Departments of Medicine and Pediatrics, Greenville Hospital University Medical Center, Greenville, South Carolina 29607, USA.
Ann Allergy Asthma Immunol. 2011 Aug;107(2):127-32. doi: 10.1016/j.anai.2011.05.019. Epub 2011 Jun 17.
Multiple national, state, and local organizations recommend that emergency action plans (EAPs) direct therapy of allergic reactions in schoolchildren.
To investigate the school nurse's perception of food allergies and the presence of EAPs for food allergic students in Mississippi.
An investigator-developed food allergy survey was offered to all Mississippi public school nurses in 2008 and 2009.
The survey had a combined response rate of 29% (194/659) for the 2 years of the study. In both years, most participating school nurses had at least 1 food allergic student at their school (mean [SD], 11 [10] students per school). In 2008, 30% (28/93) of the school nurses reported that food allergy EAPs were present for all of their food allergic students, whereas 29% (27/93) of school nurses had 0% to 10% of their known food allergic students on EAPs. Similarly, in 2009, 37% (34/93) of school nurses reported all of their food allergic students possessed a food allergy EAP, whereas 26% (24/93) of school nurses had 0% to 10% of their known food allergic students on EAPs. In 2008, students were more likely to have food EAPs if the nurse received information on food allergies from parents or a physician or if the student attended a school in an urban area. However in 2009, only if the nurse received information from a physician were they more likely to have an EAP for their students.
Although numerous organizations recommend food allergy EAPs for allergic students, our study highlights their inconsistent use in Mississippi.
多个国家、州和地方组织建议应急行动计划（EAP）指导学校儿童的过敏反应治疗。
调查密西西比州学校护士对食物过敏的看法以及存在针对食物过敏学生的 EAP。
在 2008 年和 2009 年，向所有密西西比州公立学校护士提供了一项由调查员开发的食物过敏调查。
这项调查在研究的两年中综合应答率为 29%（194/659）。在这两年中，大多数参与的学校护士在他们的学校至少有 1 名食物过敏学生（平均[SD]，每所学校 11 [10]名学生）。在 2008 年，30%（28/93）的学校护士报告说，他们所有的食物过敏学生都有食物过敏 EAP，而 29%（27/93）的学校护士有 0%至 10%的已知食物过敏学生有 EAP。同样，在 2009 年，37%（34/93）的学校护士报告说，他们所有的食物过敏学生都有食物过敏 EAP，而 26%（24/93）的学校护士有 0%至 10%的已知食物过敏学生有 EAP。在 2008 年，如果护士从家长或医生那里获得有关食物过敏的信息，或者学生就读于城市地区的学校，学生更有可能拥有食物 EAP。然而，在 2009 年，只有当护士从医生那里获得信息时，他们才更有可能为学生制定 EAP。
尽管许多组织建议为过敏学生制定食物过敏 EAP，但我们的研究强调了它们在密西西比州的使用不一致。
