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在过敏反应后推迟检测IgE介导的食物过敏的现行做法
Jordan Pitt1,2, Cody Shopper2, Paul Dowling1,2
1Children's Mercy Kansas City, Mo.
The journal of allergy and clinical immunology. Global
|October 2, 2023
概括
由于对不准确结果的担忧,许多过敏学家在过敏后推迟了对食物过敏的测试. 这项研究调查了美国的过敏学家,以了解有关过敏后食物过敏测试延迟的当前做法.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 临床实践指南 临床实践指南
- 诊断测试 诊断测试 诊断测试
背景情况:
- 人们担心,在过敏后不久的过敏测试中出现了假阴性结果.
- 缺乏具体的指导方针使得关于后粉过敏食物过敏测试的时间和类型的决定变得复杂.
- 过敏症后检测延迟的当前过敏学家的做法没有得到充分的记录.
研究的目的:
- 量化美国过敏学家在过敏后对食物过敏的测试所使用的方法.
- 为了调查延迟过敏测试后的过敏反应的流行情况.
主要方法:
- 一份电子邮件调查发送给了美国82名过敏和免疫学奖学金计划主任.
- 调查对象被介绍了一个临床情景,涉及怀疑儿童的食物诱导过敏反应.
- 问题集中在他们是否会避免皮肤刺痛和/或血液特异性IgE测试在过敏反应后6周内.
主要成果:
- 该调查获得了33%的回复率,其中有27名董事回复.
- 14.8%的受访者避免进行皮肤和血液检测.
- 25.9%的人只避开皮肤检测,59.3%的人不避开任何检测.
结论:
- 由于证据有限,对过敏后的食物过敏测试存在广泛的意见.
- 在接受调查的美国过敏学会项目主任中,大约40%的人在食物诱导的过敏症发生后6周内避免进行某种形式的过敏测试.
- 这突显了临床实践中关于过敏过敏后检测的变异性.
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