澳大利亚婴儿食物过敏应急介绍 根据更新的早期食品引入指南
Sing-Jill Chow1, Vicki McWilliam2, Jennifer J Koplin3
1Population Allergy Research Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia; Department of Allergy and Immunology, Royal Children's Hospital, Parkville, Victoria, Australia.
概括
更新的食物过敏指南建议提前引入过敏性食物,与食物过敏急诊室访问量略有增加有关,但没有过敏反应. 这表明,早期引入可能会增加对食物过敏的诊断,而不会引起严重反应.
科学领域:
- 儿科 儿科 儿科
- 过敏和免疫学 过敏和免疫学
- 公共卫生 公共卫生
背景情况:
- 澳大利亚临床免疫学和过敏学会在2016年更新了食品过敏预防指南.
- 现在的指导方针建议在生命的第一年内积极在家中引入过敏性食物,即使是高风险的婴儿.
研究的目的:
- 为了确定2016年指南更新是否与食物过敏或过敏症急诊室 (ED) 呈现的增加有关.
- 评估更新的食物过敏预防策略对婴儿医疗保健接触的影响.
主要方法:
- 对医院电子病历进行回顾性分析.
- 纳入标准:年龄在4-12个月的婴儿向墨尔本皇家儿童医院ED.提供.
- 收集了2015年和2018年的数据,重点关注食物过敏和过敏反应的诊断.
主要成果:
- 食物过敏ED呈现率从2015年的1.0%增加到2018年的1.4% (P = .006).
- 过敏反应的出现或花生过敏反应没有显著增加.
- 食物蛋白诱导肠球炎综合征的呈现显示出非显著的增加.
结论:
- 早些时候引入过敏性食物可能与食物过敏ED访问的适度增加有关.
- 更新的指南似乎没有增加过敏反应的紧急情况.
- 需要进一步的研究才能充分理解早期引入过敏原的长期影响.
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