[Nihon kōshū eisei zasshi] Japanese journal of public health
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Nihon Koshu Eisei Zasshi · Jan 2019
Comparative Study[Actual status of children with food allergies and food provision at residential nurseries and children's care homes: Comparison of groups using and not using guidelines or manuals].
Objectives To elucidate the actual status of children with food allergies and the measures of allergy-appropriate food provisions at residential nurseries and children's care homes. We also compared institutions that used guidelines, manuals, etc. with those that did not. Methods Self-administered questionnaires were administered to residential nurseries and children's care homes in Japan. ⋯ In addition, strong correlations were found for the following: children who experienced anaphylactic shock during the previous 3 years (9.72) and children admitted without confirmation of a food allergy (3.12). Conclusions When rule-based approaches were established, the preparation of information collection forms, revision of information, and reporting of food provision mistakes proceeded more efficiently than when rule-based approaches were not used. Although the prevalence of children experiencing anaphylactic shock and the cases in which information was not confirmed at admission were higher in the institutions using guidelines, this survey revealed that when guidelines were followed, appropriate measures were taken after the admission of children to the institution and that physicians' medical diagnoses were obtained.