Food Allergy Management Has Been Negatively Impacted During the COVID-19 Pandemic

IF 0.3 Q4 ALLERGY

Astim Allerji Immunoloji Pub Date : 2021-08-23 DOI:10.21911/aai.628

E. Aytekin, Sevda Tüten Dal, Hilal Ünsal, A. Akarsu, M. Ocak, Ü. Şahiner, O. Soyer, B. Sekerel

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引用次数: 1

Abstract

ABSTRACT Objective: The coronavirus disease 2019 (COVID-19) pandemic creates secondary problems for the health care system, and understanding specific issues can guide the management of the pandemic and its future consequences. We aimed to characterize the problems and related risk factors experienced with outpatient compliance and dietary compliance of children with food allergies during the COVID-19 pandemic. Materials and Methods: A cross-sectional survey was conducted on the mothers of children with ongoing food allergies, eight months after Turkey’s first confirmed case of COVID 19. Results: Of the 288 patients, 76.3% and 40.2% were non-adherent to their scheduled appointments and oral food challenge, respectively, during the pandemic. The group non-adherent to their scheduled visit was significantly older (p=0.005), had more frequent home food trials without the consent of their physicians (p<0.001), and had less usable epinephrine auto-injectors (EAI) available compared with the adherent group (p<0.001). Eighty-nine patients (30.9%) with home food trial experience had more essential food allergies (p<0.001) and experienced more allergic reactions (p=0.002), compared with patients who adhered to dietary elimination. Thirty parents (10.4%) eliminated some foods from their children’s diet because of the suspected reactions. Conclusion: The COVID-19 pandemic, significantly reduces adherence with scheduled appointments and OFC, and increases home food trials and food eliminations without physician approval. Keywords: The COVID-19 pandemic, food allergy, compliance, telemedicine, oral food challenge

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在COVID-19大流行期间，食物过敏管理受到了负面影响

摘要目的：2019冠状病毒病（新冠肺炎）大流行给医疗保健系统带来了次要问题，了解具体问题可以指导大流行及其未来后果的管理。我们旨在描述新冠肺炎大流行期间食物过敏儿童在门诊依从性和饮食依从性方面遇到的问题和相关风险因素。材料和方法：在土耳其出现首例新冠肺炎确诊病例8个月后，对患有持续食物过敏的儿童的母亲进行了一项横断面调查。结果：在288名患者中，分别有76.3%和40.2%的患者在疫情期间不遵守预定的预约和口服食物挑战。未坚持预定就诊的组年龄明显较大（p=0.005），在未经医生同意的情况下进行更频繁的家庭食品试验（p<0.001），与坚持饮食消除的患者相比，有家庭食物试验经验的89名患者（30.9%）有更多的基本食物过敏（p＜0.001）和更多的过敏反应（p＝0.002）。30位家长（10.4%）因疑似反应而从孩子的饮食中剔除了一些食物。结论：新冠肺炎大流行显著降低了对预约和OFC的遵守，并增加了未经医生批准的家庭食品试验和食品淘汰。关键词：新冠肺炎大流行、食物过敏、依从性、远程医疗、口服食物挑战

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

Astim Allerji Immunoloji ALLERGY-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Asthma Allergy Immunology has been published three times a year in April, August and December as the official and periodical journal of the Turkish National Society of Allergy and Clinical Immunology since 2003. All articles published in the journal have been available online since 2003. A peer reviewed system is used in evaluation of the manuscripts submitted to Asthma Allergy Immunology. The official language of the journal is English. The aim of the journal is to present advances in the field of allergic diseases and clinical immunology to the readers. In accordance with this goal, manuscripts in the format of original research, review, case report, articles about clinical and practical applications and editorials, short report and letters to the editor about allergic diseases and clinical immunology are published in the journal. The target reader population of the Asthma Allergy Immunology includes specialists and residents of allergy and clinical immunology, pulmonology, internal medicine, pediatrics, dermatology and otolaryngology as well as physicians working in other fields of medicine interested in allergy and immunological diseases.