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Anaphylaxis in Schools: Results of the EPIPEN4SCHOOLS Survey Combined Analysis.
Pediatric Allergy, Immunology, and Pulmonology ( IF 0.9 ) Pub Date : 2017-03-08 , DOI: 10.1089/ped.2016.0675
Martha V White 1 , Susan L Hogue 2 , Dawn Odom 2 , Darryl Cooney 2 , Jennifer Bartsch 2 , Diana Goss 2 , Kelly Hollis 2 , Christopher Herrem 3 , Suyapa Silvia 2
Affiliation  

A pilot survey described the characteristics of anaphylactic events occurring in an initial set of participating U.S. schools during the 2013-2014 school year. This survey was subsequently readministered to large school districts, which were underrepresented in initial results. A cross-sectional survey was administered to the U.S. schools that were participating in the EPIPEN4SCHOOLS® program (Mylan Specialty L.P., Canonsburg, PA) to assess characteristics of anaphylactic events. Data from large school districts were added to initial findings in this comprehensive combined analysis. A total of 1,140 anaphylactic events were reported among 6,574 responding schools. Of 1,063 anaphylactic events with data on who experienced the event, it was observed that it occurred mostly in students (89.5%, 951/1,063). For students, anaphylactic events were reported across all grades, with 44.9% (400/891) occurring in high school students, 18.9% (168/891) in middle school students, and 32.5% (290/891) in elementary school students. Food was identified as the most common trigger (60.1%, 622/1,035). A majority of schools (55.0%, 3,332/6,053) permitted only the school nurse and select staff to administer epinephrine to treat anaphylaxis. The unpredictability of anaphylaxis is emphasized by its high occurrence in individuals with no known allergies (25.0%). A majority of schools permitted only the school nurse and select staff to treat anaphylaxis. Thus, individuals experiencing an anaphylactic event may frequently encounter staff members not being permitted to administer potentially life-saving epinephrine. Epinephrine auto-injectors provided by the EPIPEN4SCHOOLS program were used to treat 38.0% of events. Anaphylaxis can occur in children with no previously known allergies, illustrating the importance of public access to epinephrine.

中文翻译:

学校过敏性反应:EPIPEN4SCHOOLS调查综合分析的结果。

一项试点调查描述了在2013-2014学年期间,在最初参与的美国学校中发生的过敏反应事件的特征。随后,该调查被重新分配到了大学校区,而在最初的结果中,该学区的代表性不足。对参加EPIPEN4SCHOOLS®计划(美国宾夕法尼亚州佳能斯堡Mylan Specialty LP)计划的美国学校进行了横断面调查,以评估过敏性事件的特征。在这个全面的综合分析中,来自大型学区的数据被添加到了最初的发现中。在6,574所回应学校中,共报告了1,140例过敏反应事件。在1,063例过敏反应事件中,有关于谁经历过该事件的数据,观察到它主要发生在学生中(89.5%,951 / 1,063)。对于学生,据报告,所有年级都有过敏反应事件,其中高中生为44.9%(400/891),中学生为18.9%(168/891),小学生为32.5%(290/891)。食物被确定为最常见的诱因(60.1%,622 / 1,035)。大多数学校(55.0%,3,332 / 6,053)仅允许学校护士和部分员工使用肾上腺素治疗过敏性反应。过敏反应的不可预测性是由于它在没有已知过敏反应的个体中的高发生率(25.0%)所致。大多数学校只允许学校护士和特聘人员治疗过敏反应。因此,发生过敏反应事件的个人可能经常遇到不允许其管理可能挽救生命的肾上腺素的工作人员。EPIPEN4SCHOOLS程序提供的肾上腺素自动注射器用于治疗38.0%的事件。过敏反应可能发生在以前没有已知过敏症的儿童中,这说明公众获得肾上腺素的重要性。
更新日期:2019-11-01
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