在BEEP试验队列中过度诊断牛奶过敏的患病率和危险因素
Hilary I Allen1, Olivia Wing1, Dara Milkova1
1National Heart and Lung Institute, Imperial College London, London, UK.
Allergy
|June 20, 2024
概括
牛 牛 牛 牛 牛 牛 牛
科学领域:
- 儿科过敏和免疫学
- 一般实践 一般实践
- 临床试验研究 临床试验研究
背景情况:
- 在幼儿中越来越多的过度诊断牛奶过敏 (CMA) 需要表征.
- 了解CMA过度诊断的风险因素对于准确的诊断和适当的婴儿养管理至关重要.
研究的目的:
- 在临床试验人群中对牛奶过敏过度诊断的特征.
- 确定与CMA过度诊断相关的个人和初级保健实践水平的风险因素.
主要方法:
- 对1394名婴儿 (BEEP试验) 的数据分析,这些婴儿在≤2岁时接受了正式的CMA诊断.
- 定义的CMA过度诊断使用家长报告的反应,初级保健记录过敏症状,和低过敏配方处方.
- 研究的风险因素包括实践处方模式和孕产妇健康因素.
主要成果:
- 牛奶过敏 (CMA) 在1.4%的参与者中被正式诊断出来.
- 过度诊断是常见的:16.1%的人报告过敏牛奶,11.3%的人有过敏初级保健记录,8.7%的人接受了低过敏配方.
- 过度诊断的危险因素包括高实践水平的低过敏配方处方和孕妇在怀孕期间使用抗生素.
结论:
- 牛奶过敏过度诊断在婴儿早期很普遍.
- 初级保健实践对低过敏配方的大量处方和孕妇在怀孕期间使用抗生素是CMA过度诊断的重要危险因素.
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