在儿科三级护理中心的开放食品挑战期间使用紧急备用资源
Samantha Knox1, Jaclyn Bjelac2, Wei Liu3
1From the Department of Pediatric Asthma, Allergy and Immunology, Gundersen Health System, La Crosse, Wisconsin.
Journal of food allergy
|July 18, 2024
概括
在口服食品挑战 (OFC) 期间,即使有严重反应,也很少需要紧急备用资源. 这表明大多数过敏诊所可以安全地管理OFC结果.
科学领域:
- 儿科过敏和免疫学
- 临床免疫学临床免疫学
- 食物过敏的诊断 食物过敏的诊断
背景情况:
- 口服食物挑战 (OFC) 是诊断食物过敏的黄金标准.
- 人们注意到OFC需求增加,但由于不良事件风险和资源限制,一些过敏学家犹不决.
研究的目的:
- 为了确定在OFCs期间使用紧急备份资源的频率.
- 报告儿科三级护理中心的各种挑战结果.
主要方法:
- 在0至21岁的患者中对1269个OFC进行了回顾性审查 (2013-2018).
- 收集的数据包括人口统计,阿托皮病史,食物触发因素,反应史和挑战结果.
- 分析的重点是反应的严重程度和紧急干预的需要.
主要成果:
- 蛋,芝麻和烤蛋是过敏结果最高的食物.
- 超过三分之一的反应是3级或4级过敏反应.
- 上腺素在7.2%的挑战中被使用;紧急备用资源仅在0.4%的案件中被使用.
结论:
- 在OFC期间很少需要紧急备份资源,即使是显著的过敏反应.
- 研究结果表明,典型的过敏实践有能力管理与OFC相关的不良事件.
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