Omalizumab: A Potential Therapy Option for Allergic Bronchopulmonary Aspergillosis (ABPA) in Asthma Patients: 217

Abstract

S A T U R D A Y Nicole J. Lee, MSc, Lianne Soller, PhD, Jennifer McConnellNzunga, PhD, Jennifer Scarr, RN, MSN, Edmond S. Chan, MD FAAAAI, Barbara Crocker, RD, Jennifer Schneiderheit-Hsu, RD, Kathy Triolet, RN, BScN, Daniel Naiman, MSc, Susan Conley, RN, BScN, Claire Heath, RN, MSN, and Kyla Hildebrand, MD; BC Children’s Hospital/University of British Columbia, Vancouver, BC, Canada, Child Health BC, Vancouver, BC, Canada, Vancouver Coastal Health, Vancouver, BC, Canada. RATIONALE: In 2017, NIAID guidelines recommending early peanut introduction to infants at high risk of peanut allergy were released. In Canada, some parents with concerns about severe allergic reactions to peanut seek the advice of nurse or dietitian public healthcare providers (PHPs). This pilot project sought to increase confidence of PHPs in counseling parents about peanut introduction through an education session. This is a novel knowledge translation collaboration of tertiary care providers and PHPs. METHODS: With input from PHPs to identify relevant work-based educational needs, an education session was developed and led by a pediatric allergist. PHPs completed a preand post-survey at the education session to evaluate confidence (15no confidence to 55very confident) in supporting parents to introduce peanut, and a follow-up survey three months later. RESULTS: 16 PHPs attended the education session and completed preand postsurveys, and 14 completed the follow-up. At baseline, confidence in counseling parents about peanut introduction was 3.50, and confidence in ability to educate parents to recognize an allergic reaction was 3.69. Confidence in both domains increased significantly from preto postsurvey (mean score change: 0.81, p50.01 and 0.69, p50.03, respectively). This difference disappeared at the 3-month follow-up, after most PHPs had counseled parents. CONCLUSIONS: An allergist-facilitated education session increased PHP confidence in counseling about peanut introduction and educating families to recognize allergic reactions. This increased confidence disappeared 3 months later, suggesting that periodic case-based learning modules/de-briefing about difficult encounters may help maintain confidence levels.