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Updated: Oct 2, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
[Management of children with a food allergy and the Individualized Reception Plan]
Insights
Effective management of childhood food allergies relies on accurate risk assessment and education. The Individualized Risk Protocol (IRP) aims to prevent anaphylaxis and exclusion by providing emergency plans and training for schools.
Area of Science:
- Pediatric Allergy and Immunology
- Public Health and Safety
Context:
- Managing childhood food allergies presents significant challenges.
- Effective risk management is crucial for preventing severe allergic reactions, particularly anaphylaxis.
- Current protocols are often school-based but need broader application.
Purpose:
- To outline the importance of accurate diagnosis and risk assessment in managing food allergies.
- To detail the components and goals of the Individualized Risk Protocol (IRP) for schools.
- To emphasize the need for comprehensive emergency preparedness and staff training.
Summary:
- The Individualized Risk Protocol (IRP) is essential for managing children with food allergies, focusing on risk determination through precise diagnosis and check-ups.
- IRP implementation in schools includes emergency intervention protocols (first-aid kits, instructions) and training for staff to prevent anaphylaxis and social exclusion.
- Key stakeholders, including parents and school officials, share responsibility for IRP application, with specific protocols like the ANAPEN auto-injector used when necessary.
Impact:
- Enhances the safety of children with food allergies in educational settings.
- Reduces the risk of anaphylaxis and promotes social inclusion for allergic students.
- Establishes a framework for collaboration among healthcare providers, educators, and families.
Abstract:
Management of children with a food allergy can be difficult, because it depends in practice on several factors (the anaphylactic aspect of the allergen first). The success of this undertaking follows from the good education to manage the allergic risk. So, this undertaking is mainly based on the determining of the allergic risk. This risk is itself determined by a diagnosis and an allergic check-up which has to be as pertinent as possible. For the time being, the IRP is applicable at school, but its measures have to cover all the places where the child can be away from his family. Its two main goals are to fight against exclusion and to avert the anaphylactic risk, putting a protocol for urgent intervention (first-aid kit and its instructions leaflet) at disposal at school, and training the scholar catering staff and the teachers in schools. We can distinguish some indisputable indications and others depending on the allergist's assessment (interest of the oral food challenge and an "Allergo-vigilance" used for example by the CICBAA). The parents of a child with a food allergy, the allergy physician, the National Education physician, the headmaster, are responsible for the application of the IRP. In Nantes, every IRP which needs adrenalin includes an auto-injectible pen, ANAPEN, according to a temporary authorization of use protocol.
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