Towards a common approach for managing food allergy and serious allergic reactions (anaphylaxis) at school. GA2LEN and EFA consensus statement
Por:
Deschildre, A, Alvaro-Lozano M, Muraro, A, Podesta, M, de Silva, D, Giovannini, M, Barni, S, Dribin, TE, Mónica Paola Sandoval Ruballos, Anagnostou, A, Fiocchi, A, Toniolo, A, Bird, A, Sanz, AS, Asarnoj, A, Nowak-Wegrzyn, A, Vlieg-Boerstra, B, Vickery, BP, Venter, C, Nilsson, C, Parente, C, Demoulin, C, Fleischer, DM, Bijlhout, D, Knol, EF, Garrow, E, Cook, EE, Schultz, F, Lazzarotto, F, Mori, F, Wong, G, Lack, G, Roberts, G, Marino, GA, Elberink, HNGO, Brough, HA, Sampson, HA, Lieberman, J, Gerdts, J, Zhao, J, Gradman, J, Upton, JEM, Wang, J, Palosuo, K, Järvinen, KM, Beyer, K, Shen, KL, Polloni, L, Mandelbaum, L, Tanno, LK, Bilaver, LA, Shaker, MS, Worm, M, Said, M, Kelly, M, Marchisotto, MJ, Makris, M, Odemyr, M, Fernandez-Rivas, M, Ebisawa, M, Patel, N, del Río, PR, Vichyanond, P, Turner, P, Smith, P, Gaspar, PM, Chinthrajah, RS, Rachid, R, Bonaguro, R, Gupta, R, Schnadt, S, Sato, S, Arasi, S, Leonard, S, Poblete, S, Halken, S, Le, TM, Pouessel, G, Dunn, T, Cardona, V and Zuberbier, T
Publicada:
29 dic 2024
Resumen:
GA(2)LEN and EFA propose minimum specifications for all industrialised countries/regions to work towards to support students with food allergies in educational settings. We reviewed research and legislation and gained feedback from over 100 patient and professional groups. We built shared expectations around: 1. training all school staff about what food allergy is, the symptoms of allergic reactions, what to do in an emergency, and when and how to use and store devices that laypeople can use to administer adrenaline (epinephrine). 2. preventing allergic reactions by using clear labelling on school menus and prepacked and non-prepacked foods and regular cleaning where students eat. 3. preparing for serious allergic reactions, with written emergency action plans for every student with food allergies, legislation allowing schools to store adrenaline for anyone who needs it in an emergency (not just those prescribed it), and training and legal safeguards for staff administering adrenaline. 4. including affected students by discussing food allergy in the curriculum, raising awareness among all students and caregivers and reviewing school processes regularly. It is time for national and international action at the policy level. Patient groups, education networks and professional societies all play a role in campaigning for shared next steps.
Filiaciones:
Deschildre, A:
Univ Lille, Lille, France
CHU Lille, Lille, France
Hop Jeanne Flandre, Lille, France
Alvaro-Lozano M:
Univ Barcelona, Barcelona, Spain
Hosp St Joan de Deu, Barcelona, Spain
Muraro, A:
Padua Univ Hosp, Padua, Italy
GA2LEN, Berlin, Germany
Podesta, M:
European Federat Allergy & Airways Dis Patients A, Brussels, Belgium
Food Allergy Italia, Padua, Italy
de Silva, D:
Evidence Ctr, London, England
Giovannini, M:
Meyer Childrens Hosp IRCCS, Florence, Italy
Univ Florence, Florence, Italy
Barni, S:
Meyer Childrens Hosp IRCCS, Florence, Italy
Dribin, TE:
Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA
Univ Cincinnati, Cincinnati, OH USA
Mónica Paola Sandoval Ruballos:
Hosp St Joan de Deu, Barcelona, Spain
Anagnostou, A:
Childrens Hosp, Houston, TX USA
Baylor Coll Med, Houston, TX 77030 USA
Fiocchi, A:
Pediat Hosp Bambino Gesu, Rome, Italy
Toniolo, A:
Padua Univ Hosp, Padua, Italy
Bird, A:
Univ Texas Southwestern Univ, Dallas, TX USA
Sanz, AS:
AEPNAA Spanish Assoc People Food & Latex Allergy, Madrid, Spain
Asarnoj, A:
Karolinska Inst, Stockholm, Sweden
Astrid Lindgren Childrens Hosp, Stockholm, Sweden
Nowak-Wegrzyn, A:
Hassenfeld Childrens Hosp, New York, NY USA
Univ Warmia & Mazury, Olsztyn, Poland
Vlieg-Boerstra, B:
OLVG Hosp, Amsterdam, Netherlands
Rijnstate Hosp, Arnhem, Netherlands
Vickery, BP:
Emory Univ, Sch Med, Atlanta, GA USA
Childrens Healthcare Atlanta, Atlanta, GA USA
Venter, C:
Childrens Hosp Colorado, Denver, CO USA
Nilsson, C:
Karolinska Inst, Stockholm, Sweden
Sachs Children & Youth Hosp, Stockholm, Sweden
Parente, C:
Hosp Italiano Buenos Aires, Buenos Aires, DF, Argentina
