{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:09:44Z","timestamp":1788844184552,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prevention and management of allergic reactions at school are recognized public health concerns. We analyzed food\u2010induced anaphylaxis (FIA) cases which occurred in education facilities to better understand their management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>FIA cases recorded by the European Anaphylaxis Registry which occurred in (pre\u2010)school settings were descriptively analyzed in a comparative manner to pediatric FIA cases that occurred outside education facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 3450 pediatric FIA cases, 332 (9.6%) occurred in education facilities (median age: 4\u2009years [IQR: 2\u20139]). 151 (45.5%) children had a known allergy to the culprit food. The main culprit foods were peanut (27.4%), hazelnut (12.7%), and cow's milk (9.4%). According to Ring classification, 209 (63.0%) reactions were grade 2, 120 (36.1%) grade 3, and 3 (0.9%; 1 death) grade 4. Adrenaline injection was reported in 50\/305 (16.4%) children. Adrenaline use increased from 8.1% to 21.1% of cases during the study period (not statistically significant,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.68).\n                    <\/jats:p>\n                    <jats:p>\n                      Compared to children with a FIA outside education facilities, children who experienced FIA in preschool\u2010school settings were more likely to have a known allergy to the culprit food (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;.001) and to have experienced a peanut\u2010induced anaphylaxis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04), and were less likely to receive adrenaline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u2010country collaborations are required to implement a common approach to protect children in educational settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pai.70404","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:43:41Z","timestamp":1781145821000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Food\u2010induced anaphylaxis in educational settings: Data from the European anaphylaxis registry"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4118-6385","authenticated-orcid":false,"given":"Guillaume","family":"Pouessel","sequence":"first","affiliation":[{"name":"CH Roubaix Department of Pediatrics, Children's Hospital  Roubaix France"},{"name":"CHU Lille, Pediatric Pulmonology and Allergy Department P\u00f4le Enfant, H\u00f4pital Jeanne de Flandre  Lille France"},{"name":"Univ Lille ULR 2694: Metrics  Lille France"},{"name":"Allergy\u2010Vigilance Network  Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-0709","authenticated-orcid":false,"given":"Sabine","family":"D\u00f6lle\u2010Bierke","sequence":"additional","affiliation":[{"name":"Division of Allergy and Immunology, Department of Dermatology, Venereology and Allergology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin, Humboldt\u2010Universit\u00e4t Zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasemin","family":"Karaca\u2010Altintas","sequence":"additional","affiliation":[{"name":"CH Roubaix Department of Pediatrics, Children's Hospital  Roubaix France"},{"name":"University of Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019\u2010UMR 9017\u2010CIIL\u2010Center for Infection and Immunity of Lille  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Lange","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, GFO\u2010Kliniken Bonn, St. Marien\u2010Hospital  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1934-5205","authenticated-orcid":false,"given":"Maria","family":"Breiding","sequence":"additional","affiliation":[{"name":"Division of Allergy University Children's Hospital and Children's Research Center, University of Zurich (UZH)  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"K\u00f6hli","sequence":"additional","affiliation":[{"name":"Division of Paediatric Allergology, Department of Pediatrics, Children's Hospital Lucerne  Lucerne Switzerland"},{"name":"Department of Pediatrics Hospital Baden  Baden 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