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Discrepancy between Guidelines and Clinical Practice in the Management of Cow ’s Milk Allergy in Children: An Online Cross-Sectional Survey of Polish Physicians
The aim of this study was to assess the compliance between current guidelines on the diagnosis and management of children with cow ’s milk allergy (CMA) and clinical practice by a survey of Polish physicians. An online cross-sectional survey involving a convenience series of participants was performed from January 15 to March 20, 2020. Data provided by 605 physicians (74.2% of them pediatricians working in general practice) w ere analyzed. Contrary to the current recommendations, only a minority of respondents (27.4%) reported performing oral food challenge (OFC) to confirm the diagnosis of CMA. Among those who reported ...
Source: International Archives of Allergy and Immunology - April 25, 2022 Category: Allergy & Immunology Source Type: research

Food allergy logogram to facilitate the diagnosis of food allergy in primary care
Conclusion: Based on existing mainly specialist guidelines, we developed a simple and pragmatic food allergy logogram for primary care in order to support GPs in making a (provisional) allergy diagnosis. Further steps are peer validation and computerization of the logograms. Ultimately, a trial should be undertaken to confirm the utility of the logograms in primary care. This may in future facilitate improved integrated care in allergy and improvement of both patient outcomes and experience of services.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Flokstra - De Blok, B., Van Der Velde, T., Angier, L., Clark, E., Demoly, P., Gaudin, C., Gawlik, R., Mamodaly, M., Tanno, L., Romberg, K., Kocks, J., Ryan, D. Tags: General practice and primary care Source Type: research

EAACI Task Force Logograms: Asthma logogram to facilitate the diagnosis of asthma in primary care
Discussion: Based on existing guidelines, we developed a simple and pragmatic asthma logogram for primary care in order to support GPs in making a (provisional) allergy diagnosis. Further steps will be peer validation and computerization of the logograms.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Kocks, J. W. H., Romberg, K., Flokstra-De Blok, B., Angier, L., Clark, E., Demoly, P., Gaudin, C., Gawlik, R., Mamodaly, M., Tanno, L., Van Der Velde, T., Ryan, D. Tags: General practice and primary care Source Type: research

Skin Testing before Antibiotic Administration - Is there a Scientific basis?
Authors: Narayan P, Rupert E Abstract The practice of skin testing prior to administration of antibiotics in the absence of a history of allergy is non-existent in the western world. Reports on skin testing in the absence of known allergy are unheard of in the medical literature. The practice of giving a test dose prior to administration of the antibiotic is also practiced very sporadically and has no scientific basis. Despite this In India in most major institutions both in government and private hospitals , general practice set up and small and medium nursing homes, skin testing prior to administration of antibio...
Source: Journal of the Association of Physicians of India - September 30, 2019 Category: General Medicine Tags: J Assoc Physicians India Source Type: research

Evaluation of the healthcare resource use and the related financial costs of managing peanut allergy in the United Kingdom.
Conclusions: Patients with PA had increased health-care contacts and consequently increased associated costs compared to controls. Observation bias should be considered in interpretation, but this study suggests that PA presents significant burden to health-care systems. PMID: 31305181 [PubMed - as supplied by publisher]
Source: Expert Review of Clinical Immunology - July 16, 2019 Category: Allergy & Immunology Tags: Expert Rev Clin Immunol Source Type: research

The management of allergic reactions in the pre-hospital setting: Does parenteral adrenaline get used unnecessarily?>
Conclusion: The potentially complex nature of diagnosing anaphylaxis in the pre-hospital setting and need for further development is highlighted by both the administration of adrenaline to non-anaphylactic patients and the delay in administration to those presenting with anaphylaxis.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Mortimer, C. Tags: General Practice and Primary Care Source Type: research

The Florence Statement on Triclosan and Triclocarban
Author Affiliations open 1Biodesign Center for Environmental Security, Arizona State University, Tempe, Arizona, USA 2Green Science Policy Institute, Berkeley, California, USA 3Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA 4Environmental Working Group, Washington, District of Columbia, USA 5Department of Civil, Environmental, and Geo-Engineering, University of Minnesota, Minneapolis, Minnesota, USA 6Medical University of South Carolina, Department of Public Health Sciences, Charleston, South Carolina, USA 7Health Research Communicati...
Source: EHP Research - June 20, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Brief Communication Source Type: research

Report: Increase in allergy auto-injector scripts, with little guidance on optimal use
Prescriptions of emergency allergy auto-injectors have increased over the last decade, according to research published in the British Journal of General Practice, but there is little guidance for general practitioners on the optimal use of these devices. The most recent guidelines suggest that each child at risk of anaphylaxis should be given no more than 2 devices each year. But researchers at the University of Birmingham found that on average, kids from their study sample were each prescribed 4 devices per year. Get the full story at our sister site, Drug Delivery Business News. The post Report: Increase in allergy au...
Source: Mass Device - March 16, 2017 Category: Medical Equipment Authors: Sarah Faulkner Tags: Drug-Device Combinations Research & Development University of Birmingham Source Type: news

NICE food allergy and anaphylaxis quality standards: a review of the 2016 quality standards.
PMID: 28232362 [PubMed - in process]
Source: The British Journal of General Practice - February 27, 2017 Category: Primary Care Authors: Walsh J Tags: Br J Gen Pract Source Type: research