The effect of provision of an adrenaline autoinjector on quality of life in children with food allergy

Alternatively, other expert guidelines suggest more selective prescribing of AAIs to children who have had a systemic allergic reaction to a food and one or more risk factors for anaphylaxis or fatal anaphylaxis.6,7 While the decision to provide an AAI will depend on the practice patterns in each country, our findings emphasize that physicians should take into account the risks of having an AAI (diminished QOL) versus benefits (preparedness for treating a potential life-threatening event). A reasonable approach may be to recommend an AAI if (1) there is a history of anaphylaxis or (2) there is a generalized reaction and one or more risk factors for anaphylaxis or fatal anaphylaxis (such as a history of asthma, adolescent or young adult, tree nut or peanut allergy, or geographic remoteness from medical care).8 Provision of an AAI may be avoided if there is no history of previous allergic reaction to a food and diagnosis of food allergy has been made solely on the basis of positive food-specific IgE alone. [...]the decision to prescribe an AAI is not fixed and can be reviewed at regular intervals.\n60 Yes 17 3.44 (0.31)