Legislation about school management plans
It is unclear whether legislation requiring schools to have anaphylaxis
management plans affects outcomes because the certainty of evidence is
very low (supplement S8d). A case control study found that legislation
improved the consistency of school policies with best practice
guidelines (very low certainty) and was associated with a 13% increase
in the proportion of school staff scoring 4 out of 4 on observed
autoinjector technique (statistically significant, CI not reported, very
low certainty).11Cicutto L, Julien B, Li NY, Nguyen-Luu NU,
Butler J, Clarke A, Elliott SJ, Harada L, McGhan S, Stark D, Vander
Leek TK, Waserman S. Comparing school environments with and without
legislation for the prevention and management of anaphylaxis. Allergy
2012;67(1):131-137.