Greiwe Justin C, Pazheri Fouseena, Schroer Brian
Bernstein Allergy Group, Cincinnati, Ohio.
Department of Pediatrics, Pediatrics Institute, Cleveland Clinic, Ohio.
J Allergy Clin Immunol Pract. 2015 Jan-Feb;3(1):63-7. doi: 10.1016/j.jaip.2014.07.017. Epub 2014 Sep 30.
Rates of food allergies in children as well as the rate of families who employ nannies have increased dramatically over the past decade. It is essential that nannies have the knowledge and tools necessary to recognize and treat food allergy reactions.
To identify gaps in knowledge in the nanny population with regard to food allergy in children.
A Web-based survey was sent by e-mail to 709 nannies.
A total of 153 nannies (22%) completed the online survey: 26% of respondents had formal educational training at a nanny school; 99% recognized food allergy as a potentially fatal event; 37% reported caring for a child with food allergies. Of these, 71% had food allergy action plans, and 63% had epinephrine available. A total of 71% reported training on administering epinephrine. The nannies' major concerns included accidental ingestion and discomfort in administering epinephrine. A total of 36% were uncomfortable with recognizing a food allergy emergency, whereas 46% were uncomfortable administering epinephrine; 6% thought that a sensitized child could safely eat a small amount of allergenic food, whereas 14% believed that dilution with water might reduce an allergic reaction. A total of 66% desired additional information about recognizing food allergies, and 71% agreed that food allergy training should be required for all nannies.
Nannies demonstrated gaps in knowledge with regard to food allergy in children, which reflects the need for more stringent training and education. Increased communication among parents, nannies, and physicians is needed to protect children with food allergy.
在过去十年中，儿童食物过敏率以及雇佣保姆的家庭比例都急剧上升。保姆必须具备识别和治疗食物过敏反应所需的知识和工具。
确定保姆群体在儿童食物过敏知识方面的差距。
通过电子邮件向709名保姆发送了一项基于网络的调查。
共有153名保姆（22%）完成了在线调查：26%的受访者在保姆学校接受过正规教育培训；99%的人认识到食物过敏是一种潜在的致命事件；37%的人报告照顾过患有食物过敏的儿童。其中，71%的人有食物过敏行动计划，63%的人备有肾上腺素。共有71%的人报告接受过肾上腺素给药培训。保姆们主要担心的问题包括意外摄入和肾上腺素给药时的不适。共有36%的人对识别食物过敏紧急情况感到不安，而46%的人对使用肾上腺素感到不安；6%的人认为过敏儿童可以安全地食用少量致敏食物，而14%的人认为用水稀释可能会减轻过敏反应。共有66%的人希望获得更多关于识别食物过敏的信息，71%的人同意所有保姆都应接受食物过敏培训。
保姆在儿童食物过敏知识方面存在差距，这反映出需要更严格的培训和教育。需要加强家长、保姆和医生之间的沟通，以保护患有食物过敏的儿童。
