Vale Sandra, Netting Merryn J, Ford Lara S, Tyquin Briony, McWilliam Vicki, Campbell Dianne E
National Allergy Strategy, Sydney, New South Wales, Australia.
Australasian Society of Clinical Immunology and Allergy, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2019 Feb;55(2):143-151. doi: 10.1111/jpc.14307. Epub 2018 Dec 6.
Food allergy and anaphylaxis is increasing in Australian children, and anaphylaxis is relatively common in Australian schools. This review aims to provide an overview of current policies and practices for anaphylaxis management in Australian schools, including approaches to risk mitigation and anaphylaxis training. We reviewed literature related to anaphylaxis training in the school setting published between 2010 and 2018. Current anaphylaxis policies/guidelines were obtained from Australian education and health departments, and reports of suspected anaphylaxis and adrenaline autoinjector (AAI) use for 2016-2017 were obtained from education departments where available. Our review of policies/guidelines across Australian jurisdictions indicates inconsistent approaches to anaphylaxis management training. Almost half of Australian school anaphylaxis events required a general-use AAI, administered to students not identified as at risk of anaphylaxis. Development of clear, evidence-based, consistent guidelines related to anaphylaxis management and training in the school setting is imperative to minimise risk.
食物过敏和过敏反应在澳大利亚儿童中呈上升趋势，过敏反应在澳大利亚学校中相对常见。本综述旨在概述澳大利亚学校过敏反应管理的现行政策和做法，包括风险缓解措施和过敏反应培训方法。我们回顾了2010年至2018年期间发表的与学校环境中过敏反应培训相关的文献。现行的过敏反应政策/指南来自澳大利亚教育和卫生部门，2016 - 2017年疑似过敏反应和肾上腺素自动注射器（AAI）使用情况报告在可获取时来自教育部门。我们对澳大利亚各司法管辖区政策/指南的审查表明，过敏反应管理培训方法不一致。澳大利亚近一半的学校过敏反应事件需要使用通用AAI，这些AAI被用于未被确定有过敏反应风险的学生。制定明确、基于证据且一致的学校环境中过敏反应管理和培训指南对于将风险降至最低至关重要。
