[Management of children with a food allergy and the Individualized Reception Plan]. / Prise en charge des enfants ayant une allergie alimentaire et PAI.

Management of children with a food allergy can be difficult, because it depends in practice on several factors (the anaphylactic aspect of the allergen first). The success of this undertaking follows from the good education to manage the allergic risk. So, this undertaking is mainly based on the determining of the allergic risk. This risk is itself determined by a diagnosis and an allergic check-up which has to be as pertinent as possible. For the time being, the IRP is applicable at school, but its measures have to cover all the places where the child can be away from his family. Its two main goals are to fight against exclusion and to avert the anaphylactic risk, putting a protocol for urgent intervention (first-aid kit and its instructions leaflet) at disposal at school, and training the scholar catering staff and the teachers in schools. We can distinguish some indisputable indications and others depending on the allergist's assessment (interest of the oral food challenge and an "Allergo-vigilance" used for example by the CICBAA). The parents of a child with a food allergy, the allergy physician, the National Education physician, the headmaster, are responsible for the application of the IRP. In Nantes, every IRP which needs adrenalin includes an auto-injectible pen, ANAPEN, according to a temporary authorization of use protocol.