Management of Food Allergies in Young Children at a Child Care Center and Hospital in Korean

Won Hee Seo; Eun Young Jang; Young Shin Han; Kang Mo Ahn; Ji Tae Jung

doi:10.7581/pard.2011.21.1.32

Journal List > Pediatr Allergy Respir Dis > v.21(1) > 1033144

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Seo, Jang, Han, Ahn, and Jung: Management of Food Allergies in Young Children at a Child Care Center and Hospital in Korean

Abstract

Pediatr Allergy Respir Dis 2011;21(1):32-38.

Published online: 20 January 2011

DOI: https://doi.org/10.7581/pard.2011.21.1.32

Management of Food Allergies in Young Children at a Child Care Center and Hospital in Korean

Won Hee Seo, M.D., Eun Young Jang, Ph.D.^∗, Young Shin Han, Ph.D.^∗,, Kang Mo Ahn, M.D., Ph.D.^∗, Ji Tae Jung, M.D., Ph.D.

Department of Pediatrics, Korea University College of Medicine, Seoul, Korea

^∗Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

책임저자: 한영신, 서울시 강남구 일원동 50번지삼성서울병원 임상의학 연구소 B255호 Tel: 02)3410-3619 Fax: 02)3410-0043 E-mail: snuhan@gmail.com

Received 8 December 2010 Accepted 14 March 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Methods

1) The survey was conducted in April 2010 in Seoul, Korea. Three hundred forty-five child care centers caring for children between the ages of 0 and 5 years were contacted by mail. The questionnaire was designed to identify symptoms and management of children in child care centers with histories of food allergies. 2) We studied children who were diagnosed with angioedema or anaphylaxis between January 2002 and August 2010 in the ED of Korea University.

Results

1) According to the 345 collected questionnaires, 243 child care centers asked parents about their children's allergic diseases and 492 children had food allergies. A reported 461 children from 207 child care centers had food restrictions. Only 21 child care centers supplied substitute foods with the same amounts and types of nutrients. One hundred forty-five teachers had received education about food allergies. 2) Thirty children were diagnosed with anaphylaxis or angioedema after food ingestion. Only seven children visited a physician after being discharged from the ED.

Purpose

We studied the management of young children with histories of food allergies at child care centers, along with the diagnosis and follow-up management after a visit to a hospital emergency department (ED).

Conclusion

This study identified a lack of food allergy education at child care centers and in homes. Child care centers need to be equipped with knowledge to prevent severe allergic reactions. Also, parents should know more about the importance of food allergies in their children.

Keywords: Food allergy, Young children, Child care center, Emergency department

References

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Fig. 1.

Parentally reported food allergens in the 492 children with food allergies at the 345 participating child care centers.

Fig. 2.

Allergen related to angioedema and anaphylaxis in 30 children who visited emergency department in hospitals of Korea University from Jan 2000 to Aug 2008.

Table 1.

Allergic Diseases of Children Enrolled at Participating 345 Child Care Centers Reported by Parents

Age (yr)	Numbers	Food allergy	Atopic dermatitis	Other allergic disease^∗
0	724	13 (1.8%)	66 (9.2%)	15 (2.1%)
1	3,159	84 (2.6%)	286 (9.1%)	18 (0.6%)
2	5,572	119 (2.1%)	411 (7.4%)	64 (1.1%)
3	6,580	117 (1.8%)	399 (6.1%)	80 (1.2%)
4	6,344	93 (1.5%)	393 (6.2%)	90 (1.4%)
5	6,039	78 (1.3%)	341 (5.6%)	80 (1.3%)
Total	28,027	492 (1.7%)	1,753 (6.3%)	347 (1.2%)

^∗ Asthma, Allergic rhinitis, Urticaria, Anaphylaxis

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