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Showing posts with label doctors and food allergies. Show all posts
Showing posts with label doctors and food allergies. Show all posts

Friday, March 12, 2010

Diagnosis and Management of Food Allergy

The public is welcome to comment on the “Guidelines of the Diagnosis and Management of Food Allergy”, as developed by the National Institute of Allergy and Infectious Diseases. These guidelines have been established to give information to healthcare providers about diagnosis and treatment of food allergies.

The bad news is that it is a 119 page document. The good news is that you have until May 6, 2010 to comment.

Who better to give that input than us?

Honestly, it is an interesting read. In the section "Management of Food-Induced Anaphylaxis", it is clearly stated that an epinephrine auto-injector should be the first-line treatment. The use of antihistamines was often given as a reason for not using epinephrine. All studies indicate that this puts the patient at significant risk of a life-threatening reaction. The guidelines also acknowledge that school aged children who do not have immediate access to epinephrine, are at an increased risk for a life-threatening event.

Take that to your uncooperative school administrator.

So, grab a cup of coffee and a few quiet moments, and take a look at the guidelines. Then, register, and offer your comments. I must admit, it feels good to be asked for an opinion about how healthcare providers handle food allergy.

Monday, December 14, 2009

Food Allergy Knowledge Found Lacking in Doctors

So, a study to be published in January 2010, has found that primary care physicians have knowledge gaps when it comes to diagnosis and management of food allergies. Many incorrectly identified symptoms of food allergy and few knew the appropriate dosage of epinephrine for children experiencing a reaction.

Okay, I know we expect a lot from our overworked primary care physicians and their staffs, but I do expect some basic knowledge. I've talked before about how our doctor's office, with full knowledge of my child's allergies, has given us medicine that contain his allergens or has recommended shots for him that would be unsafe. We've had a few really close calls in our own doctor's office. I don't believe we're alone.

Anyone have any stories they'd like to share?

One good action plan to come out of the study, which will be published in Pediatrics next month, is the creation of a food allergy module that can easily be used by doctors' offices.

YEAH!

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