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2. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Author

Ansotegui, Ignacio, Arasi, Stefania, Bahna, Sami L., Canani, Roberto Berni, Bozzola, Martin, Brozek, Jan, Chu, Derek, Dahdah, Lamia, Dupont, Christophe, Ebisawa, Motohiro, Firmino, Ramon T., Galli, Elena, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Papadopoulos, Nikolas G., Said, Maria, Sánchez-Borges, Mario, Schunemann, Holger, Shamir, Raanan, Spergel, Jonathan, Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Venter, Carina, Meyer, Rosan, Groetch, Marion, Nowak-Wegrzyn, Anna, Mennini, Maurizio, Pawankar, Ruby, Kamenwa, Rose, Assa'ad, Amal, Amara, Shriya, Fiocchi, Alessandro, and Bognanni, Antonio

Published
2024
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6. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XII – Recommendations on milk formula supplements with and without probiotics for infants and toddlers with CMA

Author

Bognanni, Antonio, Fiocchi, Alessandro, Arasi, Stefania, Chu, Derek K., Ansotegui, Ignacio, Assa'ad, Amal H., Bahna, Sami L., Berni Canani, Roberto, Bozzola, Martin, Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Firmino, Ramon T., Chu, Alexandro, Galli, Elena, Horvath, Andrea, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolaos G., Pawankar, Ruby, Roldan, Yetiani, Said, Maria, Sánchez-Borges, Mario, Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Waffenschmidt, Siw, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Schünemann, Holger J., and Brozek, Jan L.

Published
2024
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9. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – X – Breastfeeding a baby with cow's milk allergy

Author

Ansotegui, Ignacio, Arasi, Stefania, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bognanni, Antonio, Bozzola, Martin, Brozek, Jan, Chu, Derek, Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Firmino, Ramon T., Fiocchi, Alessandro, Galli, Elena, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolas G., Pawankar, Ruby, Said, Maria, Sánchez-Borges, Mario, Schunemann, Holger, Shamir, Raanan, Spergel, Jonathan, Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Waserman, Susan, Venter, Carina, Warner, Amena, Wong, Gary W.K., McWilliam, Vicki, Netting, Merryn J., Volders, Evelyn, and Palmer, Debra J.

Published
2023
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12. Nutrition and the Immune System: A Complicated Tango

Author

Venter, Carina, Eyerich, Stefanie, Sarin, Tara, and Klatt, Kevin C

Subjects
Biomedical and Clinical Sciences, Nutrition and Dietetics, Immunology, Prevention, Genetics, Nutrition, Underpinning research, 1.1 Normal biological development and functioning, Inflammatory and immune system, Oral and gastrointestinal, Diet, Disease Susceptibility, Feeding Behavior, Homeostasis, Humans, Immune System, Nutrients, Nutritional Status, nutrition, omega-3 fatty acids, fiber, immune system, microbiome, Food Sciences, Clinical sciences, Nutrition and dietetics, Public health
Abstract

Enthusiasm exists for the potential of diet to impact the immune system, prevent disease and its therapeutic potential. Herein, we describe the challenge to nutrition scientists in defining this relationship through case studies of diets and nutrients in the context of allergic and autoimmune diseases. Moderate-quality evidence exists from both human intervention and observational studies to suggest that diet and individual nutrients can influence systemic markers of immune function and inflammation; numerous challenges exist for demonstrating the impact of defined diets and nutrient interventions on clearly influencing immune-mediated-clinical disease endpoints. A growing body of evidence suggests that further consideration of dietary patterns, immune system and gut microbiome composition and function, and subsequent epigenetic modifications are needed to improve our understanding of diet-immune system interactions.

Published
2020

13. WAO consensus on DEfinition of Food Allergy SEverity (DEFASE)

Author

Arasi, Stefania, Nurmatov, Ulugbek, Dunn-Galvin, Audrey, Roberts, Graham, Turner, Paul J., Shinder, Sayantani B., Gupta, Ruchi, Eigenmann, Philippe, Nowak-Wegrzyn, Anna, Ansotegui, Ignacio J., Rivas, Montserrat Fernandez, Petrou, Stavros, Tanno, Luciana K., Vazquez-Ortiz, Marta, Vickery, Brian, Wong, Gary, Alvaro-Lozano, Montserrat, Asaria, Miqdad, Begin, Philippe, Bozzola, Martin, Boyle, Robert, Brough, Helen, Cardona, Victoria, Chinthrajah, R. Sharon, Cianferoni, Antonella, Deschildre, Antoine, Fleischer, David, Gazzani, Flavio, Gerdts, Jennifer, Giannetti, Marilena, Greenhawt, Matthew, Guzmán, Maria Antonieta, Hossny, Elham, Kauppi, Paula, Jones, Carla, Lucidi, Francesco, Monge Ortega, Olga Patricia, Munblit, Daniel, Muraro, Antonella, Pajno, Giovanni, Podestà, Marcia, Rodriguez del Rio, Pablo, Said, Maria, Santos, Alexandra, Shaker, Marcus, Szajewska, Hania, Venter, Carina, Warren, Cristopher, Winders, Tonya, Ebisawa, Motohiro, and Fiocchi, Alessandro

