Serious Shortcomings in the Management of Children with Anaphylaxis in Scottish Schools 英文参考文献.docVIP

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Serious Shortcomings in the Management of Children with Anaphylaxis in Scottish Schools 英文参考文献.doc

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Serious Shortcomings in the Management of Children with Anaphylaxis in Scottish Schools 英文参考文献

o PL SMEDICINE SeriousShortcomingsintheManagement ofChildrenwithAnaphylaxisinScottish Schools Kirsty E.Rankin, Aziz Sheikh* DivisionofCommunityHealthSciences,GeneralPracticeSection,UniversityofEdinburgh,Edinburgh,UnitedKingdom Funding:Theauthorsreceived fundingforthisstudyfromthe UniversityofEdinburgh.Thefunders hadnoroleinstudydesign,data collectionandanalysis,decisionto publish,orpreparationofthe manuscript. ABSTRACT Background The United Kingdom incidence of anaphylaxis has increased very sharply over the last decade,withthehighestratesofhospitaladmissionsoccurringinschool-agedchildren.This raisesconcernsabouttheextenttowhichschoolsareawareofapproachestotheprevention andtreatmentofanaphylaxis. CompetingInterests:KERhada schoolfriendwhodiedfrom anaphylaxis.AShasaschool-aged sonwithfood-triggeredanaphylaxis, gaveevidencetotheHealthof CommonsHealthCommitteereview onTheProvisionofAllergyServices,is partoftheDepartmentofHealth AllergyReviewStakeholderGroup, andservesontheScottish MethodsandFindings Weundertookanationalpostalsurveyof250Scottishschoolsenquiringaboutapproaches tomanagingchildrenconsideredtobeatriskofanaphylaxis.Weobtainedresponsesfrom148 (60%)schools,90(61%)ofwhichreportedhavingatleastoneatriskchild.Most(80%)schools withchildrenconsideredtobeatriskreportedhavingpersonalisedcareplansandinvariably reported having at least one member of staff trained in the emergency treatment of anaphylaxis. Access to adrenaline was available on-site in 97% of these schools. However, significantlyfewerschoolswithoutchildrenconsideredtobeatriskreportedhavingatrained memberofstaff(48%,p,0.001),withaccesstoadrenalinebeingverypoor(12%,p,0.001). Overall, 59% of respondents did not feel confident in their school’s ability to respond in an emergencysituation. Executive’sReviewofAllergy ServicesinScotlandWorkingGroup. AcademicEditor:AdnanCustovic, WythenshaweHospital,United Kingdom Citation:RankinKE,SheikhA(2006) Seriousshortcomingsinthe managementofchildrenwith anaphylaxisinSco