Knowledge and perceptions of school teachers regarding anaphylaxis in school children
Year: 2026
Type: article
Study design: Observational Study
Abstract: In school settings, the timely recognition and intervention of anaphylaxis (a life-threatening allergic reaction requiring immediate treatment with intramuscular epinephrine (adrenaline)) are critical. However, little is known about Thai teachers’ preparedness in managing anaphylaxis. This study assessed the knowledge, perceptions, and factors influencing school teachers’ understanding of anaphylaxis in children. A cross-sectional survey was performed among public and private school teachers in Bangkok, Thailand, using a validated questionnaire based on national anaphylaxis guidelines. Data were analyzed using descriptive statistics. Group comparisons were performed using the Chi-square test, Fisher’s exact test, Student’s t-test, and Mann–Whitney U test, where appropriate. All group comparisons were unadjusted and considered exploratory. Of the 310 teachers invited, 280 (90.3%) participated. Although 248 teachers (88.6%) identified food as a common trigger, only 17 (6.1%) correctly chose epinephrine as the first-line treatment. Cutaneous symptoms were the most recognized signs (83.9%), and most teachers (83.2%) identified anaphylaxis based on combined skin and respiratory symptoms. In the multivariable analysis, after adjustment for potential covariates, having previously heard about or been informed about anaphylaxis remained significantly associated with knowledge of at least one cause of anaphylaxis (aOR 4.49, 95% CI 1.03–19.57; p = 0.046). In addition, 260 teachers (92.9%) had never received formal training, and 40.7% were unaware of school anaphylaxis protocols. Critical gaps were observed in Thai teachers’ knowledge of anaphylaxis diagnosis and management, especially regarding epinephrine use. These findings suggest a need for targeted educational interventions and school-based emergency protocols to improve safety for children at risk of anaphylaxis. Not applicable
Source: BMC Pediatrics
Authors: Panadda Suwan, Isaree Kanokphitakkul
Institutions: Navamindradhiraj University, Vajira Hospital
Language: English
Subfield: Immunology and Allergy
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,090
OpenAlex ID: W7225242715