Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report
Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report
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DOI：
10.1016/j.jaip.2019.09.029
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发表时间：
2020-01-01
影响因子：
9.4
通讯作者：
Nowak-Wegrzyn, Anna
中科院分区：
文献类型：
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作者：
Bird, J. Andrew;Leonard, Stephanie;Nowak-Wegrzyn, Anna
口服食物挑战是过敏症专科医师实践的一个组成部分，用于评估是否存在对食物的过敏反应。美国过敏、哮喘和免疫学会食品不良反应委员会成立了一个工作组，以更新先前发表的口服食物挑战报告。本文件旨在补充之前的出版物，重点关注安全性、IgE介导的过敏反应的治疗、婴儿和成人攻毒指南、参与口服食物攻毒的儿童和家庭的心理社会考虑因素、烘焙牛奶或烘焙鸡蛋攻毒的具体指南、常见食物过敏原的掩蔽剂和经验证的设盲配方，以及对疑似食物蛋白诱导的小肠结肠炎综合征患者进行和解释挑战的建议。报告中的表格和图表以及广泛的在线附录详细说明了年龄特定的部分大小，抗组胺药停药的适当时间，血清和皮肤测试结果解释，书面同意书以及可能用于临床实践的指导性讲义。(C)2019年美国过敏、哮喘和免疫学会
Oral food challenges are an integral part of an allergist's practice and are used to evaluate the presence or absence of allergic reactivity to foods. A work group within the Adverse Reactions to Foods Committee of the American Academy of Allergy, Asthma & Immunology was formed to update a previously published oral food challenge report. The intention of this document was to supplement the previous publication with additional focus on safety, treatment of IgE-mediated allergic reactions, guidance for challenges in infants and adults, psychosocial considerations for children and families participating in an oral food challenge, specific guidance for baked milk or baked egg challenges, masking agents and validated blinding recipes for common food allergens, and recommendations for conducting and interpreting challenges in patients with suspected food protein-induced enterocolitis syndrome. Tables and figures within the report and an extensive online appendix detail age-specific portion sizes, appropriate timing for antihistamine discontinuation, serum and skin test result interpretation, written consents, and instructional handouts that may be used in clinical practice. (C) 2019 American Academy of Allergy, Asthma & Immunology