Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report

被引:99
|
作者
Bird, J. Andrew [1 ]
Leonard, Stephanie [2 ,3 ]
Groetch, Marion [4 ]
Assa'ad, Amal [5 ]
Cianferoni, Antonella [6 ]
Clark, April [7 ]
Crain, Maria [7 ]
Fausnight, Tracy [8 ]
Fleischer, David [9 ,10 ]
Green, Todd [11 ]
Greenhawt, Matthew [9 ,10 ]
Herbert, Linda [12 ,13 ]
Lanser, Bruce J. [14 ]
Mikhail, Irene [15 ]
Mustafa, Shahzad [16 ,17 ]
Noone, Sally [4 ]
Parrish, Christopher [1 ]
Varshney, Pooja [18 ,19 ]
Vlieg-Boerstra, Berber [20 ,21 ]
Young, Michael C. [22 ]
Sicherer, Scott [4 ]
Nowak-Wegrzyn, Anna [23 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dallas, TX 75390 USA
[2] Univ Calif San Diego, San Diego, CA 92103 USA
[3] Rady Childrens Hosp, San Diego, CA USA
[4] Icahn Sch Med Mt Sinai, Jaffe Food Allergy Inst, New York, NY 10029 USA
[5] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA
[6] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[7] Childrens Hlth, Dallas, TX USA
[8] Penn State Coll Med, Hershey, PA USA
[9] Childrens Hosp Colorado, Denver, CO USA
[10] Univ Colorado, Sch Med, Aurora, CO USA
[11] UPMC Childrens Hosp Pittsburgh, Pittsburgh, PA USA
[12] Childrens Natl Hosp, Washington, DC USA
[13] George Washington Univ, GW Sch Med & Hlth Sci, Washington, DC USA
[14] Natl Jewish Hlth, Denver, CO USA
[15] Nationwide Childrens Hosp, Div Allergy & Immunol, Columbus, OH USA
[16] Rochester Reg Hlth, Rochester, NY USA
[17] Univ Rochester, Sch Med & Dent, Rochester, NY USA
[18] Dell Childrens Med Ctr, Austin, TX USA
[19] Univ Texas Austin, Dell Med Sch, Austin, TX 78712 USA
[20] OLVG, Dept Pediat, Amsterdam, Netherlands
[21] Hanze Univ Appl Sci, Dept Nutr & Dietet, Groningen, Netherlands
[22] Boston Childrens Hosp, Boston, MA USA
[23] NYU Langone Hlth, New York, NY USA
基金
美国国家卫生研究院; 美国医疗保健研究与质量局;
关键词
Oral food challenge; Double-blind placebo-controlled food challenge; Food allergy; Baked egg; Baked milk; FPIES; Food protein-induced enterocolitis syndrome; Peanut; Milk; Egg; Wheat; Tree nut; Anaphylaxis; INDUCED ENTEROCOLITIS SYNDROME; EXERCISE-INDUCED ANAPHYLAXIS; ALLERGEN-SPECIFIC IGE; PLACEBO-CONTROLLED CHALLENGES; QUALITY-OF-LIFE; SKIN PRICK TEST; DOUBLE-BLIND; BAKED-EGG; PEANUT ALLERGY; EUROPEAN ACADEMY;
D O I
10.1016/j.jaip.2019.09.029
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Oral food challenges are an integral part of an allergist's practice and are used to evaluate the presence or absence of allergic reactivity to foods. A work group within the Adverse Reactions to Foods Committee of the American Academy of Allergy, Asthma & Immunology was formed to update a previously published oral food challenge report. The intention of this document was to supplement the previous publication with additional focus on safety, treatment of IgE-mediated allergic reactions, guidance for challenges in infants and adults, psychosocial considerations for children and families participating in an oral food challenge, specific guidance for baked milk or baked egg challenges, masking agents and validated blinding recipes for common food allergens, and recommendations for conducting and interpreting challenges in patients with suspected food protein-induced enterocolitis syndrome. Tables and figures within the report and an extensive online appendix detail age-specific portion sizes, appropriate timing for antihistamine discontinuation, serum and skin test result interpretation, written consents, and instructional handouts that may be used in clinical practice. (C) 2019 American Academy of Allergy, Asthma & Immunology
引用
收藏
页码:75 / +
页数:33
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