Am I too Complacent about Daughter\'s Preschool?

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Although my daughter rated a BIG 4 on her PA skin test, she has only experienced a sore throat with accidently biting into a peanut product earlier this year. When I told her pre-school that they needed to not serve peanuts when my daughter is present, they choose instead to serve her alternate foods (w/o peanuts) when the other students are eating cookies with peanuts or biscuits w/ PB. My daughter hates peanuts so she is very happy with this set-up and has not experienced any reactions at all since the switch. However, is there a chance that my daughters PA could become worse just being around peanuts even thought she is experiencing no obvious reactions? And I'm concerned about cross-contamination that may not be obvious since my daughter is having absolutely no reactions or symptoms. If there are no reactions, does that mean that the immune system is not being further triggered? Does no reaction mean that things are going OK? (Sorry to ask so many questions! The world of PA is certainly a different reality!)

On Apr 1, 2002

With that age group, I don't think there should be peanuts around her at all! I, personally might not be as concerned about the airborne as an exposure if she's not reacting to it, but who says she won't someday just because of the unpredictability of peanut reactions. I would also be VERY concerned about cross contamination of everything in the preschool due to preschool fingers etc.! I would be uncomfortable having my dd near even airborn peanut/nut unless I was with her.

On Apr 1, 2002

I agree with Jillsmom - the presence of peanut products makes me very nervous with children that age. What if, for example, a teacher had pb on her hand and touched your daughter's straw, wiping peanut protein on the straw - now the peanut protein is going into your daughter's mouth. There is no predicting what her next reaction might be like. I think anaphylaxis is so dangerous that I don't fool around with it.

On Apr 1, 2002

I agree with the responses so far. I'd also like to add that just because a food doesn't cause an outward reaction in a PA child, doesn't mean it is not hurting them. One of the key factors in outgrowing PA is absolute avoidance. So even a trace amount of peanut residue that may not cause a reaction may diminish a child's chances of outgrowing the allergy.

I also wanted to add that my allergist has said that ALL peanut allergist must be considered serious - that just because a child had a mild reaction the first time does not mean the next reaction won't be extremely serious. My allergist has said that all PA individuals must consider themselves at risk for anaphylaxis despite the mildness of their prior reaction(s).

On Apr 1, 2002

I would not want them to let other kids eat pb in the same room as my daughter. She may not be eating it, but kids are messy and cross-contamination is an issue.

If your child has only had one reaction, you want to keep her from having more and becoming more sensitized to peanut.

Before I found this site, I let my older daughter (non pa) eat pb&j around my younger daughter. She never had a reaction to trace residue or smell. But, when Kelly actually spread the stuff on bread, she did have a reation. She has had two other touch reactions since.

So maybe your child has not came in contact with enough of the residue to react. She may sit next to someone eating pb 10 times and not react. She may react the 11th time. It is better to be safe.

On Apr 1, 2002

Thanks for your help! I REALLY value your comments during this decision making process!! If the school doesn't take my daughter's PA more seriously (& pull out the Peanut products, we'll do the 504!!

On Apr 2, 2002

I LOVE THIS WEBSITE!!!! I had many of the same questions as "momofpeanutallergykid". I am in the process of screening preschools, and feel like many aren't taking me seriously - obviously they aren't getting my kid. It seems that the ones who have been very understanding and have had experience with PA kids are about 25 minutes from our home. Of course, the everyday drive isn't the problem. It's the drive that would seem never-ending if they called because there was a problem. Decisions, decisions.

I too have been guilty of allowing my younger son to have a pb&j at home when my older son has something else. Drew has never had a reaction to smell, but now I realize that he could be effected and just not showing outward signs of a reaction.

THANKS EVERYONE!

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