Management of Children With Food-Induced Anaphylaxis: A Cross-Sectional Survey of Parental Knowledge, Attitude, and Practices

Polloni, Laura; Baldi, Ileana; Amadi, Margherita; Tonazzo, Valentina; Bonaguro, Roberta; Lazzarotto, Francesca; Toniolo, Alice; Gregori, Darío; Muraro, Antonella

doi:10.3389/fped.2022.886551

Cited by 9 publications

(5 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was even the case for the six participants who correctly performed the procedure, and for those respondents who had attended AAI training. Our findings agree with other studies that have found that even with training, parents and caregivers have low levels of confidence and high levels of anxiety in correctly using an AAI [ 19 – 21 ]. This lack of confidence may lead to AAI use hesitancy in which treatment is delayed because caregivers are afraid to use the device.…”

Section: Discussionsupporting

confidence: 92%

The confidence and competence of primary school staff to administer an adrenaline auto-injector

Donovan,

O’Connor

2024

Eur J Pediatr

View full text Add to dashboard Cite

School teachers are often inadequately prepared to use an adrenaline auto-injector (AAI), resulting in potentially dangerous treatment delays. The purpose of this study was to assess the observed competence, and self-reported confidence, of primary school teachers in the Republic of Ireland (RoI) to use an AAI. An evaluation of whether there was a link between confidence and competence was also assessed. Teachers from four primary schools in the RoI completed a questionnaire to assess their prior level of experience, training, and confidence levels with AAI administration. The four steps in administrating trainer AAI to a mannequin simulator were then assessed. A total of 61 teachers participated (out of a population of 80). The mean self-reported confidence was 1.82 out of 5 (SD = 0.96). There was no significant difference in confidence between trained and untrained participants (U = 240.5, NS). Participants who had received AAI administration training performed significantly more of the steps correctly (mean = 3.85, SD = 0.95) as compared to those who had received no training (mean = 2.97, SD = 1.10; U = 180.5, p = 0.008). There was no correlation between confidence in administrating AAI and the percentage of steps in the procedure performed correctly (rho = −0.17, NS). Conclusion: Improvements in readiness to administer AAIs can be achieved through the application of more effective approaches to teaching clinical skills, changes to school policies and practices, and consideration of the design of AAIs in order to make their operation safer and simpler. It is important that teachers have the confidence and competence to safely administer an AAI. What is Known:• Poor ability in adrenaline auto-injector use seen across population groups—healthcare professionals, patients, carers, and school staff• Training in the use of adrenaline auto-injectors has positive impact on competency What is New:• Irish school teachers show poor levels of competency in adrenaline auto-injector use• No observed correlation between reported confidence and competency

show abstract

Section: Discussionsupporting

confidence: 92%

The confidence and competence of primary school staff to administer an adrenaline auto-injector

Donovan,

O’Connor

2024

Eur J Pediatr

View full text Add to dashboard Cite

show abstract

“…Mindig "egy lépéssel előrébb kell járniuk" annak érdekében, hogy minimalizálják a gyermek allergénnek való kitettségét és a súlyos reakció előfordulásának esélyét [15]. Ugyan a fatális kimenetelű anafilaxiás esemény előfordulásának valószínűsége kicsinek mondható, az észlelt rizikó mégis állandó aggodalmat és félelmet válthat ki az érintettekből a mindennapok során [16,17]. Súlyos allergia esetén a szülők gyakran felülbecsülik a halálos kimenetelű allergiás reakciók előfordulásának valószínűségét [12].…”

Section: Súlyos Gyermekkori éTelallergiával Való Együttélés a Családbanunclassified

“…Ugyanakkor az adrenalin-autoinjektorok használata mégis alulmarad a tényleges anafilaxiás reakciók számához képest, ami az autoinjektorok alkalmazását övező kétségekkel magyarázható (például: mikor kell beadni az EpiPent?) [16].…”

Section: Súlyos Gyermekkori éTelallergiával Való Együttélés a Családbanunclassified

