Oral immunotherapy for food allergy: a Spanish Guideline. Immunotherapy Egg and Milk Spanish Guide (ITEMS Guide). Part I: cow milk and egg oral immunotherapy: introduction, methodology, rationale, current state, indications, contraindications, and oral immunotherapy build-up phase
J. investig. allergol. clin. immunol
; 27(4): 225-237, 2017. tab
Artigo
em Inglês
| IBECS
| ID: ibc-165011
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Introduction:
Cow milk and egg are the most frequent causes of food allergy in the first years of life. Oral immunotherapy (OIT) has been investigated as an alternative to avoidance diets. No clinical practice guidelines on the management of OIT with milk and egg are currently available.Objectives:
To develop clinical guidelines for OIT based on available scientific evidence and the opinions of experts.Methods:
A review was made of studies published between 1984 and June 2016, doctoral theses published in Spain, summaries of communications at scientific meetings (SEAIC, SEICAP, EAACI, and AAAAI), and the consensus of opinion established by a group of experts from the scientific societies SEICAP and SEAIC.Results:
Recommendations were established regarding the indications, requirements and practical aspects of the different phases of OIT, as well as special protocols for patients at high risk of adverse reactions.Conclusions:
Clinical practice guidelines based on the consensus reached between Spanish experts are presented for the management of OIT with milk and egg (AU)RESUMEN
Introducción:
El huevo y la leche de vaca son la causa más frecuente de alergia alimentaria en los primeros años de vida. Como alternativa terapéutica a la dieta de eliminación se han investigado otras formas de tratamiento como la inmunoterapia oral (ITO). Actualmente no existen guías de práctica clínica para el manejo de la ITO con leche y huevo.Objetivos:
Elaborar una guía clínica para el tratamiento con ITO basada en la evidencia científica disponible y en la opinión de expertos.Métodos:
Revisión de estudios publicados desde el año 1984 hasta junio de 2016, tesis doctorales publicadas en España, resúmenes de comunicaciones en congresos (SEAIC, SEICAP, EAACI, AAAAI) y consenso de opinión de un grupo de expertos de las sociedades científicas SEICAP y SEAIC.Resultados:
Se establecen recomendaciones acerca de la indicación, requerimientos, aspectos prácticos del tratamiento en las diferentes fases de la ITO, y pautas especiales para pacientes de alto riesgo de reacciones adversas.Conclusiones:
Se presenta una guía con las directrices para el manejo en la práctica clínica de la ITO con leche y huevo que aúna la opinión consensuada de expertos españoles (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Zoonoses
Base de dados:
IBECS
Assunto principal:
Dessensibilização Imunológica
/
Hipersensibilidade a Ovo
/
Hipersensibilidade Alimentar
/
Imunoterapia
Tipo de estudo:
Guia de prática clínica
Aspecto:
Preferência do paciente
Limite:
Humanos
Idioma:
Inglês
Revista:
J. investig. allergol. clin. immunol
Ano de publicação:
2017
Tipo de documento:
Artigo
Instituição/País de afiliação:
Alcorcón Foundation Hospital/Spain
/
Carlos Haya University Hospital/Spain
/
Gregorio Marañón Hospital/Spain
/
Imperial College/United Kingdom
/
Infanta Leonor Hospital/Spain
/
Infanta Sofía Hospital/Spain
/
La Paz Childrens Hospital/Spain
/
Miguel Servet University Hospital/Spain
/
Niño Jesús University Childrens Hospital/Spain
/
North Chest Hospital/Spain