Demoulin, C:
AFPRAL, Paris, France
Fleischer, DM:
Childrens Hosp Colorado, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USA
Bijlhout, D:
Univ Wales Trinity St David, London, England
Knol, EF:
Univ Med Ctr Utrecht, Utrecht, Netherlands
Garrow, E:
Food Allergy & Anaphylaxis Connect Team, W Chester, OH USA
Cook, EE:
ATOPICCO Network Children Earth, Tokyo, Japan
Hokkaido Univ, Sapporo, Hokkaido, Japan
Schultz, F:
Int FPIES Assoc, Quincy, MA USA
Lazzarotto, F:
Padua Univ Hosp, Padua, Italy
Mori, F:
Meyer Childrens Hosp IRCCS, Florence, Italy
Wong, G:
Chinese Univ Hong Kong, Hong Kong, Peoples R China
Lack, G:
Kings Coll London, London, England
Guys & St Thomas NHS Fdn Trust, London, England
Roberts, G:
Univ Hosp Southampton NHS Fdn Trust, Southampton, Hants, England
NIHR Biomed Res Ctr, Southampton, Hants, England
St Marys Hosp, Southampton, Hants, England
Univ Southampton, Southampton, Hants, England
Marino, GA:
Fdn SOS Alergia, Pilar, Argentina
Hosp Univ Austral, Pilar, Argentina
Elberink, HNGO:
Univ Groningen, Groningen, Netherlands
Brough, HA:
Kings Coll London, London, England
Guys & St Thomas NHS Fdn Trust, London, England
Sampson, HA:
Icahn Sch Med Mt Sinai, New York, NY 10029 USA
Lieberman, J:
LeBonheur Childrens Hosp, Memphis, TN USA
Univ Tennessee, Hlth Sci Ctr, Memphis, TN 38163 USA
Gerdts, J:
Food Allergy Canada, N York, ON, Canada
Zhao, J:
Children Hosp, Capital Inst Pediat, Beijing, Peoples R China
Gradman, J:
Hans Christian Andersen Childrens Hosp, Odense, Denmark
Upton, JEM:
Univ Toronto, Toronto, ON, Canada
Wang, J:
Icahn Sch Med Mt Sinai, New York, NY 10029 USA
Palosuo, K:
Helsinki Univ Hosp, Helsinki, Finland
Järvinen, KM:
Univ Rochester, New York, NY USA
Beyer, K:
Charite Univ Med Berlin, Berlin, Germany
Shen, KL:
Shenzhen Childrens Hosp, Beijing, Peoples R China
Beijing Childrens Hosp, Beijing, Peoples R China
Polloni, L:
Padua Univ Hosp, Padua, Italy
Mandelbaum, L:
No Nut Traveler Inc, Livingston, NJ USA
Tanno, LK:
Univ Hosp Montpellier, Hop Arnaud de Villeneuve, Montpellier, France
Bilaver, LA:
Northwestern Univ, Evanston, IL USA
Shaker, MS:
Geisel Sch Med Dartmouth, Hanover, NH USA
Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA
Worm, M:
Charite Univ Med Berlin, Berlin, Germany
Said, M:
Allergy & Anaphylaxis Australia, Sydney, NSW, Australia
Kelly, M:
Anaphylaxis UK, Farnborough, Hants, England
Marchisotto, MJ:
MJM Advisory LLC, New York, NY USA
Makris, M:
Natl & Kapodistrian Univ Athens, Athens, Greece
Odemyr, M:
Astma Allergiforbundet, Stockholm, Sweden
Fernandez-Rivas, M:
Hosp Clin San Carlos, Madrid, Spain
Univ Complutense IdISSC, Madrid, Spain
Ebisawa, M:
NHO Sagamihara Natl Hosp, Sagamihara, Kanagawa, Japan
Patel, N:
Imperial Coll London, London, England
del Río, PR:
Hosp Infantil Univ Nino Jesus, Madrid, Spain
Vichyanond, P:
Samitivej Allergy Inst, Bangkok, Thailand
Turner, P:
Imperial Coll London, London, England
Smith, P:
Griffith Univ, Southport, Qld, Australia
Gaspar, PM:
AEPNAA Spanish Assoc People Food & Latex Allergy, Madrid, Spain
Chinthrajah, RS:
Stanford Univ, Stanford, CA 94305 USA
Rachid, R:
Harvard Med Sch, Boston Childrens Hosp, Boston, MA 02115 USA
Bonaguro, R:
Padua Univ Hosp, Padua, Italy
Gupta, R:
Northwestern Univ, Evanston, IL USA
Ann & Robert H Lurie Childrens Hosp Chicago, Chicago, IL 60611 USA
Schnadt, S:
Deutsch Allergie & Asthmabund, North Rhine Westphalia, Germany
Sato, S:
NHO Sagamihara Natl Hosp, Sagamihara, Kanagawa, Japan
Arasi, S:
Bambino Gesu Pediat Hosp, Rome, Italy
Leonard, S:
Univ Calif San Diego, San Diego, CA 92103 USA
Poblete, S:
Food Allergy Res & Educ FARE, Mclean, VA USA
Halken, S:
Hans Christian Andersen Childrens Hosp, Odense, Denmark
Univ Southern Denmark, Odense, Denmark
Le, TM:
Univ Utrecht, Utrecht, Netherlands
Pouessel, G:
Roubaix Hosp, Lille, France
Lille Univ Hosp, Lille, France
Dunn, T:
Anaphylaxis UK, Farnborough, Hants, England
Cardona, V:
Hosp Univ Vall dHebron, Barcelona, Spain
Zuberbier, T:
Charite Univ Med Berlin, Berlin, Germany
Fraunhofer Inst Translat Med & Pharmacol ITMP, Immunol & Allergol, Berlin, Germany
Green Submitted, gold
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