Women's Connection: Back to-school Allergies

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Dr. Chrishana Ogilvie-McDaniel of Via Christi Clinic discusses pediatric asthma and allergy: the Back-To-School Edition of pediatric allergy and immunology.

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Women's Connection: Back to-school Allergies

  1. 1. Asthma / Allergy 101:The Back-To-School EditionChrishana Ogilvie-McDaniel, MDPediatric Allergy / Immunology
  2. 2. Allergy / Asthma 101 Overview:  Asthma as it relates to school-aged children  Role of environmental allergy  Management of food allergy2
  3. 3. Back-To-School Asthma
  4. 4. Back-To-School: Asthma Statistics:  In 2010, 7 million children were living with asthma (9.4 percent of children)  In 2010, three out of five children who had asthma had one or more asthma attacks in a 12 month period  More than half (59 percent) of children who had an asthma attack missed school or work because of asthma in 2008. On average, children missed four days of school because of asthma  185 children died from asthma in 20074
  5. 5. Back-To-School: Asthma Does my child have asthma?  Colds that “settle in the chest” or are followed by a lingering cough  Recurrent bronchitis  Use of breathing treatments within the past year  Trouble breathing/coughing with activity  Complaints of “heart hurting” or chest tightness  Nighttime cough or constant daytime cough5
  6. 6. Back-To-School: Asthma My child has asthma, but is it controlled? Controlled asthma:  Asthma symptoms ≤ two days a week  Quick relief inhaler ≤ two days a week  Nighttime awakenings < one-two times a month  Asthma does not interfere with normal activity  Oral steroids < twice a year6
  7. 7. Back-To-School: AsthmaAsthma medications: Daily controller therapy – **Do not stop!** Quick relief inhaler Holding chamber / spacer7
  8. 8. Back-To-School: Asthma Asthma Action Plan:  Categorizes severity, triggers and exercise modifications  Color codes  Define symptoms  Outline treatment8
  9. 9. Back-To-School: Asthma Prepare:  Restart asthma medications if they have been stopped over the summer  School forms authorizing medication use  Sports participation  Beware of cold viruses  Flu shots when available9
  10. 10. Back-To-School Environmental Allergy10
  11. 11. Back-To-School: Environmental Allergy Statistics:  13 percent of U.S. children suffer from allergic rhinitis  Compromised health interfered with school performance in 1 in 10 children with allergies compared with only 1 in 10 non-allergic children  Parents report a nearly 30 percent decrease in their children’s productivity when allergy symptoms are at their worst11
  12. 12. Back-To-School: Environmental Allergy Common indoor triggers:  Pet dander  Dust mites  Cockroaches  Indoor mold12
  13. 13. Back-To-School: Environmental Allergy Common outdoor triggers:  Outdoor mold  Pollens – trees, grass, weeds13
  14. 14. Back-To-School: Environmental Allergy Signs: Does my child have environmental allergies?  Nose – sneezing, watery drainage, itching, congestion  Eyes – redness, itching, drainage  Frequent sinus infections14
  15. 15. Back-To-School: Environmental Allergy Signs: allergy triggers Things to consider:  Fall allergy triggers  Grass pollen, weed pollen, molds  Indirect pet exposure in the classroom  Impact of environmental allergy on child’s quality of life15
  16. 16. Back-To-School: Environmental Allergy Management:  Avoidance  Oral antihistamines  Nasal sprays  Eye drops  Allergy shots16
  17. 17. Back-To-School Food Allergies17
  18. 18. Back to School: Food Allergies Statistics  2009 to 2010 study of children (infant to 18 years) indicated eight percent have a food allergy  Food allergies result in 30,000 ER visits annually  Case series: Nine of 32 fatalities occurred in school and were primarily associated with delay in epinephrine administration18
  19. 19. Back-To-School: Food Allergy Immediate:  Skin – itching, hives, redness, swelling  Nose –– sneezing, stuffy nose, runny nose  Mouth – itching, swelling of lips or tongue  Throat – itching, tightness, difficulty swallowing, hoarseness19
  20. 20. Back-To-School: Food Allergy Immediate, cont.  Chest – shortness of breath, cough, wheeze, chest pain / tightness  Gastrointestinal (GI) tract – vomiting, diarrhea, cramps  Heart – weak pulse, passing out, shock  Nervous system – dizziness or fainting20
  21. 21. Back-To-School: Food Allergy Delayed Reactions**:  Eczema  Feeding difficulties  Poor weight gain  Others **these do not require epinephrine21
  22. 22. Back-To-School: Food Allergy Common allergens:  Milk  Eggs  Peanuts  Soy  Wheat  Tree nuts  Seafood22
  23. 23. Back-To-School: Food Allergy : Milk Management:  Identify food triggers  Avoidance  Self-injectable epinephrine23
  24. 24. Back-To-School: Food Allergy24
  25. 25. Back-To-School: Food Allergy Food Allergy Plan:  Identifies the food- allergic child  Lists specific food allergy  Provides instructions for medication dosing25
  26. 26. Back-To-School: Food Allergy Treatment:  Self-injectable epinephrine  Two injectors at each location  Use it!  Antihistamine  Albuterol inhaler26
  27. 27. Food Allergy: Fast Facts  Skin contact and inhalation of peanut butter vapors do not usually cause generalized reactions  Foods vaporized through heating can cause reactions (primarily respiratory)  Non-ingestion exposures to peanut usually cause mild reactions  Peanut residue can be cleaned from the hands using soap and water or commercial wipes, but not antibacterial gels27
  28. 28. SummaryPrepare:Prepare:  Review asthma medications / symptoms with your child and the doctor regularly  Take medications as prescribed  Recognize and treat environmental allergy symptoms  Ensure that your child has adequate numbers of unexpired epinephrine auto-injectors readily available  Action Plans are essential28

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