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Cited by 228Food Allergy and Anaphylaxis ResearchDrug-Induced Adverse ReactionsEosinophilic Esophagitis

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Food-Allergic Reactions in Schools and Preschools

Nowak-Wegrzyn, Anna, Conover-Walker, Mary Kay, Wood, Robert A.·2001·Archives of Pediatrics & Adolescent Medicine
DOI 10.1001/archpedi.155.7.790
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Abstract

BACKGROUND: Food allergies may affect up to 6% of school-aged children. OBJECTIVES: To conduct a telephone survey to characterize food-allergic reactions in children (defined as those aged 3-19 years in this study) with known food allergies in schools and preschools and to determine mechanisms that are in place to prevent and treat those reactions. DESIGN: The parents of food-allergic children were contacted by telephone and asked about their child's history of food-allergic reactions in school. The schools the children attended were contacted, and the person responsible for the treatment of allergic reactions completed a telephone survey. RESULTS: Of 132 children in the study, 58% reported food-allergic reactions in the past 2 years. Eighteen percent experienced 1 or more reactions in school. The offending food was identified in 34 of 41 reactions, milk being the causative food in 11 (32%); peanut in 10 (29%); egg in 6 (18%); tree nuts in 2 (6%); and soy, wheat, celery, mango, or garlic in 1 (3%) each. In 24 reactions (59%), symptoms were limited to the skin; wheezing occurred in 13 (32%), vomiting and/or diarrhea in 4 (10%), and hypotension in 1 (2%). Also, 15 (36%) of the 41 reactions involved 2 or more organ systems, and 6 (15%) were treated with epinephrine. Fourteen percent of the children did not have a physician's orders for treatment, and 16% did not have any medications available. Of the 80 participating schools, 31 (39%) reported at least 1 food-allergic reaction within the past 2 years and 54 (67%) made at least 1 accommodation for children with a food allergy, such as peanut-free tables, a peanut ban from the classroom, or alternative meals. CONCLUSIONS: It is common for food-allergic children to experience allergic reactions in schools and preschools, with 18% of children having had at least 1 school reaction within the past 2 years. Thirty-six percent of the reactions involved 2 or more organ systems, and 32% involved wheezing. Every effort should be made to prevent, recognize, and appropriately treat food-allergic reactions in schools.

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Crossref · 10.1001/archpedi.155.7.790

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Metadata

Authors
Nowak-Wegrzyn, A., Conover-Walker, M. K., & Wood, R. A.
Affiliations
Mount Sinai Health System (US)
Corresponding author
Nowak-Wegrzyn, Anna
ORCID
Nowak-Wegrzyn, Anna
Venue
Archives of Pediatrics & Adolescent Medicine
Publisher
American Medical Association (AMA)
Published
2001-07-01
Volume
155
Issue
7
Pages
790
ISSN
1072-4710 (ISSN-L)
DOI
10.1001/archpedi.155.7.790
OpenAlex
W2153581801
Cited by
228
References
26
Citations by year
2026: 6 · 2025: 9 · 2023: 10 · 2022: 6 · 2021: 12 · 2020: 16 · 2019: 7 · 2018: 11 · 2017: 19 · 2016: 13 · 2015: 11 · 2014: 5 · 2013: 6 · 2012: 14
FWCI
2.99
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Allergy and Infectious Diseases (T32 AI07007, T32AI007007)
Topics
  • Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
  • Health Sciences › Medicine › Pharmacology (medical) › Drug-Induced Adverse Reactions
  • Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
Keywords
food allergy, school environment, preschool, children, cow's milk allergy, peanut allergy, egg allergy, wheezing, epinephrine, allergy management, school accommodations, food allergy prevention
MeSH terms
Adolescent, Child, Child, Preschool, Female, Food Hypersensitivity, Humans, Male, Surveys and Questionnaires, Schools, Telephone, Baltimore, Incidence

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