Safest way to dine out for those with food allergies is using up to 15 strategies

People with food allergies know eating at a restaurant means using multiple strategies to make sure your order doesn’t contain something that could send you to the hospital with anaphylaxis—a severe life-threatening reaction.

New research being presented at the American College of Allergy, Asthma and Immunology (ACAAI) Annual Scientific Meeting examined what tools people who have food allergies use to prevent allergic reactions at restaurants. Members of a food allergy network were given a 25-question survey that examined specific behaviors used in preparation for restaurant dining.

“The most frequent preventive strategies were speaking to a waiter on arrival (80 percent) and ordering food with simple ingredients (77 percent),” says Justine Ade, MD, lead author of the study. “The least used strategies were placing allergy orders separately (23 percent) and using a personal allergy card (26 percent). We found when those with food allergies used more strategies in a restaurant, the result was fewer reactions. People who used an average of 15 strategies when eating out tended to avoid having a severe allergic reaction. Those who did experience an allergic reaction were using an average of only six strategies at the time of their most severe reaction. Those same people increased their average number of strategies to 15 after experiencing a severe reaction.”

The most and least used strategies among families were:

Top five:

Bottom five:

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