THE STATUS OF ADMISSION TO FACILITIES FOR CHILDREN WITH FOOD ALLERGIES

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  • Hayashi Noriko
    Department of Health and Nutrition, Jumonji University Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital
  • Yanagida Noriyuki
    Department of Pediatrics, NHO Sagamihara National Hospital
  • Ogura Kiyotake
    Department of Pediatrics, NHO Sagamihara National Hospital
  • Takahashi Kyohei
    Department of Pediatrics, NHO Sagamihara National Hospital
  • Park Summi
    Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital
  • Watanabe Yasuko
    Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital
  • Sasaki Kemal
    Department of Food and Health Sciences, Jissen Women's University
  • Sato Sakura
    Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital
  • Ebisawa Motohiro
    Clinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital

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Other Title
  • 食物アレルギー児の保育所受け入れ状況等に関する実態調査
  • ショクモツ アレルギージ ノ ホイクジョ ウケイレ ジョウキョウ トウ ニ カンスル ジッタイ チョウサ

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Abstract

<p>Background: To clarify the status of admission to facilities for food allergy (FA) children.</p><p>Methods: Guardians of FA children who underwent oral food challenges at Sagamihara National Hospital from September to December 2018 were enrolled. We surveyed the experience of refusal to enter facilities, the reason for refusal and so on using a self-administered questionnaire.</p><p>Results: We distributed a questionnaire to 205 guardians, of which 168 responded (response rate 82%). The median age (range) at the time of the survey was 4.5 (0 to 12) years old, 2 (1 to 11) food items had been removed at the time of admission, and 56 (33%) had a history of anaphylaxis before admission. Twenty-nine patients (17%) were prescribed an adrenaline auto injector. Twenty patients (12%) had been denied entry, the median number of refusals (range) was 1.5 (1 to 30). History of anaphylaxis before admission (odds ratio 2.80 [1.08-7.22]) and having 5 or more causative foods (odds ratio 3.44 [1.27-9.32]) were associated with admission refusal. 〔‘ Factors related to children with FA〕, 〔Factors related to facilities〕, and 〔Factors related to facility staff〕 were extracted as the reasons for refusal.</p><p>Conclusions: In addition to the factors related to children with FA, the factors related to facilities and facility staff were related to admission refusal. Therefore, cooperation between medical care, local governments, and facility that comprehensively supports the living environment of children with FA is needed.</p>

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