Quelle trousse d’urgence dans l’allergie alimentaire chez l’enfant ?

Abstract

An emergency kit should be envisaged for all children having an IgE-mediated food allergy. The contents should be personalized and adapted to the risk of anaphylaxis. Kits should contain only the essential drugs and should be ready at all times. Absolute indications for the prescription of adrenaline auto-injectors in the food allergy emergency kit are as follows: a history of food anaphylaxis, food allergy (except pollen-food syndrome) and diagnosed asthma. Oral antihistamines and inhaled short-acting action bronchodilators constitute second- or even third-line treatments for anaphylaxis. Oral corticosteroids are of no use in treating the symptoms of anaphylaxis and no scientific studies have proven their efficacy in such settings; as such, except in certain specific cases, they should not be included in emergency kits.