The US Peanut and Tree Nut Allergy Registry: Characteristics of reactions in schools and day care
The US Peanut and Tree Nut Allergy Registry: Characteristics of reactions in schools and day care
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DOI：
10.1067/mpd.2001.111821
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发表时间：
2001-04-01
影响因子：
5.1
通讯作者：
Sampson, HA
中科院分区：
文献类型：
--
作者：
Sicherer, SH;Furlong, TJ;Sampson, HA
目的：严重的食物过敏反应发生在学校，但。研究设计：在美国花生和树坚果过敏登记处（PAR）的参与者中，谁表示他们的孩子在学校或日托经历了过敏反应，被随机选择进行电话采访与结构化问卷。结果：在PAR的4586名参与者中，750名（16%）表示在学校或日托中心有反应，100名受试者或父母代理人描述了124种对花生（115种）或坚果（9种）的反应; 64%的反应发生在日托或学前班，其余的发生在小学或更高年级。报告的反应来自摄入（60%）、皮肤接触/可能摄入（24%）和吸入/可能皮肤接触或摄入（16%）。在大多数由吸入引起的反应中，不能排除伴随摄入/皮肤接触的可能性。各种食物引起的摄入，但花生酱螃蟹项目通常负责皮肤接触（44%）或吸入（41%）反应。对于90%的反应，给予药物治疗（86%抗组胺药，28%肾上腺素）。4例由教师在学校给予肾上腺素，7例由护士给予，其余由父母或其他人给予。治疗延迟归因于延迟识别的反应，打电话给父母，不遵循应急计划，并不成功的尝试管理epinephrinase.Conclusions：学校人员必须接受教育，认识和治疗食物过敏反应。必须提高认识，以避免意外暴露，包括花生酱工艺项目的暴露。
Objective: Severe food-allergic reactions occur in schools, but. the features have not been described.Study design: Participants in the US Peanut and Tree Nut Allergy Registry (PAR) who indicated that their child experienced an allergic reaction in school or day care were randomly selected for a telephone interview conducted with a structured questionnaire.Results: Of 4586 participants in the PAR, 750 (16%) indicated a reaction in school or day care, and 100 subjects or parental surrogates described 124 reactions to peanut (115) or tree nuts (9); 64% of the reactions occurred in day care or preschool, and the remainder in elementary school or higher grades. Reactions were reported from ingestion (60%), skin contact/possible ingestion (24%), and inhalation/possible skin contact or ingestion (16%). In the majority of reactions caused by inhalation, concomitant ingestion/skin contact could not be ruled out. Various foods caused by ingestion, but peanut butter crab projects were commonly responsible for the skin contact (44%) or inhalation (41%) reactions. For 90% of reactions, medications were given (86% antihistamines, 28% epinephrine). Epinephrine was given in school by teachers in 4 cases, nurses in 7, and parents or others in the remainder. Treatment delays were attributed to delayed recognition of reactions, calling parents, not following emergency plans, and an unsuccessful attempt to administer epinephrine.Conclusions: School personnel must be educated to recognize and treat food-allergic reactions. Awareness must be increased to avoid accidental exposures, including exposure from peanut butter craft projects.