McIntyre CL, Sheetz AH, Carroll CR, Young MC. Pediatrics. 2005;116:1134–1140
PURPOSE OF THE STUDY. To ascertain the accident of anaphylaxis in schools, characterize the affairs surrounding anaphylactic episodes, and appraise practices that are acclimated to administer acceptance with life-threatening allergies.
STUDY POPULATION AND METHODS. Academy districts in Massachusetts (N = 109) that completed an epinephrine-administration anatomy whenever epinephrine was injected at school. Data were acquired from September 2001 to August of 2003.
RESULTS. Forty-eight academy districts acclaimed a absolute of 159 administrations of epinephrine during the 2-year aeon of reporting. The alone was not accepted to accept a life-threatening abhorrence in 24% of the cases. Thirty-one percent of the acceptance who accustomed epinephrine had abhorrence to assorted antigens, and 25% had abhorrence to timberline basics or atom only. Nineteen percent of the cases occurred alfresco the academy architecture on a amphitheater or back alteration them to or from academy or on acreage trips. The registered academy assistant in the bloom appointment administered the epinephrine in best cases. The boilerplate time from development of affection until epinephrine was delivered was 10 minutes. In 92% of the cases, the apprentice complex was taken to a medical ability application the emergency medical system.
CONCLUSIONS. Anaphylactic reactions in schools, although not frequent, are not aberrant events. A analytical analysis of anaphylactic contest that appropriate epinephrine administering articular opportunities for advance in the analysis of acceptance with life-threatening allergies.
REVIEWER COMMENTS. The limitation of this abstraction is that it was based on autonomous reporting. There are variations in advertisement amid regions in the state, but it is not accessible to actuate if the differences are attributable to advertisement practices or absolute aberration in epinephrine administration. Because there were no different identifiers for capacity in the study, there is no affirmation that abhorrence contest are not alternating again in the aforementioned student. In summary, a absolute affairs should be in abode in the schools to evaluate, treat, and administer acceptance with life-threatening anaphylaxis to foods.
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