The prevalence of food allergies, with associated risk for anaphylaxis, has increasingly become a significant public health concern with copious and pervasive implications for patients, families, clinical health care professionals, researchers, and society at large. While potential treatments for food allergy are being explored through clinical research trials, there is currently no widespread scientifically proven cure available. Daily management of this atopic disorder consists of strict avoidance of the offending allergen. Subsequently, many families make concerted, burdensome efforts to create an allergen-controlled home environment. When children with food allergies start elementary school, this transition can be quite anxiety provoking for parents/caregivers. Schools may be perceived as allergen ubiquitous settings coupled with staff having varying awareness and training regarding food allergy and anaphylaxis. Clinical nurse educators, clinical nurse case managers, and other members of the primary care and/or specialty clinic teams can play a critical role in spanning the informational gap between clinic and school community. Ongoing collaboration between clinic team members with school nurse coordinators, school administrators, and other members of the school health services team may serve to minimize fragmentation of patient care, maximize ease of the child’s school entry transition, expand food allergy/anaphylaxis educational opportunities, and provide support to school nurse colleagues.
SampsonH. Epidemiology of food allergy. Pediatr Allergy Immunol. 1996;7(9 suppl):42-50.
2.
BoyceJAAssa’adABurksAW. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol. 2010;126(6 suppl):S1-S58.
BeyerKBardinaLGrishinaGSampsonH. Identification of sesame seed allergens by 2-dimensional proteomics and Edman sequencing: seed storage proteins as common food allergens. J Allergy Clin Immunol. 2002;110:154-159.
5.
SichererSMahrT. American Academy of Pediatrics Section on Allergy and Immunology. Management of food allergy in the school setting. Pediatrics. 2010;126:1232-1239.
6.
GuptaRSpringstonEWarrierM. The prevalence, severity and distribution of childhood food allergy in the United States. Pediatrics. 2011;128:e9-e17.
7.
SichererSHMunoz-FurlongAGodboldJHSampsonHA. US prevalence of self-reported peanut, tree nut, and sesame allergy: 11-year follow-up. J Allergy Clin Immunol. 2010;125:1322-1326.
8.
PrescottSAllenKJ. Food allergy: riding the second wave of the allergy epidemic. Pediatr Allergy Immunol. 2011;22:155-160.
9.
SichererSH. Epidemiology of food allergy. J Allergy Clin Immunol. 2011;127:594-602.
10.
SichererSHSampsonHA. Peanut allergy: emerging concepts and approaches for an apparent epidemic. J Allergy Clin Immunol. 2007;120:491-503.
11.
RussellAFGosbeeLLHuberMM. Part 2: pertinent food allergy education in a pediatric ambulatory care setting with a focus on anaphylaxis. J Asthma Allergy Educators. 2012;3:162-171.
12.
SimonsFER. Anaphylaxis, killer allergy: long-term management in the community. J Allergy Clin Immunol. 2006;117:367-377.
13.
EllisAK. Biphasic anaphylaxis: a review of the incidence, characteristics and predictors. Open Allergy J. 2010;3:24-28.
SampsonHA. Anaphylaxis and emergency treatment. Pediatrics. 2003;111:1601-1608.
16.
SampsonHAMendelsonLRosenJP. Fatal and near-fatal anaphylactic reactions to food in children. N Engl J Med. 1992;327:380-384.
17.
MugicaMAnibarroB. Involvement of hidden allergens in food allergic reactions. J Investig Allergol Clin Immunol. 2007;17:168-172.
18.
PuglisiGFrieriM. Update on hidden food allergens and food labeling. Allergy Asthma Proc. 2007;28:634-639.
19.
PierettiMChungDPacenzaRSlotkinTSichererS. Audit of manufactured products: use of allergen advisory labels and identification of labeling ambiguities. J Allergy Clin Immunol. 2009;124:337-341.
GroetchMSampsonH. Management of food allergy. In: LeungDSampsonHGehaRSzeflerS, eds. Pediatric Allergy: Principles and Practice. Philadelphia, PA: Elsevier; 2010:540-551.
24.
