Galletta Francesca, Klain Angela, Manti Sara, Mori Francesca, Grella Carolina, Tomei Leonardo, Senatore Antonio Andrea, Licari Amelia, Miraglia Del Giudice Michele, Indolfi Cristiana
Pediatric Unit, Department of Human Pathology in Adult and Developmental Age 'Gaetano Barresi', University of Messina, 98124 Messina, Italy.
Department of Woman, Child and General and Specialized Surgery, University of Campania 'Luigi Vanvitelli', 80138 Naples, Italy.
Nutrients. 2025 Jul 22;17(15):2387. doi: 10.3390/nu17152387.
: Food allergy (FA) is a growing concern in pediatric care, requiring effective avoidance strategies and timely emergency responses. The role of caregivers is central to the daily management of FA. This study aimed to assess parental knowledge, preparedness, and behaviors regarding pediatric FA management, focusing on both prevention and emergency readiness. : A cross-sectional survey was conducted from December 2024 to April 2025 through the SurveyMonkey platform, promoted by the Italian Society of Pediatric Allergology and Immunology (SIAIP). The anonymous, structured questionnaire was distributed online and in two Italian university hospitals. A total of 129 fully completed responses from caregivers of children with FA were analyzed. The survey explored self-perceived knowledge, symptom recognition, preventive actions, emergency preparedness, and communication practices. : Only 9.3% of parents considered themselves "very informed," while 54.3% reported limited or no knowledge. Just 16.0% recognized all symptoms of an allergic reaction, and only 24.0% could distinguish mild reactions from anaphylaxis. Notably, 67.4% reported not knowing how to respond to anaphylaxis, and 83.7% did not possess an epinephrine auto-injector. Preventive measures at home were inconsistently applied, and 41.1% took no precautions when eating out. Communication with external caregivers was often informal or absent. Only 33% updated physicians regularly. : The findings reveal significant gaps in parental preparedness and highlight critical areas for educational intervention. Enhanced caregiver training, standardized communication protocols, and improved clinical follow-up are essential to strengthen pediatric FA management and safety.
食物过敏（FA）在儿科护理中日益受到关注，需要有效的回避策略和及时的应急反应。照顾者的作用对于FA的日常管理至关重要。本研究旨在评估父母关于儿科FA管理的知识、准备情况和行为，重点关注预防和应急准备。
2024年12月至2025年4月，通过意大利儿科过敏与免疫学学会（SIAIP）推广的SurveyMonkey平台进行了一项横断面调查。这份匿名的结构化问卷通过网络以及在两家意大利大学医院进行分发。共分析了129份来自FA患儿照顾者的完整回复。该调查探讨了自我认知的知识、症状识别、预防措施、应急准备和沟通方式。
只有9.3%的父母认为自己“非常了解”，而54.3%的父母表示知识有限或一无所知。只有16.0%的人能识别过敏反应的所有症状，只有24.0%的人能区分轻度反应和过敏反应。值得注意的是，67.4%的人表示不知道如何应对过敏反应，83.7%的人没有肾上腺素自动注射器。在家中的预防措施执行不一致，41.1%的人外出就餐时不采取任何预防措施。与外部照顾者的沟通通常不规范或不存在。只有33%的人定期向医生更新情况。
研究结果揭示了父母准备方面的重大差距，并突出了教育干预的关键领域。加强照顾者培训、标准化沟通协议以及改善临床随访对于加强儿科FA管理和安全性至关重要。
