Anaphylaxis in schools and other child-care settings--the situation in France.
The American Academy of Allergology and Clinical Immunology joined to the Canadian Society published in August 1998 guidelines for the management of anaphylaxis in schools. The authors assess the situation in France. An emergency health care form entitled "Projet d'Accueil Individualisé", is carried out by allergologists, and countersigned by the physician in charge of the School Health Department. The clinical symptoms that may occur, are described, as well as the incriminated foods to be avoided, the treatment to be used, the content of the mergency kit. Epinephrine is the first drug to be used. Beta adrenergic drugs are advised on the account of severe attacks of asthma. School lunches being not safe are not allowed. Civil society's liability is a question that has not yet been solved.
Moneret-Vautrin
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DA
Hôpital Central, Nancy, France.
Kanny
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D000293:Adolescent; D000336:Aerosols; D000707:Anaphylaxis / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001249:Asthma / Q000453:epidemiology / Q000628:therapy; D002648:Child; D002656:Child Day Care Centers / Q000706:statistics & numerical data; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D005178:Faculty; D005392:First Aid / Q000379:methods* / Q000592:standards; D005512:Food Hypersensitivity / Q000150:complications; D005522:Food Services / Q000592:standards; D005568:Forms and Records Control; D005602:France / Q000453:epidemiology; D017408:Guidelines as Topic; D006801:Humans; D012306:Risk; D012574:Schools / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology
D000336:Aerosols; D018927:Anti-Asthmatic Agents; D004837:Epinephrine