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Administration of the adrenaline auto-injector at the nursery/kindergarten/school in Western Japan

Seigo Korematsu1, Michiko Fujitaka2, Mika Ogata2

  • 1West Japan Research Society Pediatric Clinical Allergy, Fukuoka 811-1394, Japan.; Oita University Faculty of Medicine, Oita 879-5593, Japan.

Asia Pacific Allergy
|February 4, 2017
PubMed

Insights

Emergency treatment for food allergies is crucial as anaphylaxis can occur rapidly. Hesitation in administering adrenaline auto-injectors in schools delays critical care for children, highlighting the need for better training and cooperation.

Area of Science:

  • Pediatric Allergy and Immunology
  • Emergency Medicine
  • Public Health

Background:

  • Rising prevalence of food allergies necessitates emergency preparedness in childcare and educational settings.
  • Anaphylaxis, a severe allergic reaction, requires prompt intervention.

Purpose of the Study:

  • To assess the current practices and challenges of adrenaline auto-injector administration in Japanese nurseries, kindergartens, and schools.
  • To identify barriers to timely anaphylaxis treatment in educational environments.

Main Methods:

  • A 2015 questionnaire survey was distributed to 421 pediatric physicians in Western Japan.
  • Data collected focused on adrenaline auto-injector prescriptions and administration in school settings.

Main Results:

  • 160 physicians reported prescribing adrenaline auto-injectors; 6% of patients received administration in the past year.
  • Guardians administered the device most frequently; 79% of physicians reported non-administration incidents.
  • Hesitation regarding the timing of administration was the primary reason for non-administration.

Conclusions:

  • Delayed adrenaline auto-injector administration by guardians can critically impede anaphylaxis treatment.
  • Enhanced education and collaboration between healthcare providers and school staff are vital to prevent adverse outcomes in children experiencing anaphylaxis.
Abstract

Keywords:
Adrenaline auto-injectorAnaphylaxisKindergartenNurseriesSchools

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