Impact of school peanut-free policies on epinephrine administration.
Impact of school peanut-free policies on epinephrine administration.
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DOI：
10.1016/j.jaci.2017.01.040
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发表时间：
2017-08
期刊：
影响因子：
--
通讯作者：
Phipatanakul W
中科院分区：
文献类型：
--
作者：
Bartnikas LM;Huffaker MF;Sheehan WJ;Kanchongkittiphon W;Petty CR;Leibowitz R;Hauptman M;Young MC;Phipatanakul W
食物过敏儿童在学校的时间占很大比例，但学校过敏反应的特点还没有得到很好的研究。一些学校自行指定为无花生或有无花生区，但政策对临床结果的影响尚未得到评估。我们试图确定无花生政策对马萨诸塞州公立学校过敏反应肾上腺素给药率的影响。在这项回顾性研究中，我们分析了2006-2011年所有马萨诸塞州公立学校和马萨诸塞州公立学校护士对学校无花生政策的调查报告中肾上腺素的使用率，以及学校是否根据政策自行指定为“无花生”。比较了有或没有花生限制政策的学校的肾上腺素给药率。在研究时间范围内，实行花生限制政策的学校比例没有显著变化。自称为无花生学校的政策存在差异。没有政策与完全没有过敏反应相关。自行指定的无花生学校和禁止在学校提供花生或从家里带花生的学校都报告了对坚果的过敏反应。政策限制花生从家里，在学校提供或有花生免费教室没有影响肾上腺素管理率。与没有花生桌的学校相比，无花生桌的学校肾上腺素给药率较低（每万名学生的IR分别为0.2和0.6，P=0.009）。这些数据为学校针对食物过敏儿童的循证政策提供了依据。在就学校无花生政策作出决定之前，需要进行进一步的研究。
Children with food allergies spend a large proportion of time in school but characteristics of allergic reactions in schools are not well studied. Some schools self-designate as peanut-free or have peanut-free areas, but the impact of policies on clinical outcomes has not been evaluated. We sought to determine the effect of peanut-free policies on rates of epinephrine administration for allergic reactions in Massachusetts public schools. In this retrospective study, we analyzed rates of epinephrine administration in all Massachusetts public schools and Massachusetts public school nurse survey reports of school peanut-free policies from 2006–2011 and whether schools self-designated as “peanut-free” based on policies. Rates of epinephrine administration were compared for schools with or without peanut restrictive policies. The percentage of schools with peanut restrictive policies did not change significantly in the study timeframe. There was variability in policies used by schools self-designated as peanut-free. No policy was associated with complete absence of allergic reactions. Both self-designated peanut-free schools and schools banning peanuts from being served in school or brought from home reported allergic reactions to nuts. Policies restricting peanuts from home, served in schools or having peanut-free classrooms did not affect epinephrine administration rates. Schools with peanut-free tables, compared to without, had lower rates of epinephrine administration (IR per 10,000 students 0.2 and 0.6, respectively, P=0.009). These data provide a basis for evidence-based school policies for children with food allergies. Further studies are required before decisions can be made regarding peanut-free policies in schools.
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影响因子：
6.1
作者：
Primeau, MN;Kagan, R;Clarke, A
通讯作者：
Clarke, A
影响因子：
4.5
作者：
O'Neil, Carol E.;Keast, Debra R.;Fulgoni, Victor L., III
通讯作者：
Fulgoni, Victor L., III
DOI：
10.1177/1059840510369482
发表时间：
2010-10
期刊：
The Journal of school nursing : the official publication of the National Association of School Nurses
影响因子：
--
作者：
Carlisle SK;Vargas PA;Noone S;Steele P;Sicherer SH;Burks AW;Jones SM
通讯作者：
Jones SM
影响因子：
5.1
作者：
Sicherer, SH;Furlong, TJ;Sampson, HA
通讯作者：
Sampson, HA
DOI：
10.1016/j.jaip.2013.09.016
发表时间：
2014-05-01
影响因子：
9.4
作者：
Shah, Sweta S.;Parker, Crystal L.;Davis, Carla M.
通讯作者：
Davis, Carla M.