RussellAFGosbeeLLHuberMM. Part 1: pertinent food allergy education in a pediatric ambulatory care setting in the newly diagnosed patient. J Asthma Allergy Educators. 2012;3:146-161.
25.
Munoz-FurlongA. Daily coping strategies for patients and their families. Pediatrics. 2003;111(6pt 3):1654-1661.
Taylor-BlackSWangJ. Food allergy, asthma and anaphylaxis. Pediatr Asthma. 2012;1:159-170.
29.
KewalramaniABollingerM. The impact of food allergy on asthma. J Asthma Allergy. 2010;28(3):65-74.
30.
PulciniJMSeaseKKMarshallGD. Disparity between the presence and absence of food allergy action plans in one school district. Allergy Asthma Proc. 2010;31:141-146.
31.
LeoHLClarkNM. Managing children with food allergies in childcare and school. Curr Allergy Asthma Rep. 2007;7:187-191.
32.
AAAAI Board of Directors, American Academy of Allergy, Asthma and Immunology. Anaphylaxis in schools and other childcare settings. J Allergy Clin Immunol. 1998;102:173-176.
33.
DibsSBakerM. Anaphylaxis in children: a 5-year experience. Pediatrics. 1997;99:e7.
34.
NovembreECianferoniABernardiniR. Anaphylaxis in children: clinical and allergic features. Pediatrics. 1998;101:E8.
35.
SichererSHFurlongTJDeSimoneJSampsonHA. The U.S. peanut and tree nut allergy registry: characteristics of reactions in schools and child care. J Pediatr. 2001;138:560-565.
36.
SheetzAHGoldmanPGMillettK. Guidelines for managing life-threatening food allergies in Massachusetts schools. J Sch Health. 2004;74:155-160.
37.
Massachusetts Department of Education. Managing life-threatening food allergies in the schools. http://www.doe.mass.edu/cnp/allergy.pdf. Accessed February 5, 2013.
GregoryN. The case for stock epinephrine in schools. NASN School Nurse. 2012;27:222-225.
46.
McIntyreCSheetzACarrollCYoungM. Administration of epinephrine for life-threatening allergic reactions in school settings. Pediatrics. 2005;116:1134-1140.
American Academy of Pediatrics Committee on School Health. The role of the school nurse in providing school health services. Pediatrics. 2001;108:1231-1232.
57.
GreenRReffelJ. Comparison of administrators’ and school nurses’ perception of the school nurse role. J Sch Nurs. 2009;25:62-71.
KastnerMHaradaLWasermanS. Gaps in anaphylaxis management at the level of physicians, patients, and the community: a systematic review of the literature. Allergy. 2010;65:435-444.
60.
GuptaRSKimJSSpringstonEE. Food allergy knowledge, attitudes and beliefs in the United States. Ann Allergy Asthma Immunol. 2009;103:43-50.
61.
YoungMCMunoz-FurlongASichererSH. Management of food allergies in schools: a perspective for allergists. J Allergy Clin Immunol. 2009;124:175.e4-182.e4.
62.
WeissCMunoz-FurlongAFurlongTArbitJ. Impact of food allergies on school nursing practice. J Sch Nurs. 2004;20:268-278.
63.
NielsenWLindseyK. When there is no school nurse are teachers prepared for students with peanut allergies?School Nurse News. 2010;27:12-15.
64.
RussellAF. Personal documentation: Food Anaphylaxis Education, Inc., 2002 School Survey Notes.
65.
GosbeeLL. Chronic disease management: improving continuity of care with human factors engineering. Paper presented at: Proceedings of the Human Factors and Ergonomics Society Annual Meeting; 2010;54:919-923.
66.
LiebermanJSichererS. Quality of life in food allergy. Curr Opin Allergy Clin Immunol. 2011;11:236-242.
67.
ShemeshEAnnunziatoRAAmbroseMA. Child and parental reports of bullying in a consecutive sample of children with food allergy. Pediatrics. 2013;131:e10-e17.
68.
LiebermanJWeissCFurlongTJSichererMSichererSH. Bullying among pediatric patients with food allergy. Ann Allergy Asthma Immunol. 2010;105:282-286.
69.
PistinerMLeeJJ. Creating a new community of support for students with food allergies. NASN School Nurse. 2012;261-266.