Published
2023
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16. A systematic review and meta‐analysis of nutritional and dietary interventions in randomized controlled trials for skin symptoms in children with atopic dermatitis and without food allergy: An EAACI task force report

Author

Vassilopoulou, Emilia, primary, Comotti, Anna, additional, Douladiris, Nikolaos, additional, Konstantinou, George Ν., additional, Zuberbier, Torsten, additional, Alberti, Ilaria, additional, Agostoni, Carlo, additional, Berni Canani, Roberto, additional, Bocsan, Ioana Corina, additional, Corsello, Antonio, additional, De Cosmi, Valentina, additional, Feketea, Gavriela, additional, Laitinen, Kirsi, additional, Mazzocchi, Alessandra, additional, Monzani, Nicola A., additional, Papadopoulos, Nikolaos G., additional, Peroni, Diego G., additional, Pitsios, Constantinos, additional, Roth‐Walter, Franziska, additional, Skypala, Isabel, additional, Tsabouri, Sophia, additional, Baldeh, Abdoulie K., additional, O'Mahony, Liam, additional, Venter, Carina, additional, and Milani, Gregorio Paolo, additional

Published
2024
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17. Feeding difficulties in children with food allergies: An EAACI Task Force Report

Author

Hill, Sarah‐Anne, primary, Nurmatov, Ulugbek, additional, DunnGalvin, Audrey, additional, Reese, Imke, additional, Vieira, Mario C., additional, Rommel, Natalie, additional, Dupont, Christophe, additional, Venter, Carina, additional, Cianferoni, Antonella, additional, Walsh, Joanne, additional, Yonamine, Glauce, additional, Beauregard, Alexia, additional, Meyer, Rosan, additional, and Vazquez‐Ortiz, Marta, additional

Published
2024
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20. Managing food allergy: GA2LEN guideline 2022

Author

Bansal, Priya, Berni–Canani, Roberto, Blumchen, Katharina, Bonertz, Andreas, Bourgoin-Heck, Melisande, Ceylon, Ozlem, Divaret-Chauveau, Amandine, Fleischer, David, Gomez, Maximiliano, Groetch, Marion, Hernandez, Domingo Barber, Hjorth, Betina, Hussey, Lydia Collins, Knulst, André C., Leung, Agnes, Mack, Douglas, Mahler, Vera, Mori, Francesca, Namazova-Baranova, Leyla, Palosuo, Kati, Parisi, Claudio Alberto Salvador, Pastorino, Antonio Carlos, Rudzeviciene, Odilija, Said, Maria, Sawiec, Piotr, Sicherer, Scott, Sato, Sakura, Zubchenko, Svitlana, Muraro, Antonella, de Silva, Debra, Halken, Susanne, Worm, Margitta, Khaleva, Ekaterina, Arasi, Stefania, Dunn-Galvin, Audrey, Nwaru, Bright I., De Jong, Nicolette W., Rodríguez Del Río, Pablo, Turner, Paul J., Smith, Pete, Begin, Philippe, Angier, Elizabeth, Arshad, Hasan, Ballmer-Weber, Barbara, Beyer, Kirsten, Bindslev-Jensen, Carsten, Cianferoni, Antonella, Demoulin, Céline, Deschildre, Antoine, Ebisawa, Motohiro, Fernandez-Rivas, Maria Montserrat, Fiocchi, Alessandro, Flokstra-de Blok, Bertine, Gerdts, Jennifer, Gradman, Josefine, Grimshaw, Kate, Jones, Carla, Lau, Susanne, Loh, Richard, Alvaro Lozano, Montserrat, Makela, Mika, Marchisotto, Mary Jane, Meyer, Rosan, Mills, Clare, Nilsson, Caroline, Nowak-Wegrzyn, Anna, Nurmatov, Ulugbek, Pajno, Giovanni, Podestà, Marcia, Poulsen, Lars K., Sampson, Hugh A., Sanchez, Angel, Schnadt, Sabine, Szajewska, Hania, Van Ree, Ronald, Venter, Carina, Vlieg-Boerstra, Berber, Warner, Amena, Wong, Gary, Wood, Robert, Zuberbier, Torsten, and Roberts, Graham

