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 co...

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Veröffentlicht in:Journal of allergy and clinical immunology 2013-01, Vol.131 (1), p.238-240.e1
Hauptverfasser: Pinczower, Gideon D., MBBS, FRACP, PhD, Bertalli, Nadine A., BHSci(Hons), GDipEpi&Biostats, Bussmann, Neiden, MB, BCh, BAO, Hamidon, Melisa, MB, BCh, BAO, Allen, Katrina J., MBBS, FRACP, PhD, DunnGalvin, Audrey, PhD, MSc, Hourihane, Jonathan O'B., MB, FRCPI, FAAAI, DM, Gurrin, Lyle C., PhD, Tang, Mimi L.K., MBBS, FRACP, FRCPA, FAAAAI, PhD
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container_title Journal of allergy and clinical immunology
container_volume 131
creator Pinczower, Gideon D., MBBS, FRACP, PhD
Bertalli, Nadine A., BHSci(Hons), GDipEpi&Biostats
Bussmann, Neiden, MB, BCh, BAO
Hamidon, Melisa, MB, BCh, BAO
Allen, Katrina J., MBBS, FRACP, PhD
DunnGalvin, Audrey, PhD, MSc
Hourihane, Jonathan O'B., MB, FRCPI, FAAAI, DM
Gurrin, Lyle C., PhD
Tang, Mimi L.K., MBBS, FRACP, FRCPA, FAAAAI, PhD
description 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)
doi_str_mv 10.1016/j.jaci.2012.09.038
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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. 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subjects Allergic diseases
Allergies
Allergy and Immunology
Biological and medical sciences
Child
Child, Preschool
Confounding Factors (Epidemiology)
Dermatitis
Digestive allergic diseases
Epinephrine - administration & dosage
Female
Food allergies
Food Hypersensitivity - epidemiology
Food Hypersensitivity - prevention & control
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Immunopathology
Infant
Infant, Newborn
Injections, Intramuscular
Male
Medical sciences
Peanuts
Quality of Life
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Surveys and Questionnaires
title The effect of provision of an adrenaline autoinjector on quality of life in children with food allergy
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