PEDIATRICS Vol. 112 No. 2 August 2003, pp. 459
NUT ALLERGY IN SCHOOLCHILDREN: A SURVEY OF SCHOOLS IN THE SEVERN NHS TRUST
John M. Kelso, MD
San Diego, CA
Watura JC. Arch Dis Child. 2002;86:240244
 |
Purpose of the Study.
|
|---|
Peanut and tree nut allergy can be fatal. Many such reactions
occur in school settings. How prepared are the schools to deal
with these reactions?
 |
Study Population.
|
|---|
Primary and secondary schools attended by 21 868 children in
the United Kingdom.
 |
Methods.
|
|---|
Questionnaire.
 |
Results.
|
|---|
The total number of nut-allergic children in all the schools
was 87 (0.4%). Fifty-four percent of schools had at least 1
nut-allergic child. Only 31 (36%) children had medication available
in school. Forty-four percent of schools with at least 1 nut-allergic
child had no staff trained to administer medication. Thirty-three
percent of schools with at least 1 nut-allergic child could
not state a single sign of a severe acute allergic reaction.
 |
Conclusions.
|
|---|
Schools are not sufficiently well-informed about nut allergy
and management of acute allergic reactions.
 |
Reviewers Comments.
|
|---|
Because severe and even fatal food allergy reactions often occur
at school, we need to better educate schools on how to be prepared
for and deal with the reactions. Injectable epinephrine needs
to be immediately available. School staff members need to be
able to recognize the early signs and symptoms of anaphylaxis,
and know how to administer epinephrine and activate emergency
medical services.
PEDIATRICS (ISSN 1098-4275). ©2003 by the American Academy of Pediatrics

CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter What's this?