Preventing food allergy fatalities.
Ru-Xin FoongNandinee B PatelPaul J TurnerGraham C RobertsAdam T FoxPublished in: Archives of disease in childhood (2023)
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.
Keyphrases
- end stage renal disease
- newly diagnosed
- ejection fraction
- risk factors
- chronic kidney disease
- healthcare
- primary care
- prognostic factors
- peritoneal dialysis
- heart failure
- gene expression
- machine learning
- physical activity
- mental health
- electronic health record
- dna methylation
- climate change
- quality improvement
- human health
- drug induced