Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel

被引：23

作者：

Togias, Alkis ^{[1
]}

Cooper, Susan F. ^{[1
]}

Acebal, Maria L. ^{[2
]}

Assa'ad, Amal ^{[3
]}

Baker, James R., Jr. ^{[2
,4
]}

Beck, Lisa A. ^{[5
]}

Block, Julie ^{[6
]}

Byrd-Bredbenner, Carol ^{[7
]}

Chan, Edmond S. ^{[8
]}

Eichenfield, Lawrence F. ^{[9
,10
]}

Fleischer, David M. ^{[11
]}

Fuchs, George J., III ^{[12
]}

Furuta, Glenn T. ^{[13
,14
]}

Greenhawt, Matthew J. ^{[11
]}

Gupta, Ruchi S. ^{[15
,16
]}

Habich, Michele ^{[17
]}

Jones, Stacie M. ^{[18
]}

Keaton, Kari ^{[19
]}

Muraro, Antonella ^{[20
]}

Plaut, Marshall ^{[1
]}

Rosenwasser, Lanny J. ^{[21
]}

Rotrosen, Daniel ^{[1
]}

Sampson, Hugh A. ^{[22
]}

Schneider, Lynda C. ^{[24
]}

Sicherer, Scott H. ^{[23
]}

Sidbury, Robert ^{[25
]}

Spergel, Jonathan ^{[26
]}

Stukus, David R. ^{[27
]}

Venter, Carina ^{[28
]}

Boyce, Joshua A. ^{[29
,30
]}

机构：

[1] NIAID, 9000 Rockville Pike, Bethesda, MD 20892 USA

[2] Food Allergy Res & Educ, Mclean, VA USA

[3] Univ Cincinnati, Cincinnati Childrens Hosp Med Ctr, Div Allergy & Immunol, Cincinnati, OH USA

[4] Univ Michigan Hlth Syst, Div Allergy & Clin Immunol, Ann Arbor, MI USA

[5] Univ Rochester, Med Ctr, Dept Dermatol, New York, NY USA

[6] Natl Eczema Assoc, San Rafael, CA USA

[7] Rutgers State Univ, Dept Nutr Sci, Fredericton, NB, Canada

[8] Univ British Columbia, Div Allergy & Immunol, Dept Pediat, BC Childrens Hosp, Vancouver, BC, Canada

[9] Univ Calif San Diego, Sch Med, Dept Pediat, Rady Childrens Hosp, San Diego, CA 92103 USA

[10] Univ Calif San Diego, Sch Med, Dept Pediat, Rady Childrens Hosp, San Diego, CA 92103 USA

[11] Univ Colorado Denver, Sch Med, Childrens Hosp Colorado, Sect Allergy & Immunol,Dept Pediat, Aurora, CO USA

[12] Univ Kentucky, Coll Med, Dept Pediat, Div Gastroenterol Hepatol & Nutr,Kentucky Childre, Lexington, KY USA

[13] Childrens Hosp Colorado, Digest Hlth Inst, Aurora, CO USA

[14] Univ Colorado Denver, Sch Med, Sect Pediat Gastroenterol, Aurora, CO USA

[15] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Div Acad Gen Pediat & Primary Care, Chicago, IL 60611 USA

[16] Northwestern Univ, Feinberg Sch Med, Ann & Robert H Lurie Childrens Hosp Chicago, Chicago, IL 60611 USA

[17] Cent DuPage Hosp, Northwestern Med, Winfield, IL USA

[18] Univ Arkansas Med Sci, Arkansas Childrens Hosp, Dept Pediat, Div Allergy & Immunol, Little Rock, AR 72205 USA

[19] Metro DC Food Allergy Support Grp, Rockville, MD USA

[20] Padua Univ Hosp, Dept Women & Child Hlth, Food Allergy Referral Ctr, Padua, Italy

[21] Univ Missouri, Sch Med, Kansas City, MO 64108 USA

[22] Harvard Med Sch, Dept Pediat, Div Allergy & Immunol, Boston, MA USA

[23] Icahn Sch Med Mt Sinai, Div Pediat Allergy & Immunol, New York, NY 10029 USA

[24] Boston Childrens Hosp, Div Allergy & Immunol, Boston, MA USA

[25] Univ Washington, Sch Med, Dept Pediat, Div Dermatol,Seattle Childrens Hosp, Seattle, WA 98195 USA

[26] Univ Penn, Childrens Hosp Philadelphia, Dept Pediat, Div Allergy & Immunol,Perelman Sch Med, Philadelphia, PA 19104 USA

[27] Ohio State Univ, Coll Med, Dept Pediat, Sect Allergy & Immunol,Nationwide Childrens Hosp, Columbus, OH 43210 USA

[28] Cincinnati Childrens Hosp Med Ctr, Div Allergy & Immunol, Cincinnati, OH 45229 USA

[29] Harvard Med Sch, Dept Med, Boston, MA USA

[30] Harvard Med Sch, Dept Pediat, Boston, MA USA

来源：

WORLD ALLERGY ORGANIZATION JOURNAL | 2017年 / 10卷

关键词：

Food; Peanut; Allergy; Prevention; Guidelines; ANAPHYLACTIC REACTIONS; GRADING QUALITY; FOOD ALLERGY; PREVALENCE; CONSUMPTION; RECOMMENDATIONS; FEASIBILITY; FATALITIES; STRENGTH; CHILDREN;

D O I：

10.1186/s40413-016-0137-9

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Background: Food allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Objectives: Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy. Results: The addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation. Conclusions: Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy.

引用

页码：1 / 18

页数：18

共 28 条

[1] Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-Sponsored Expert Panel [J].