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Inicio Allergologia et Immunopathologia Anaphylaxis at school. Are we prepared? Could we improve?
Journal Information
Vol. 48. Issue 4.
Pages 384-389 (July - August 2020)
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Vol. 48. Issue 4.
Pages 384-389 (July - August 2020)
Original Article
DOI: 10.1016/j.aller.2019.10.006
Anaphylaxis at school. Are we prepared? Could we improve?
L. Rodríguez Ferrana,
Corresponding author

Corresponding author.
, N. Gómez Tornerob, N. Cortés Álvareza, F. Thorndike Piedraa
a Paediatric Allergy Unit, Department of Paediatrics, Hospital Universitari Mútua de Terrassa, Spain
b Department of Paediatrics, Rambla Primary Care Centre, Terrassa, Spain
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Figures (1)
Tables (2)
Table 1. Frequency of correct answers referring to knowledge of food allergy and anaphylaxis in the pre-training questionnaire.
Table 2. Frequency of previous failures detected in the post-training questionnaire.
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Additional material (2)
Introduction and objectives

Food allergy is a highly prevalent disorder. Anaphylaxis is the most serious consequence, and reactions often occur in schools. In the event of anaphylactic reaction prompt treatment is key and should be initiated by school personnel. The aim of this study was to assess the level of knowledge of the management of anaphylaxis, and to determine if it improves after a training session among school staff.

Materials and Methods

Descriptive study carried out by means of a pre-and post-training questionnaire completed by participants before and after a training session held at the school. Data from the same participants before and after the educational session were compared using McNemar’s test.


Three schools were enrolled (with a total of 38 children with food allergy) and 53 participants (85% teachers, 15% canteen staff) were trained. In the pre-training surveys, 83% said they had a Student’s Allergic Reaction Management Plan, 56% had met with parents, 83% recognised some symptoms of allergic reaction but only 41% recognised anaphylaxis, 16% knew when to use adrenaline, 15% knew how to use it and 19% knew how to act after administering it. In the post-training questionnaires, 100% were satisfied and believed they had improved their knowledge, 93% recognised anaphylaxis and 95% the treatment of choice.


Prior to the intervention their knowledge was insufficient, but it improved considerably after simple training. It also increased the confidence of the staff, which will be decisive when responding to an anaphylactic reaction. We believe that a compulsory training programme should be implemented universally in all schools.

Adrenaline auto-injector


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