Preventing food allergy fatalities.
Preventing food allergy fatalities.
复制标题
预防食物过敏死亡。
DOI：
10.1136/archdischild-2022-324911
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发表时间：
2023
影响因子：
5.2
通讯作者：
Foong RX
中科院分区：
文献类型：
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作者：
Foong RX
幸运的是，对食物的致命过敏反应是罕见的，但每一个死亡都是一个潜在的可以避免的悲剧。通常，会有一个死因调查，以确定'如何和为什么'为每一个死亡。回顾这些与食物过敏相关的死亡事件，可以发现一些共同的主题和风险因素。虽然有些是不可改变的（如年龄，性别和种族），但其他因素包括肾上腺素给药延迟和避免过敏原的沟通困难。这篇综述强调了医疗保健专业人员和患者预防食物过敏相关死亡的关键信息，并在可用的情况下，我们解释了这些建议背后的证据。我们描述了良好实践点背后的数据，以促进其在常规实践中的采用，而不会对相对罕见的事件产生额外的焦虑。我们还建议为患者和护理人员提供一份信息传单，与患者一起制定并得到两个主要过敏慈善机构的认可，以促进本次审查中建议的传播。
Fatal anaphylaxis to food is thankfully rare, but every death is a potentially avoidable tragedy. Usually, there will be a coronial inquest to establish the ‘how and why’ for each death. Reviewing these food allergy-related deaths identifies a number of common themes and risk factors. While some are non-modifiable (such as age, gender and ethnicity), others are and include delayed epinephrine administration and communication difficulties in allergen avoidance. This review highlights the key messages in food allergy-related fatality prevention for healthcare professionals and patients alike, and where available, we explain the evidence behind such recommendations. We describe the data behind the good practice points to facilitate their adoption in routine practice without generating additional anxiety for what is a comparatively rare event. We also propose an information leaflet for patients and carers, developed with patients and endorsed by two major allergy charities, to facilitate dissemination of the recommendations in this review.