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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;86:240–244


    Purpose of the Study.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's Comments.
 
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.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's Comments.
 
Primary and secondary schools attended by 21 868 children in the United Kingdom.


    Methods.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's Comments.
 
Questionnaire.


    Results.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's Comments.
 
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.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's Comments.
 
Schools are not sufficiently well-informed about nut allergy and management of acute allergic reactions.


    Reviewer’s Comments.
 TOP
 Purpose of the Study.
 Study Population.
 Methods.
 Results.
 Conclusions.
 Reviewer's 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

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