Food-induced anaphylaxis in educational settings: Data from the European anaphylaxis registry

Background: Prevention and management of allergic reactions at school are recognized public health concerns. We analyzed food-induced anaphylaxis (FIA) cases which occurred in education facilities to better understand their management. Methods: FIA cases recorded by the European Anaphylaxis Registry which occurred in (pre-)school settings were descriptively analyzed in a comparative manner to pediatric FIA cases that occurred outside education facilities. Conclusion: Anaphylaxis occurring in educational settings can be severe, with frequent known allergy to the culprit food, peanut as the most frequent elicitor, and adrenaline underuse. Action at the national policy level and cross-country collaborations are required to implement a common approach to protect children in educational settings.