(33281) Allergies and Associated Health Conditions (Early Years)

Children with allergies may also have other related conditions, such as asthma, allergic rhinitis or eczema. These conditions can affect a child’s comfort, wellbeing and, in some cases, the level of risk if they have an allergic reaction.

Early years providers should make sure relevant medical information is gathered from parents and carers, kept up to date, and used to support the child safely. The EYFS requires providers to have procedures for administering medicines and to obtain and maintain information about children’s medicine needs. Staff must receive training where administering medicine requires medical or technical knowledge.

Asthma

Asthma affects the airways and can cause coughing, wheezing, chest tightness and breathing difficulties. Children with both asthma and allergies may be at increased risk during an allergic reaction, particularly if asthma is not well controlled. 

Early years staff should:

  • Be aware of children who have both asthma and allergies
  • Follow the child’s care plan and medication procedures
  • Know where inhalers and allergy medication are stored
  • Never delay emergency action if anaphylaxis is suspected, even if asthma symptoms are also present

Allergic Asthma

Allergic asthma is asthma triggered by allergens in the environment including house dust mites, pollen and animal allergens. Symptoms may vary depending on the child and their exposure to triggers.

Early years staff should:

  • Be aware of known triggers and reduce exposure where reasonably possible
  • Consider triggers during outdoor play, animal visits, bedding, soft furnishings and messy play
  • Monitor symptoms and follow the child’s care plan
  • Treat any breathing difficulty seriously and follow emergency procedures if unsure

Eczema

Eczema, also known as atopic dermatitis, is a long-term skin condition that can cause dry, itchy, sore or inflamed skin. It is common in young children and may be linked with other allergic conditions. 

Irritants or triggers such as soaps, temperature changes, certain fabrics, foods or environmental allergens may make symptoms worse.

Early years staff should:

  • Be aware of the child’s individual triggers and care needs
  • Follow agreed arrangements for prescribed creams or treatments
  • Avoid known irritants where possible, such as harsh soaps or overheating
  • Understand that eczema can affect comfort, sleep, concentration and wellbeing

Key Points

  • Some children with allergies may also have asthma, allergic rhinitis or eczema.
  • These conditions should be recorded and considered in the child’s care plan.
  • Medication information should be kept up to date and shared with relevant staff.
  • Staff must be trained where medication administration requires medical or technical knowledge.
  • Breathing difficulties should always be taken seriously, especially where allergy and asthma are both present.