World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines.
World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines.
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DOI：
10.1097/wox.0b013e3181defeb9
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发表时间：
2010-04
期刊：
影响因子：
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通讯作者：
Vieths S
中科院分区：
文献类型：
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作者：
Fiocchi A;Brozek J;Schünemann H;Bahna SL;von Berg A;Beyer K;Bozzola M;Bradsher J;Compalati E;Ebisawa M;Guzman MA;Li H;Heine RG;Keith P;Lack G;Landi M;Martelli A;Rancé F;Sampson H;Stein A;Terracciano L;Vieths S
过敏和临床免疫学学会已发布食物过敏管理指南。1，2指南现在被视为转化研究工具，旨在为临床医生提供良好实践和床边证据的前沿基准，以便与他们的国家或国际科学界进行互动学习。在牛奶过敏（CMA）的管理中，诊断和治疗都将受益于对最近文献的重新评估，因为“当前”指南总结了过去十年的成就，主要涉及预防，3.，4., 5.-6并不总是就建议达成一致，而且可以追溯到世纪之交。7，8 2008年，世界过敏组织（WAO）食物过敏特别委员会将CMA确定为一个需要采取基于理性的方法的领域，通过对现有临床证据的专家审查达成共识，以应对一个负担沉重的全球公共卫生问题。正是在这种情况下，WAO的诊断和对牛奶过敏采取行动的理由（DRACMA）指南计划为各地的医生提供一个管理工具，以处理从怀疑到治疗的CMA。目标（并利用他们的专业知识），无论是在DRACMA小组还是作为非坐诊评审员，都是过敏症专家，儿科医生（过敏症专家和全科医生），胃肠病学家，皮肤病学家，流行病学家，方法学家，营养师，食品化学家和过敏患者组织的代表。最终，DRACMA致力于我们的患者，特别是年轻的患者，我们希望通过持续和集体的努力，更多的互动辩论和综合学习，减轻他们的负担。
Allergy and clinical immunology societies have issued guidance for the management of food allergy. 1, 2 Guidelines are now regarded as translational research instruments, designed to provide cutting-edge benchmarks for good practice and bedside evidence for clinicians to use in an interactive learning context with their national or international scientific communities. In the management of cow’s milk allergy (CMA), both diagnosis and treatment would benefit from a reappraisal of the more recent literature, for “current” guidelines summarize the achievements of the preceding decade, deal mainly with prevention, 3., 4., 5.–6 do not always agree on recommendations and date back to the turn of the centu-ry. 7, 8 In 2008, the World Allergy Organization (WAO) Special Committee on Food Allergy identified CMA as an area in need of a rationale-based approach, informed by the consensus reached through an expert review of the available clinical evidence, to make inroads against a burdensome, world-wide public health problem. It is in this context that the WAO Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guidelines was planned to provide physicians everywhere with a management tool to deal with CMA from suspicion to treatment. Targeted (and tapped for their expertise), both on the DRACMA panel or as nonsitting reviewers, were allergists, pediatricians (allergists and generalists), gastroenterologists, dermatologists, epidemiologists, methodologists, dieticians, food chemists, and representatives of allergic patient organizations. Ultimately, DRACMA is dedicated to our patients, especially the younger ones, whose burden of issues we hope to relieve through an ongoing and collective effort of more interactive debate and integrated learning.