Food allergy in schools: concerns for allergists, pediatricians, parents, and school staff

Abstract

To examine the most effective ways to manage allergic reactions in schools. The Food Allergy & Anaphylaxis Network Web site and federal laws. The author's expert opinion was used to select information for inclusion in this article. Most schools do not have a full-time nurse; therefore, school staff should be trained to identify and minimize risks and handle a food allergy reaction if one occurs. A delay in administration of epinephrine is believed to be a factor in some food allergy-induced fatal anaphylaxis episodes in schools. All schools should develop a plan for recognizing and quickly treating a food allergy reaction. The plan should be custom made for each student, with information and guidance from the child's physician, and updated as the child matures. The school's policy for handling an allergic emergency should be reviewed and practiced regularly so that everyone knows what to do as quickly as possible. Managing food allergies in schools requires a team effort among the child's parents, school staff, and the child's physician.