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Preliminary Evaluation of a Food Allergy Outreach Clinic for Underserved Populations in Washington DC.
Saturday, March 4, 2017: 1:30 PM
Room B302 (Georgia World Congress Center, Building B)
Maria F Fortiz
Rationale:

A major concern regarding food allergies (FA) is the risk of food-induced anaphylaxis. The DC CARES project was developed to address the FA needs of an underserved population in Washington, DC. This project’s objective is to evaluate initial enrollment in the DC CARES program. 

Methods:

Patients seen in the emergency department (ED) at Children's National Medical Center (CNMC) for food-induced anaphylaxis were contacted after their admission and scheduled for a DC CARES appointment. Patients met with an allergist and a DC CARES team member to receive comprehensive education about FA management, anaphylaxis, and a personalized FA emergency care plan.

Results:

In 6 months, 146 patients were seen at the ED for food-induced anaphylaxis and attempted to be contacted. During screening calls, 24 patients (17%) were not eligible for the program because they were already followed by a CNMC allergist (N=12) or an outside allergist (N=12). Eighty-two patients were not interested in participating or could not be reached (56%).  Forty patients (28% of participants who could be reached/were eligible) agreed to be scheduled for a DC CARES appointment; 26 (18%) attended and 14 (10%) did not show for the appointment. 

Conclusions:

Most patients seen in the CNMC ED for food-induced anaphylaxis do not follow up for FA diagnostic and preventative care after discharge, even with hospital outreach and the availability of a comprehensive program. Additional community advocacy may be required to target this population more effectively.