Parental Perception, Prevalence and Primary Care Physicians' Knowledge on Childhood Food Allergy in Croatia

被引：13

作者：

Baricic, Tamara Voskresensky ^{[1
]}

Catipovic, Marija ^{[2
]}

Cetinic, Erina L. ^{[1
]}

Krmek, Vlado ^{[3
]}

Horvat, Ivona ^{[4
]}

机构：

[1] Dom Zdravlja Zagreb Centar, Gen Pediat Off, Runjaninova 4, Zagreb 10000, Croatia

[2] Gen Pediat Off, Bjelovar 43000, Croatia

[3] Gen Pediat Off, Metkovic 12350, Croatia

[4] Univ Zagreb, Sch Med, Zagreb 10000, Croatia

来源：

CHILDREN-BASEL | 2015年 / 2卷 / 03期

关键词：

food allergy; children; parental perception; education on food allergy;

D O I：

10.3390/children2030305

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Food allergy in children is increasing and the perception of food allergy among parents is even more common. In a questionnaire-based study of 702 children aged 6 to 48 months in four primary care settings, the aim was to determine the prevalence of perception vs. proven food allergy, parental anxiety and general pediatrician knowledge of food allergy. In 95/702 children (13.5%) parentally-reported food was associated reactions. IgE and/or skin prick test (SPT) and/or an open provocation test were performed in 48 (6.8%) and allergy was proven in 38 (5.4%) children. Discrepancy between parental perception and proven allergy is significant (p < 0.001), especially for food other than milk, egg and peanut (p < 0.001). Allergy to milk was the most common. Allergy to peanut was significantly more common in children >= 2 years (p < 0.05). Severe reactions occurred in 5/95 (5.2%) of all children and in 5/38 (13.1%) of allergic children, in 3/5 caused by peanut. Parents of children with proven allergy do not experience high degree of anxiety. The perception of food allergy among general pediatricians is limited, and in children with severe reactions precautionary measures and information to parents were insufficient. Parents and general pediatricians need additional education in food allergy.

引用

页码：305 / 316

页数：12

共 27 条

[11]

Lau GY, 2014, PEDIAT ALLERG IMM-UK, V25, P236, DOI [10.1111/pai.12233, 10.1111/pai.12203]

[12]

Lomidze N, 2015, Georgian Med News, P40

[13] EAACI Food Allergy and Anaphylaxis Guidelines: diagnosis and management of food allergy [J].

Muraro, A. ;

Werfel, T. ;

Hoffmann-Sommergruber, K. ;

Roberts, G. ;

Beyer, K. ;

Bindslev-Jensen, C. ;

Cardona, V. ;

Dubois, A. ;

duToit, G. ;

Eigenmann, P. ;

Fernandez Rivas, M. ;

Halken, S. ;

Hickstein, L. ;

Host, A. ;

Knol, E. ;

Lack, G. ;

Marchisotto, M. J. ;

Niggemann, B. ;

Nwaru, B. I. ;

Papadopoulos, N. G. ;

Poulsen, L. K. ;

Santos, A. F. ;

Skypala, I. ;

Schoepfer, A. ;

Van Ree, R. ;

Venter, C. ;

Worm, M. ;

Vlieg-Boerstra, B. ;

Panesar, S. ;

de Silva, D. ;

Soares-Weiser, K. ;

Sheikh, A. ;

Ballmer-Weber, B. K. ;

Nilsson, C. ;

de Jong, N. W. ;

Akdis, C. A. .

ALLERGY, 2014, 69 (08) :1008-1025

[14] EAACI Food Allergy and Anaphylaxis Guidelines. Food allergy health-related quality of life measures [J].

Muraro, A. ;

Dubois, A. E. J. ;

DunnGalvin, A. ;

Hourihane, J. O'B. ;

de Jong, N. W. ;

Meyer, R. ;

Panesar, S. S. ;

Roberts, G. ;

Salvilla, S. ;

Sheikh, A. ;

Worth, A. ;

Flokstra-de Blok, B. M. J. .

ALLERGY, 2014, 69 (07) :845-853

[15] Prevalence of common food allergies in Europe: a systematic review and meta-analysis [J].

Nwaru, B. I. ;

Hickstein, L. ;

Panesar, S. S. ;

Roberts, G. ;

Muraro, A. ;

Sheikh, A. .

ALLERGY, 2014, 69 (08) :992-1007

[16] The epidemiology of food allergy in Europe: a systematic review and meta-analysis [J].

Nwaru, B. I. ;

Hickstein, L. ;

Panesar, S. S. ;

Muraro, A. ;

Werfel, T. ;

Cardona, V. ;

Dubois, A. E. J. ;

Halken, S. ;

Hoffmann-Sommergruber, K. ;

Poulsen, L. K. ;

Roberts, G. ;

Van Ree, R. ;

Vlieg-Boerstra, B. J. ;

Sheikh, A. .

ALLERGY, 2014, 69 (01) :62-75

[17] Prevalence of challenge-proven IgE-mediated food allergy using population-based sampling and predetermined challenge criteria in infants [J].

Osborne, Nicholas J. ;

Koplin, Jennifer J. ;

Martin, Pamela E. ;

Gurrin, Lyle C. ;

Lowe, Adrian J. ;

Matheson, Melanie C. ;

Ponsonby, Anne-Louise ;

Wake, Melissa ;

Tang, Mimi L. K. ;

Dharmage, Shyamali C. ;

Allen, Katrina J. .

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2011, 127 (03) :668-U188

[18]

Richter D, 2003, CURRENT STUDIES OF BIOTECHNOLOGY, VOL III, P273

[19] The prevalence of food allergy: A meta-analysis [J].

Rona, Roberto J. ;

Keil, Thomas ;

Summers, Colin ;

Gislason, David ;

Zuidmeer, Laurian ;

Sodergren, Eva ;

Sigurdardottir, Sigurveig T. ;

Lindner, Titia ;

Goldhahn, Klaus ;

Dahlstrom, Jorgen ;

McBride, Doreen ;

Madsen, Charlotte .

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2007, 120 (03) :638-646

[20] Predictors of health-related quality of life of European food-allergic patients [J].

Saleh-Langenberg, J. ;

Goossens, N. J. ;

Flokstra-de Blok, B. M. J. ;

Kollen, B. J. ;

van der Meulen, G. N. ;

Le, T. M. ;

Knulst, A. C. ;

Jedrzejczak-Czechowicz, M. ;

Kowalski, M. L. ;

Rokicka, E. ;

Starosta, P. ;

de la Hoz Caballer, B. ;

Vazquez-Cortes, S. ;

Cerecedo, I. ;

Barreales, L. ;

Asero, R. ;

Clausen, M. ;

DunnGalvin, A. ;

Hourihane, J. O'. B. ;

Purohit, A. ;

Papadopoulos, N. G. ;

Fernandez-Rivas, M. ;

Frewer, L. ;

Burney, P. ;

Duiverman, E. J. ;

Dubois, A. E. J. .

ALLERGY, 2015, 70 (06) :616-624

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