Preventing food allergy fatalities
Preventing food allergy fatalities
Fatal anaphylaxis to food is thankfully rare, but every death is a potentially avoidable tragedy. Usually, there will be a coronial inquest to establish the 'how and why' for each death. Reviewing these food allergy-related deaths identifies a number of common themes and risk factors. While some are non-modifiable (such as age, gender and ethnicity), others are and include delayed epinephrine administration and communication difficulties in allergen avoidance. This review highlights the key messages in food allergy-related fatality prevention for healthcare professionals and patients alike, and where available, we explain the evidence behind such recommendations. We describe the data behind the good practice points to facilitate their adoption in routine practice without generating additional anxiety for what is a comparatively rare event. We also propose an information leaflet for patients and carers, developed with patients and endorsed by two major allergy charities, to facilitate dissemination of the recommendations in this review.
Allergy and Immunology, Paediatric Emergency Medicine, Paediatrics
698-702
Foong, Ru-Xin
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Patel, Nandinee B.
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Turner, Paul
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Roberts, Graham C.
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Fox, Adam T.
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Foong, Ru-Xin
e0631c80-dcb3-49e9-8965-b6a1a71d0c78
Patel, Nandinee B.
673903a8-749f-45b9-88d2-d31e4f3008dd
Turner, Paul
7c0fbc62-458f-4122-9039-02cf06aa51e5
Roberts, Graham C.
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Fox, Adam T.
f8964501-ad42-4b81-a987-b1e74b5ee182
Foong, Ru-Xin, Patel, Nandinee B., Turner, Paul, Roberts, Graham C. and Fox, Adam T.
(2023)
Preventing food allergy fatalities.
Archives of Disease in Childhood, 108 (9), , [324911].
(doi:10.1136/archdischild-2022-324911).
Abstract
Fatal anaphylaxis to food is thankfully rare, but every death is a potentially avoidable tragedy. Usually, there will be a coronial inquest to establish the 'how and why' for each death. Reviewing these food allergy-related deaths identifies a number of common themes and risk factors. While some are non-modifiable (such as age, gender and ethnicity), others are and include delayed epinephrine administration and communication difficulties in allergen avoidance. This review highlights the key messages in food allergy-related fatality prevention for healthcare professionals and patients alike, and where available, we explain the evidence behind such recommendations. We describe the data behind the good practice points to facilitate their adoption in routine practice without generating additional anxiety for what is a comparatively rare event. We also propose an information leaflet for patients and carers, developed with patients and endorsed by two major allergy charities, to facilitate dissemination of the recommendations in this review.
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More information
Accepted/In Press date: 11 December 2022
e-pub ahead of print date: 23 January 2023
Additional Information:
Funding Information:
PT reports grants from the UK Medical Research Council, NIHR/Imperial BRC and J.M. Charitable Foundation and personal fees from UK Food Standards Agency, Aimmune Therapeutics, Allergenis and Aquestive Therapeutics, outside the submitted work. GCR has received consultant fees from ALK-Abello, Viatris, DBV and AstraZeneca. ATF is a member of the Indedendent Drug Safety Monitoring committee for 2 ALK-Abello commercial trials and has received consultancy fees from Aimmune, GS1 and LG.
Keywords:
Allergy and Immunology, Paediatric Emergency Medicine, Paediatrics
Identifiers
Local EPrints ID: 484838
URI: http://eprints.soton.ac.uk/id/eprint/484838
ISSN: 0003-9888
PURE UUID: 9cc3fe18-81ad-43ce-bc91-661e234674a8
Catalogue record
Date deposited: 22 Nov 2023 17:54
Last modified: 17 Mar 2024 03:02
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Contributors
Author:
Ru-Xin Foong
Author:
Nandinee B. Patel
Author:
Paul Turner
Author:
Adam T. Fox
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