Published
2022
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21. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guideline update – XIII – Oral immunotherapy for CMA – Systematic review

Author

Ansotegui, Ignacio J., Arasi, Stefania, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bognanni, Antonio, Bozzola, Martin, Brozek, Jan, Chu, Derek K., Dahdah, Lamia, Dupont, Christophe, Ebisawa, Motohiro, Fiocchi, Alessandro, Firmino, Ramon Targino, Galli, Elena, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Wegrzyn, Anna H., Papadopoulos, Nikolaos G., Pawankar, Ruby, Said, Maria, Sánchez-Borges, Mario, Schünemann, Holger J., Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Warner, Amena, Waserman, Susan, Wong, GaryW.K., Firmino, Ramon T., Waffenschmidt, Siw, Agarwal, Arnav, Dziechciarz, Piotr, Horvath, Andrea, Jebai, Rime, Mihara, Hanako, Roldan, Yetiani, Bahna, Sami, and Brożek, Jan L.

Published
2022
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22. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update - III - Cow's milk allergens and mechanisms triggering immune activation

Author

Jensen, Sebastian A., Fiocchi, Alessandro, Baars, Ton, Jordakieva, Galateja, Nowak-Wegrzyn, Anna, Pali-Schöll, Isabella, Passanisi, Stefano, Pranger, Christina L., Roth-Walter, Franziska, Takkinen, Kristiina, Assa'ad, Amal H., Venter, Carina, and Jensen-Jarolim, Erika

Published
2022
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23. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guideline update – XIV – Recommendations on CMA immunotherapy

Author

Brozek, Jan L., Firmino, Ramon T., Bognanni, Antonio, Arasi, Stefania, Ansotegui, Ignacio, Assa'ad, Amal H., Bahna, Sami L., Canani, Roberto Berni, Bozzola, Martin, Chu, Derek K., Dahdah, Lamia, Dupont, Christophe, Dziechciarz, Piotr, Ebisawa, Motohiro, Galli, Elena, Horvath, Andrea, Kamenwa, Rose, Lack, Gideon, Li, Haiqi, Martelli, Alberto, Nowak-Węgrzyn, Anna, Papadopoulos, Nikolaos G., Pawankar, Ruby, Roldan, Yetiani, Said, Maria, Sánchez-Borges, Mario, Shamir, Raanan, Spergel, Jonathan M., Szajewska, Hania, Terracciano, Luigi, Vandenplas, Yvan, Venter, Carina, Waffenschmidt, Siw, Waserman, Susan, Warner, Amena, Wong, Gary W.K., Fiocchi, Alessandro, and Schünemann, Holger J.

Published
2022
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27. Maternal allergy‐preventive diet index, offspring infant diet diversity, and childhood allergic diseases.

Author

Venter, Carina, Pickett‐Nairne, Kaci, Leung, Donald, Fleischer, David, O'Mahony, Liam, Glueck, Deborah H., and Dabelea, Dana

Subjects
*ELECTRONIC health records, *ALLERGIES, *ATOPIC dermatitis, *ALLERGIC rhinitis, *FOOD allergy, *WHEEZE
Abstract

Background Methods Results Conclusions Studies of childhood diet diversity and allergic disease have not examined additional associations with an offspring allergy‐linked maternal diet index during pregnancy. We studied both associations in a pre‐birth cohort.Offspring allergic disease diagnoses were obtained from electronic medical records. Maternal and infant diet were self‐reported. Adjusted parametric Weibull time‐to‐event models assessed associations between maternal diet index, infant diet diversity and time to development of allergic rhinitis, atopic dermatitis, asthma, wheeze, IgE‐mediated food allergy, and a combined outcome of any allergic disease except for wheeze.Infant diet diversity at 1 year was associated with the risk of the combined outcome between 1 and 4 years of age (p = .002). While both maternal diet index and infant diet diversity at 1 year were associated with the risk of the combined outcome between 1 and 4 years of age (both p < .05), infant diet diversity at 1 year did not modify the association between maternal diet index and the risk of the combined outcome between 1 and 4 years of age (p = .5). The group with the lowest risk of the combined allergy outcome had higher maternal diet index and higher infant diet diversity.The novel finding that both maternal diet index during pregnancy and infant diet diversity at 12 months are associated with the risk of a combined allergic disease outcome points to two targets for preventive interventions: maternal diet index scores during pregnancy and offspring diet diversity during infancy. [ABSTRACT FROM AUTHOR]

Published
2024
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28. Malnutrition and Allergies: Tipping the Immune Balance towards Health.

