Anaphylaxis management in Australian schools: Review of guidelines and adrenaline autoinjector use

Sandra Vale, Merryn Netting, Lara S. Ford, Briony Tyquin, Vicki McWilliam, Dianne E. Campbell

Research output: Contribution to journalReview article

1 Citation (Scopus)


Food allergy and anaphylaxis is increasing in Australian children, and anaphylaxis is relatively common in Australian schools. This review aims to provide an overview of current policies and practices for anaphylaxis management in Australian schools, including approaches to risk mitigation and anaphylaxis training. We reviewed literature related to anaphylaxis training in the school setting published between 2010 and 2018. Current anaphylaxis policies/guidelines were obtained from Australian education and health departments, and reports of suspected anaphylaxis and adrenaline autoinjector (AAI) use for 2016–2017 were obtained from education departments where available. Our review of policies/guidelines across Australian jurisdictions indicates inconsistent approaches to anaphylaxis management training. Almost half of Australian school anaphylaxis events required a general-use AAI, administered to students not identified as at risk of anaphylaxis. Development of clear, evidence-based, consistent guidelines related to anaphylaxis management and training in the school setting is imperative to minimise risk.

Original languageEnglish
Pages (from-to)143-151
Number of pages9
JournalJournal of Paediatrics and Child Health
Issue number2
Publication statusPublished - 1 Feb 2019


  • anaphylaxis
  • food allergy
  • school

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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