Is the concept of “peanut-free schools” useful in the routine management of peanut-allergic children at risk of anaphylaxis?: Position paper of the Food Allergy Working Group of the German Society for Allergology and Clinical Immunology (Deutsche Gesellschaft für Allergologie und klinische Immunologie, DGAKI)

被引:0
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作者
Reese I. [1 ]
Ahrens B. [2 ,3 ]
Ballmer-Weber B. [4 ,5 ]
Beyer K. [6 ]
Blümchen K. [2 ]
Doelle-Birke S. [7 ]
Heratizadeh A. [8 ]
Kleine-Tebbe J. [9 ]
Lange L. [10 ]
Lau S. [6 ]
Lepp U. [11 ]
Mahler V. [3 ]
Schäfer C. [12 ]
Schnadt S. [13 ]
Szepfalusi Z. [14 ]
Wassmann-Otto A. [15 ]
Werfel T. [8 ]
Worm M. [7 ]
机构
[1] Nutrition Counseling and Therapy with Special Focus on Allergology, Ansprengerstraße 19, Munich
[2] Department of Pediatric and Adolescent Medicine, Allergology, Pulmonology, and Cystic Fibrosis Unit, University Hospital Frankfurt, Goethe University, Frankfurt am Main
[3] Clinical Allergology Section, Paul-Ehrlich Institute, Langen
[4] Department of Dermatology, University Hospital Zurich, Zurich
[5] Department of Dermatology and Allergology, Cantonal Hospital St. Gallen, St. Gallen
[6] Department of Pediatric Pulmonology, Immunology, and Intensive Care Medicine, Charité—University Hospital Berlin, Berlin
[7] Department of Dermatology, Venereology, and Allergology, Charité—University Hospital Berlin, Charitéplatz 1, Berlin
[8] Immunodermatology and Experimental Allergology Unit, Department of Dermatology, Allergology, and Venereology, Medical University Hannover, Hannover
[9] Westend Allergy and Asthma Center, Berlin
[10] St. Marien Hospital, Bonn
[11] Pulmonary Medicine, Allergology, Dr. Lepp Practice, Buxtehude
[12] Nutritional Therapy, Schwarzenbek
[13] German Allergy and Asthma Association (DAAB), Mönchengladbach
[14] Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna
[15] Dermatological Outpatient Clinic, Hamburg
关键词
Allergen avoidance; Coping strategies; Emergency treatment; Food allergy; Peanut allergy;
D O I
10.1007/s40629-020-00138-2
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学科分类号
摘要
Background: Parents of school-age children with food allergies and potential anaphylactic reactions want their children to have an unburdened and risk-free everyday school life. Thus, particularly in the case of peanut allergy, demands for peanut-free schools are put forward. Results and discussion: The position paper of the food allergy working group of the German Society for Allergology and Clinical Immunology (Deutsche Gesellschaft für Allergologie und klinische Immunologie) highlights why the concept of peanut-free schools does not protect peanut allergic children, but rather bears potential disadvantages and risks for all those involved. The focus on peanut as a potential trigger of anaphylactic reactions ignores other relevant triggers. Conclusion: In order to address the fears and concerns of patients, parents, and school staff, it is mandatory to develop various coping strategies. These should enable and ensure the safety and participation of food-allergic pupils in classes and other school activities. Therefore, it is important to implement adequate measures for allergen avoidance and emergency treatment for students with confirmed food allergies. © 2020, The Author(s).
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页码:169 / 173
页数:4
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