Láthatatlan akadályok – súlyos gyermekkori ételallergia a családban

Bertalan

Vadon

Csáki

et al. 2022

View full text Add to dashboard Cite

A gyermekkori táplálékallergia olyan krónikus immunológiai állapot, mely a gyermekek körülbelül 6–8%-át érinti. Az élelmiszer-fehérjére adott immunmediált reakciók intenzitása az enyhe lefolyásútól a fatális kimenetelűig változik. Súlyos táplálékallergiáknál az allergénnek való kitettség esetén fennáll az anafilaxiás sokk veszélye, amely azonnali sürgősségi beavatkozást igényel. Tünetek hiányában az ételallergia láthatatlan a környezet számára, ami gyakran kommunikációs nehézséget és elkerülő magatartást idéz elő az érintett családoknál. A mindennapokban a szülőkre nagy felelősség hárul gyermekük állapotának képviseletében. A jelen összefoglaló tanulmány a gondviselői nézőpontot helyezi előtérbe, célja, hogy felhívja a figyelmet a gyermekkori súlyos ételallergia kihívásaira s a megfelelő menedzselés komplexitására. A tanulmány abba kíván betekintést nyújtani, hogy az érintett szülők milyen nehézségekkel szembesülnek, milyen jellegzetességeket mutatnak, s hogy az eddigi ajánlások és intervenciós vizsgálatok alapján milyen pszichológiai módszerek és technikák segíthetik a jobb alkalmazkodást, megküzdést, ezáltal a gyermekek egészségesebb személyiségfejlődését és az orvosi kezelésekhez történő megfelelő adherenciát. Orv Hetil. 2022; 163(47): 1855–1861.

show abstract

“…3 In the case of pediatric patients, caregivers typically bear the responsibility of recognizing anaphylaxis symptoms, carrying, and administrating AAI to the child when required. 4 There are no published data on the optimal age to transfer responsibilities for recognition and treatment of anaphylaxis from caregiver to child. The European Academy of Allergy and Clinical Immunology (EAACI) recommends preparing children for the transition of anaphylaxis responsibility from early adolescence, that is 11-13 years.…”

Section: Introductionmentioning

confidence: 99%

“…Optimal management of anaphylaxis involves avoiding known triggers, use of adrenaline auto‐injectors (AAI) when necessary and devising a personalized anaphylaxis management plan 3 . In the case of pediatric patients, caregivers typically bear the responsibility of recognizing anaphylaxis symptoms, carrying, and administrating AAI to the child when required 4 …”

Section: Introductionmentioning

confidence: 99%

Teaching children with food allergy to recognize anaphylaxis: The caregivers' perspectives

Keohane,

Cronin,

O'Rourke

et al. 2023

Pediatric Allergy Immunology

View full text Add to dashboard Cite

BackgroundAnaphylaxis is rising in prevalence among children. The current recommendations on the effective transition of anaphylaxis management to adolescents and young adults suggest preparation for the transition may be considered at 11–13 years of age in accordance with the patient's developmental stage. However, there has been limited research conducted on the perspective of caregivers regarding the transition of anaphylaxis management to their children. This study aims to determine the age caregivers feel it is appropriate to begin to teach their child to recognize anaphylaxis and use their adrenaline auto‐injectors (AAI).MethodsCaregivers of pediatric allergy patients who have been diagnosed with IgE‐mediated food allergy and have an AAI prescription were contacted by phone and invited to complete a questionnaire about when they feel it is appropriate to begin to teach their child to recognize anaphylaxis and use their AAI.ResultsOf the 123 responses to the questionnaire received, 44.7% indicated that 9–11 years was the appropriate time for teaching their children to self‐inject an AAI. History of severe anaphylaxis (94.3%), child's ability to describe reasons to inject adrenaline (87.8%), and demonstrate AAI use (82.1%) were “very important” readiness factors identified. Almost half of caregivers were “not confident” (8.94%) or “somewhat confident” (40.65%) in training their child to use AAI. Caregivers with higher household incomes more frequently identified themselves as the party responsible for training their children to use AAI (p = .04).ConclusionCaregivers in this sample expressed different perspectives than the current guidelines regarding the timing to initiate the transition of anaphylaxis management to their child. Caregivers expressed suboptimal confidence in teaching their children to use AAI. Clinicians should be aware of the factors that may indicate caregivers' desire to initiate an earlier transition of anaphylaxis management to their child and ensure access to appropriate training, education and support is available.

show abstract

Management of Children With Food-Induced Anaphylaxis: A Cross-Sectional Survey of Parental Knowledge, Attitude, and Practices

Cited by 9 publications

References 29 publications

The confidence and competence of primary school staff to administer an adrenaline auto-injector

The confidence and competence of primary school staff to administer an adrenaline auto-injector

Láthatatlan akadályok – súlyos gyermekkori ételallergia a családban

Teaching children with food allergy to recognize anaphylaxis: The caregivers' perspectives

Contact Info

Product

Resources

About