Awareness of allergic enterocolitis among primary-care paediatricians: A web-based pilot survey.
Allergol Immunopathol (Madr)
; 44(5): 461-6, 2016.
Article
en En
| MEDLINE
| ID: mdl-27498217
ABSTRACT
BACKGROUND:
Allergic enterocolitis, also known as food protein-induced enterocolitis syndrome (FPIES), is an increasingly reported and potentially severe non-IgE mediated food allergy of the first years of life, which is often misdiagnosed due to its non-specific presenting symptoms and lack of diagnostic guidelines.OBJECTIVE:
We sought to determine the knowledge of clinical, diagnostic and therapeutic features of FPIES among Italian primary-care paediatricians.METHODS:
A 16-question anonymous web-based survey was sent via email to randomly selected primary care paediatricians working in the north of Italy.RESULTS:
There were 194 completed surveys (48.5% response rate). Among respondents, 12.4% declared full understanding of FPIES, 49% limited knowledge, 31.4% had simply heard about FPIES and 7.2% had never heard about it. When presented with clinical anecdotes, 54.1% recognised acute FPIES and 12.9% recognised all chronic FPIES, whereas 10.3% misdiagnosed FPIES as allergic proctocolitis or infantile colic. To diagnose FPIES 55.7% declared to need negative skin prick test or specific-IgE to the trigger food, whereas 56.7% considered necessary a confirmatory oral challenge. Epinephrine was considered the mainstay in treating acute FPIES by 25.8% of respondents. Only 59.8% referred out to an allergist for the long-term reintroduction of the culprit food. Overall, 20.1% reported to care children with FPIES in their practice, with cow's milk formula and fish being the most common triggers; the diagnosis was self-made by the participant in 38.5% of these cases and by an allergist in 48.7%.CONCLUSION:
There is a need for promoting awareness of FPIES to minimise delay in diagnosis and unnecessary diagnostic and therapeutic interventions.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Competencia Clínica
/
Enterocolitis
/
Hipersensibilidad a los Alimentos
/
Pediatras
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Límite:
Child
/
Child, preschool
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Allergol Immunopathol (Madr)
Año:
2016
Tipo del documento:
Article
País de afiliación:
Italia