Parent reported allergy and anaphylaxis in 4173 South Australian children

Boros, C.; Kay, D. W. K.; Gold, Michael

doi:10.1046/j.1440-1754.2000.00444.x

Cited by 82 publications

(89 citation statements)

References 26 publications

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“…The number of anaphylactic episodes was highest in the age group 0-3 years, which is comparable with the findings of other authors [3,6,9]. This is also concordant with food allergy being the most prevalent in young children and food being the most frequent trigger of anaphylaxis in children [15,17,21,31].…”

Section: Discussionsupporting

confidence: 91%

Anaphylaxis in referred pediatric patients: demographic and clinical features, triggers, and therapeutic approach

et al. 2008

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Anaphylaxis remains under-diagnosed and under-treated. A better knowledge of patterns and triggers of anaphylaxis might contribute to a better management. In this study we evaluated the demographic and clinical features of anaphylaxis in pediatric patients, as well as its triggers and therapeutic approach. From May 1st 2004 until April 30th 2006 we prospectively collected data on all patients referred for investigation of anaphylaxis to the pediatric department of the University Hospital Gasthuisberg Leuven and to two private pediatric practices. Data were stored in a MYSQL database by use of an online encrypted web form. Sixty-four cases of anaphylaxis occurred in 48 children, aged 6 months to 14.8 years. Twenty-seven episodes (42.2%) occurred at home. The symptoms were dermatologic in 62 (96.9%) episodes, respiratory in 57 (89.1%), gastrointestinal in 19 (29.7%), cardiovascular in 14 (21.8%), and neurological or behavioural in 19 (29.7%). Antihistamines were administered in 41/57 (71.9%) cases, corticosteroids in 26/57 (45.6%), beta-2-mimetics in 14/57 (24.6%), and adrenaline in 11/57 (19.3%). Out of nine cases where Epipen was available at the moment of anaphylaxis, it was administered in one case only. Food was the cause of anaphylaxis in 42/55 (76.4%) cases with identified trigger, while medication, insect stings, latex, and birch pollen triggered 5 (9.1%), 4 (7.3%), 3 (5.5%), and 1 (1.8%) case(s), respectively. Allergy to the trigger was known prior to anaphylaxis in 19/55 (34.5%) cases. In conclusion, anaphylaxis in pediatric patients generally presents with dermatologic and respiratory symptoms, while in 1/5 episodes cardiovascular symptoms occur. Food is by far the most frequent trigger. Allergy to the trigger is known in 1/3 cases only. Anaphylaxis is under-treated, even when appropriate medication is available.

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Section: Discussionsupporting

confidence: 91%

Anaphylaxis in referred pediatric patients: demographic and clinical features, triggers, and therapeutic approach

et al. 2008

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“…5,6 Fatalities were noted to be overrepresented by children with peanut, tree nut, or milk allergy and among teenagers and those with underlying asthma. Preschool-aged children may experience food-induced anaphylaxis more often than older children, but the majority of foodallergic reactions in preschool-and school-aged children are not anaphylaxis, 7,8 and deaths are rare. 9 In case series of fatalities from food allergy among preschool-and school-aged children in the United States, 9 of 32 fatalities occurred in school and were associated primarily with significant delays in administering epinephrine.…”

Section: Introductionmentioning

confidence: 99%

Management of Food Allergy in the School Setting

Sicherer¹,

Mahr²

2010

Pediatrics

119

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Food allergy is estimated to affect approximately 1 in 25 school-aged children and is the most common trigger of anaphylaxis in this age group. School food-allergy management requires strategies to reduce the risk of ingestion of the allergen as well as procedures to recognize and treat allergic reactions and anaphylaxis. The role of the pediatrician or pediatric health care provider may include diagnosing and documenting a potentially life-threatening food allergy, prescribing self-injectable epinephrine, helping the child learn how to store and use the medication in a responsible manner, educating the parents of their responsibility to implement prevention strategies within and outside the home environment, and working with families, schools, and students in developing written plans to reduce the risk of anaphylaxis and to implement emergency treatment in the event of a reaction. This clinical report highlights the role of the pediatrician and pediatric health care provider in managing students with food allergies.

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“…Peanut and tree nuts are unquestionably 1 main cause of anaphylaxis among both adults and children in the US [4, 5] as well as in some European countries such as Great Britain [2, 7] and the Netherlands [8], as well as in other Anglo-Saxon countries such as Australia [9]. Both past and recent surveys suggest that also crustaceans and shellfish are a main offending food in the US [10, 11], in the Far East [12] and in Australia [13].…”

Section: Introductionmentioning

confidence: 99%

Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study

Asero

Antonicelli

Arena

et al. 2009

Int Arch Allergy Immunol

127

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Background: Data about food-induced anaphylaxis in Italy are missing. Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult patients with food allergy diagnosed by common criteria at 19 allergy centres scattered throughout Italy from 1 January to 31 December 2007. Results: Fifty-eight of 1,110 (5%) food-allergic patients experienced at least 1 episode of anaphylaxis. On average, they were older than other food-allergic patients (34 vs. 31 years; p < 0.05). The majority of anaphylactic episodes occurred in patients sensitized to lipid transfer protein (LTP; n = 19), followed by shrimp (n = 10), tree nuts (n = 9), legumes other than peanut (n = 4), and seeds (n = 2); peanut, spinach, celery, buckwheat, wheat, avocado, tomato, fish, meat, and Anisakis caused an anaphylactic reaction in single patients. Among LTP-hypersensitive patients, peach caused 13/19 anaphylactic episodes. Shrimp-allergic patients were significantly older than other patients with food-induced anaphylaxis (p < 0.05), whereas patients allergic to LTP experienced their anaphylactic episodes at a younger age (p < 0.001). The frequency of anaphylaxis among patients sensitized to LTP, shrimp or tree nuts did not differ between northern and central/southern Italy. Conclusion: LTP is the most important allergen causing food-induced anaphylaxis in Italy, peach being the most frequently offending food. Peanut-induced anaphylaxis seems very uncommon. Geographic and environmental differences both between Italy and other countries and within Italy seem to play a relevant role in the pattern of sensitization to foods.

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Parent reported allergy and anaphylaxis in 4173 South Australian children

Abstract: Children attending preschool or school may have had a past history of anaphylaxis. Arrangements for first aid management of these children while in this environment are often inadequate.

Cited by 82 publications

References 26 publications

Anaphylaxis in referred pediatric patients: demographic and clinical features, triggers, and therapeutic approach

Anaphylaxis in referred pediatric patients: demographic and clinical features, triggers, and therapeutic approach

Management of Food Allergy in the School Setting

Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study

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