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Prevention and Management of Anaphylaxis in Schools: The Challenge of Policy and Practice

机译:学校过敏性反应的预防和管理:政策和实践的挑战

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摘要

Background: Increasingly, allergy practitioners are being asked by parents and school staff to advise on the prevention and management of food allergy when affected children are enrolled in child care or school. This has compelled health practitioners to have a role in advocating for the special needs of the food-allergic child. School policy needs to be formulated and implemented so that a food-allergic child can safely attend school. Methods: A review of the available guidelines for the prevention and first aid management of anaphylaxis in schools. A description of a successful program instituted in South Australia with a description of key issues relating to school policy and practice. Results: School staff have a duty of care towards children attending school, which should extend to food allergy prevention and first aid management. Reasonable and practical steps need to be established, including documenting which children are at increased risk of anaphylaxis, instituting anaphylaxis action and health support plans, and providing education and training. Monitoring of the program needs to be ongoing to assure consistent and quality training and to document episodes of anaphylaxis occurring at schools. Conclusion: Health practitioners will be called on to support individual children but may also be asked to contribute to the formulation and implementation of school policy. This can be a both challenging and rewarding experience.
机译:背景:越来越多的父母和学校工作人员要求过敏症从业者在受影响的儿童入读托儿所或学校时就食物过敏的预防和管理提供建议。这迫使卫生从业人员在倡导食物过敏儿童的特殊需求中发挥作用。需要制定和执行学校政策,以便食物过敏的孩子可以安全地上学。方法:审查学校中预防过敏反应的现有指南。描述了在南澳大利亚州制定的成功计划,并描述了与学校政策和实践有关的关键问题。结果:学校工作人员对上学的孩子有责任,应扩大到食物过敏的预防和急救管理。需要建立合理和实际的步骤,包括记录哪些儿童有过敏反应的风险增加,制定过敏反应行动和健康支持计划以及提供教育和培训。需要对计划进行持续监控,以确保培训的质量和一致性,并记录学校发生的过敏反应。结论:将呼吁卫生从业人员支持个别儿童,但也可能被要求为制定和实施学校政策做出贡献。这可能是既具有挑战性又有益的经验。

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