Mexican consensus on cow's milk protein allergy.

IF 2.5 4区医学 Q3 ALLERGY

Allergologia et immunopathologia Pub Date : 2024-01-01 DOI:10.15586/aei.v52i1.958

Ramírez Mayans Jaime Alfonso, Ignorosa Arellano Karen Rubí, Toro Monjaraz Erick Manuel, Cervantes Bustamante Roberto, Ruiz Castillo Marlene Alejandra, Medina Vera Isabel de Jesús, Ayala Germán Ana Gabriela, Bacarreza Nogales Dante Vladimir, Casas Guzik Lucía, Chávez Barrera José Antonio, Díaz Madero Sergio, Flores Fong Laura Esther, Galaz Pantoja Méndez Manuel Enrique, Gris Calvo Judith Ileana, Huerta Hernández Rosa Elena, Limón Rojas Ana Elena, Macías Avilés Héctor, Méndez Nieto Carlos, Ortega Martell José Antonio, Oyervides García Carlos Iván, Peña Vélez Rubén, Reynés Manzur José Nicolás, Saez de Ocariz Gutiérrez María Del Mar, Sagols Méndez Gerardo, Uriquidi Rivera Martha Eugenia, Worona Dibner Liliana, Wakida Kusunoki Guillermo Hideo, Vandenplas Yvan

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引用次数: 0

Abstract

Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico.

Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each).

Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow's milk protein were provided.

Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

查看原文本刊更多论文

墨西哥就牛奶蛋白过敏达成共识。

背景：本研究的目的是介绍一组不同专家目前对墨西哥两岁以下儿童牛奶蛋白过敏（CMPA）诊断和治疗的看法：这项研究由五名 CMPA 专家组成的科学委员会领导，分为六个阶段，包括修改后的德尔菲程序。共有 20 名专家组成员（均为儿科专家）参与了 38 个项目的综合问卷调查。问卷分为两个部分：结果：结果：所有提议的项目都达成了共识，每个项目的同意率都超过了 70%。因此，制定了一套诊断和治疗算法，强调减少不必要的诊断研究，并尽可能鼓励母乳喂养。在没有母乳的情况下，建议适当使用低过敏性配方奶粉。此外，还就治疗持续时间和逐步重新引入牛奶蛋白提出了建议：结论：20 位墨西哥儿科医生通过这项研究提出的建议适用于日常临床实践，从而加强了对 2 岁以下 CMPA 患儿的诊断和治疗。反过来，这将有助于改善健康状况，优化医疗资源的利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Allergologia et immunopathologia 医学-过敏

CiteScore

3.70

自引率

0.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： Founded in 1972 by Professor A. Oehling, Allergologia et Immunopathologia is a forum for those working in the field of pediatric asthma, allergy and immunology. Manuscripts related to clinical, epidemiological and experimental allergy and immunopathology related to childhood will be considered for publication. Allergologia et Immunopathologia is the official journal of the Spanish Society of Pediatric Allergy and Clinical Immunology (SEICAP) and also of the Latin American Society of Immunodeficiencies (LASID). It has and independent international Editorial Committee which submits received papers for peer-reviewing by international experts. The journal accepts original and review articles from all over the world, together with consensus statements from the aforementioned societies. Occasionally, the opinion of an expert on a burning topic is published in the "Point of View" section. Letters to the Editor on previously published papers are welcomed. Allergologia et Immunopathologia publishes 6 issues per year and is included in the major databases such as Pubmed, Scopus, Web of Knowledge, etc.