  2. Sampson HA: Food allergy. J Allergy Clin Immunol 2003, 111(Suppl 2):S540–S547.

    Article  PubMed  CAS  Google Scholar 

  3. Bock SA, Atkins FM: The natural history of peanut allergy. J Allergy Clin Immunol 1989, 83:900–904.

    Article  PubMed  CAS  Google Scholar 

  4. Kagan RS, Joseph L, Dufresne C, et al.: Prevelance of peanut allergy in primary-school children in Montreal, Canada. J Allergy Clin Immunol 2003, 112:1223–1228.

    Article  PubMed  Google Scholar 

  5. Sicherer SA, Furlong TJ, DeSimone J, Sampson HA: The US peanut and tree nut allergy registry: characteristics of reactions in schools and day care. J Pediatrics 2001, 138:560–565.

    Article  CAS  Google Scholar 

  6. Yu JW, Kagan R, Verreault N, et al.: Accidental ingestions in children with peanut allergy. J Allergy Clin Immunol 2006, 118:466–472.

    Article  PubMed  Google Scholar 

  7. AAAAI Board of Directors, American Academy of Allergy, Asthma, and Immunology: Anaphylaxis in schools and other childcare settings. J Allergy Clin Immunol 1998, 102:173–176.

    Article  Google Scholar 

  8. Bollinger ME, Dahlquist LM, Mudd K, et al.: The impact of food allergy on the daily activities of children and their families. Ann Allergy Asthma Immunol 2006, 96:415–421.

    PubMed  Google Scholar 

  9. The Food Allergy and Anaphylaxis Network. http://www.foodallergy.org. Accessed December 20, 2006.

  10. Frost DW, Chalin CG: The effect of income on anaphylaxis preparation and management plans in Toronto primary schools. Can J Public Health 2005, 96:250–253.

    PubMed  Google Scholar 

  11. Hannaway PJ, Connelly ME, Cobbett RM, Dobrow PJ: Differences in race, ethnicity, and socioeconomic status in school children dispensed injectable epinephrine in Massachusetts school districts. Ann Allergy Asthma Immunol 2005, 95:143–148.

    PubMed  Google Scholar 

  12. Sheetz AH, Goldman PG, Millett K, et al.: Guidelines for managing life-threatening food allergies in Massachusetts schools. J Sch Health 2004, 74:155–160.

    Article  PubMed  Google Scholar 

  13. Murphy KR, Hopp RJ, Kittelson EB, et al.: Life threatening asthma and anaphylaxis in schools: a treatment model for school based programs. Ann Allergy Asthma Immunol 2006, 96:398–405.

    PubMed  Google Scholar 

  14. McIntyre CL, Sheetz AH, Carroll CR, Young MC: Administration of epinephrine for life-threatening allergic reactions in school settings. Pediatrics 2005, 116:1134–1140.

    Article  PubMed  Google Scholar 

  15. Bock SA, Munoz-Furlong A, Sampson HA: Fatalities due to anaphylactic reactions to foods. J Allergy Clin Immunol 2001, 107:191–193.

    Article  PubMed  CAS  Google Scholar 

  16. Lee JM, Greenes DS: Biphasic anaphylactic reactions in pediatrics. Pediatrics 2000, 106(4):762–766.

    Article  PubMed  CAS  Google Scholar 

  17. Sampson MA, Munoz-Furlong A, Sicherer SH: Risk-taking and coping strategies of adolescents and young adults with food allergy. J Allergy Clin Immunology 2006, 117:1440–1445.

    Article  Google Scholar 

  18. Sampson HA, Mendelson L, Rosen JP: Fatal and near fatal anaphylactic reactions to food in children and adolescents. N Engl J Med 1992, 327:380–384.

    PubMed  CAS  Google Scholar 

  19. Nowak-Wegrzyn A, Conover-Walker MK, Wood RA: Food-allergic reactions in school and preschools. Arch Pediatr Adolesc Med 2001, 155:790–795.

    PubMed  CAS  Google Scholar 

  20. Olympia RP, Wan E, Avner JR: The preparedness of schools to respond to emergencies in children: a national survey of school nurses. Pediatrics 2005, 116:e738–745.

    Article  PubMed  Google Scholar 

  21. Munoz-Furlong A: Food allergy in schools: concerns for allergists, pediatricians, parents, and school staff. Ann Allergy Asthma Immunol 2004, 93(5 Suppl 3):S47–50.

    Article  PubMed  Google Scholar 

  22. Bolke K, David RL, DeStefano F, et al.: Epidemiology of anaphylaxis among children and adolescents enrolled in a health maintenance organization. J Allergy Clin Immunol 2004, 123:536–542.

    Article  Google Scholar 

  23. American Academy of Allergy, Asthma, and Immunology Consensus Statement on Food Allergies in Schools and Other Child Care Settings. Available at: http://www.aaaai.org/media/resources/academy_statements/position_statements/ps34.asp. Accessed December 17, 2006.

  24. Sicherer SH: Understanding and Managing Your Child’s Food Allergies. Baltimore: Johns Hopkins Press; 2006.

    Google Scholar 

  25. Sicherer SH, Noone SA, Munoz-Furlong A: The impact of childhood food allergy on quality of life. Ann Allergy Asthma Immunol 2001, 87:461–464.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Harvey L. Leo MD.

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Leo, H.L., Clark, N.M. Managing children with food allergies in childcare and school. Curr Allergy Asthma Rep 7, 187–191 (2007). https://doi.org/10.1007/s11882-007-0020-4

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