Study: Anaphylaxis More Than Twice as Likely in the Classroom as Cafeteria


According to a study of anaphylactic events that took place during the 2014-2015 school year, almost half occurred in the classroom at a rate more than double that which occurred in the cafeteria.

The study, presented at the annual American Academy of Allergy, Asthma & Immunology meeting in Atlanta last week, correlated survey results of schools participating in Mylan’s EpiPen4Schools program which provided stock EpiPen auto-injectors to more than 60,000 schools.

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The study also determined that 55% of the schools surveyed did not allow teachers to administer epinephrine and only half had a full-time nurse on staff. Students suffering anaphylaxis at these locations may not be administered epinephrine in a timely fashion, of critical importance during a severe reaction.

“This research highlights an opportunity for schools to be better prepared in the event of anaphylaxis,” Susan Hogue, PharmD, MPH, from RTI Health Solutions, told Infectious Diseases in Children. “Having a broader range of staff members trained to recognize anaphylaxis and administer epinephrine would provide better coverage, since anaphylaxis events occur at various locations throughout schools.”

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2,191 anaphylactic events were reported, the majority of which occurred in the classroom (46.6%), followed by the cafeteria (19.9%) and the playground (9.7%).

“Less than half the schools allowed all teachers to administer epinephrine and nearly half did not have a full-time nurse available, indicating that students suffering an anaphylactic attack may not encounter a staff member permitted to administer epinephrine,” Hogue and colleagues wrote.

We at believe all schools should have stock epinephrine on-hand and that faculty and staff be trained to recognize the symptoms of anaphylaxis and administer epinephrine when necessary. It is unconscionable that a child could suffer an anaphylactic episode but not receive life-saving epinephrine because no one is available to administer the drug.

Source: Anaphylactic events in schools more common in classrooms than cafeterias – Healio: Infectious Diseases in Children
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Dave Bloom
Dave Bloom
Dave Bloom is CEO and "Blogger in Chief" of

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