Related Experiment Video
Updated: Jun 6, 2025
Mouse Body Temperature Measurement Using Infrared Thermometer During Passive Systemic Anaphylaxis and Food Allergy Evaluation
Published on: September 14, 2018
Acceptance of food allergic children in Japanese childcare facilities
Keiko Shimazaki1, Keiko Tsukasaki2, Kaoru Kyota2
1Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan.
Insights
Childcare facilities that enhance their food allergy management systems and collaborate with healthcare organizations show greater willingness to accept children requiring epinephrine. Strengthening these systems ensures safer community integration for children with food allergies.
Area of Science:
- Pediatric Allergy and Immunology
- Public Health and Childcare Management
- Emergency Medicine Preparedness
Background:
- Effective food allergy management systems are crucial for childcare facilities to accommodate children requiring epinephrine.
- The link between a facility's management system and its acceptance of epinephrine-treated children remains unclear.
- Cooperation with local health and medical institutions is hypothesized to increase facility willingness to accept epinephrine-treated children.
Purpose of the Study:
- To determine the current status of epinephrine acceptance in Japanese childcare facilities.
- To identify factors influencing childcare facilities' willingness to accept children requiring epinephrine.
Main Methods:
- A nationwide survey of 686 childcare facilities in Japan was conducted between May and June 2021.
- Facilities were categorized based on their willingness to accept epinephrine-treated children.
- Univariate analysis compared facility attributes, food allergy management systems, and cooperation with relevant organizations.
Main Results:
- Out of 162 surveyed centers, 18.2% currently accepted epinephrine-treated children, while 74.7% expressed willingness to do so.
- Key factors associated with willingness included satisfaction with the food allergy management system, availability of childcare consulting agencies, and strong collaboration with healthcare organizations.
- Significant differences were observed in these factors between facilities willing and unwilling to accept epinephrine-treated children.
Conclusions:
- Strengthening childcare facility management systems is vital for the safe community integration of children requiring epinephrine.
- Enhanced cooperation with healthcare institutions and relevant organizations is essential for improving acceptance rates.
- These improvements support the well-being and inclusion of children with food allergies in childcare settings.
Background:
Food allergy management systems are important for childcare facilities to accept children with food allergies prescribed epinephrine (epinephrine-treated children). The relationship between the food allergy management system of a childcare facility and the willingness of children attending the facility to accept epinephrine is unclear. We believe that childcare facilities that cooperate with local health and medical institutions are more willing to accept children receiving epinephrine.
Objective:
This study aimed to clarify the actual situation of epinephrine acceptance in children attending childcare facilities across Japan and the factors associated with their willingness to accept them.
Methods:
Between May and June 2021, 686 childcare facilities across Japan were selected and surveyed. To analyze the factors related to the willingness to accept epinephrine children attending childcare facilities, the facilities were classified into 2 groups, "willingness to accept" and "no willingness to accept," and their attributes and characteristics, food allergy management system, cooperation with relevant organizations and ability to cooperate were compared by univariate analysis.
Results:
A questionnaire-based survey of 162 centers revealed that 18.2% of the centers had accepted children receiving epinephrine and 74.7% were willing to accept them. There was a significant association between the willingness to accept epinephrine in children and satisfaction with the food allergy management system, availability of childcare consulting agencies, and ability to work with healthcare organizations, which differed.
Conclusion:
The results highlight the importance of strengthening the management system of facilities and cooperating with relevant institutions for epinephrine children to live safely in the community.
Related Concept Videos
02:06Allergic Reactions
01:27Allergic Drug Reactions
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
00:55Parental Care
00:42Cross-reactivity