Abstract
BackgroundTeenagers with allergies are at particular risk of severe and fatal reactions, but epinephrine auto-injectors are not always carried as prescribed. We investigated barriers to carriage.MethodsPatients aged 12-18 years old under a specialist allergy clinic, who had previously been prescribed an auto-injector were invited to participate. Semi-structured interviews explored the factors that positively or negatively impacted on carriage.ResultsTwenty teenagers with food or venom allergies were interviewed. Only two patients had used their auto-injector in the community, although several had been treated for severe reactions in hospital. Most teenagers made complex risk assessments to determine whether to carry the auto-injector. Most but not all decisions were rational and were at least partially informed by knowledge. Factors affecting carriage included location, who else would be present, the attitudes of others and physical features of the auto-injector. Teenagers made frequent risk assessments when deciding whether to carry their auto-injectors, and generally wanted to remain safe. Their decisions were complex, multi-faceted and highly individualised.ConclusionsRather than aiming for 100% carriage of auto-injectors, which remains an ambitious ideal, personalised education packages should aim to empower teenagers to make and act upon informed risk assessments.
Highlights
Teenagers with allergies are at particular risk of severe and fatal reactions, but epinephrine autoinjectors are not always carried as prescribed
Teenagers are at particular risk with the peak incidence of deaths from anaphylaxis associated with peanut and tree nut allergy occurring in the 15 to 24 age group [4]
Implications Our study demonstrates that the reasons for teenagers not carrying or using their epinephrine auto-injectors are multifaceted and complex
Summary
Teenagers with allergies are at particular risk of severe and fatal reactions, but epinephrine autoinjectors are not always carried as prescribed. First line treatment of Previous studies in our clinic suggest that teenagers and young adults take risks when managing their allergies [6,7,8,9,10]. They do not always carry their emergency medication, eat foods labelled with “may contain” warnings, and don’t tell the people around them about their allergies. Absence of an auto-injector was found to be a common factor in anaphylactic fatalities in USA [11]
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