Audit of Anaphylaxis Management in Children Emergency Departments in the North West

REPORT HIGHLIGHTS

257 children

  • Manchester (central and south) 37%
  • Liverpool 29%
  • Macclesfield 16%
  • Bolton 13%
  • North Wales 5%

Common triggers

Peanut or tree nuts 38% 38%
Milk or egg 31% 31%
Anaphylaxis 11% 11%

Atopic diseases

  • eczema 23%
  • asthma 13%
  • allergic rhinitis 4%

Management

Allergy management plan 48% 48%
Antihistamines prescribed 69% 69%
Avoidance advice 69% 69%
Referral to specialist 40% 40%

Age

  • Infant less than 1 year old 20%
  • 1 – 5 years old 44%
  • 6 – 18 years old 36%

Gender

Male 62% 62%
Female 38% 38%

Treatment

  • Antihistamine 70%
  • IM adrenaline 11%

Audit of Anaphylaxis Management in Children EmergeNcy Departments in the North West.

REPORT HIGHLIGHTS

  • 257 children: 37% Manchester (central and south), 29% Liverpool, 16% Macclesfield, 13% Bolton, 5% North Wales
  • Age: 20% infants <1 year old, 44% 1-5 years old,  36% 6-18 years old
  • Gender: 62% male
  • 40% previous allergic reactions, 6% previous anaphylaxis
  • Atopic diseases: 23% eczema, 13% asthma, 4% allergic rhinitis
  • Common triggers: 38% peanut or tree nuts, 31% milk or egg
  • 11% Anaphylaxis
  • Treatment: 70% antihistamine, 11% IM adrenaline
  • Management: 48% allergy management plan, 69% antihistamines prescribed, 69% avoidance advice, 40% referral to specialist

Project leads: Dr Vibha Sharma & Dr Helen Purves