Year: 2007
Type: review
Abstract: Our aim was to develop guidance for general paediatricians and primary care physicians in diagnosing and managing cow's milk protein allergy in infants. The guidelines were developed by discussion based on existing national recommendations and standards, clinical experience and, whenever possible, evidence from the literature. Separate algorithms cover breast-fed and formula-fed infants. The recommendations emphasise the importance of comprehensive history taking and careful physical examination. Patients with severe symptoms need to be referred to a specialist. Elimination of cow's milk protein from the infant's or mother's diet and challenges are the gold standard for diagnosis. This guidance is intended as a basis for local discussion, implementation and prospective evaluation. The algorithms should be regularly assessed using clinical audit standards. Once validated, the diagnostic framework could provide a standardised approach in epidemiological and therapeutic studies.
Source: Archives of Disease in Childhood
Authors: Y. Vandenplas, M. Brueton, C. Dupont, D. Hill, E. Isolauri, S. Koletzko, A. P Oranje, A. Staiano
Institutions: Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, University of London, Chelsea and Westminster Hospital, Imperial College London, Hôpital Cochin, Hôpital Saint-Vincent-de-Paul, Université Paris Descartes, Royal Children's Hospital, Murdoch Children's Research Institute, University of Turku, Ludwig-Maximilians-Universität München, Erasmus MC, Erasmus MC - Sophia Children’s Hospital, University of Naples Federico II
Language: English
Subfield: Immunology and Allergy
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2128153932