Author

Vassilopoulou, Emilia, Venter, Carina, and Roth-Walter, Franziska

Subjects
*DEFICIENCY diseases, *PROTEIN deficiency, *FOOD allergy, *VITAMIN A, *MALNUTRITION
Abstract

Malnutrition, which includes macro- and micronutrient deficiencies, is common in individuals with allergic dermatitis, food allergies, rhinitis, and asthma. Prolonged deficiencies of proteins, minerals, and vitamins promote Th2 inflammation, setting the stage for allergic sensitization. Consequently, malnutrition, which includes micronutrient deficiencies, fosters the development of allergies, while an adequate supply of micronutrients promotes immune cells with regulatory and tolerogenic phenotypes. As protein and micronutrient deficiencies mimic an infection, the body's innate response limits access to these nutrients by reducing their dietary absorption. This review highlights our current understanding of the physiological functions of allergenic proteins, iron, and vitamin A, particularly regarding their reduced bioavailability under inflamed conditions, necessitating different dietary approaches to improve their absorption. Additionally, the role of most allergens as nutrient binders and their involvement in nutritional immunity will be briefly summarized. Their ability to bind nutrients and their close association with immune cells can trigger exaggerated immune responses and allergies in individuals with deficiencies. However, in nutrient-rich conditions, these allergens can also provide nutrients to immune cells and promote health. [ABSTRACT FROM AUTHOR]

Published
2024
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29. Association between gut microbiota development and allergy in infants born during pandemic‐related social distancing restrictions.

Author

Korpela, Katri, Hurley, Sadhbh, Ford, Sinead Ahearn, Franklin, Ruth, Byrne, Susan, Lunjani, Nonhlanhla, Forde, Brian, Neogi, Ujjwal, Venter, Carina, Walter, Jens, Hourihane, Jonathan, O'Mahony, Liam, MCCallion, Naomi, Byrne, Aideen, White, Martin, and Fitzsimons, John

Subjects
GUT microbiome, INFANT development, SOCIAL distancing, COVID-19 pandemic, ENVIRONMENTAL exposure, INFANT health
Abstract

Background: Several hypotheses link reduced microbial exposure to increased prevalence of allergies. Here we capitalize on the opportunity to study a cohort of infants (CORAL), raised during COVID‐19 associated social distancing measures, to identify the environmental exposures and dietary factors that contribute to early life microbiota development and to examine their associations with allergic outcomes. Methods: Fecal samples were sequenced from infants at 6 (n = 351) and repeated at 12 (n = 343) months, using 16S sequencing. Published 16S data from pre‐pandemic cohorts were included for microbiota comparisons. Online questionnaires collected epidemiological information on home environment, healthcare utilization, infant health, allergic diseases, and diet. Skin prick testing (SPT) was performed at 12 (n = 343) and 24 (n = 320) months of age, accompanied by atopic dermatitis and food allergy assessments. Results: The relative abundance of bifidobacteria was higher, while environmentally transmitted bacteria such as Clostridia was lower in CORAL infants compared to previous cohorts. The abundance of multiple Clostridia taxa correlated with a microbial exposure index. Plant based foods during weaning positively impacted microbiota development. Bifidobacteria levels at 6 months of age, and relative abundance of butyrate producers at 12 months of age, were negatively associated with AD and SPT positivity. The prevalence of allergen sensitization, food allergy, and AD did not increase over pre‐pandemic levels. Conclusions: Environmental exposures and dietary components significantly impact microbiota community assembly. Our results also suggest that vertically transmitted bacteria and appropriate dietary supports may be more important than exposure to environmental microbes alone for protection against allergic diseases in infancy. [ABSTRACT FROM AUTHOR]

Published
2024
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30. Systematic review of the association between short‐chain fatty acids and allergic diseases.

Author

Sasaki, Mari, Suaini, Noor H. A., Afghani, Jamie, Heye, Kristina N., O'Mahony, Liam, Venter, Carina, Lauener, Roger, Frei, Remo, and Roduit, Caroline

Subjects
WHEEZE, SHORT-chain fatty acids, ALLERGIES, FOOD allergy, ATOPIC dermatitis, CHILD development
Abstract

We performed a systematic review to investigate the current evidence on the association between allergic diseases and short chain fatty acids (SCFAs), which are microbially produced and suggested as one mechanism on how gut microbiome affects the risk of allergic diseases. Medline, Embase and Web of Science were searched from data inception until September 2022. We identified 37 papers, of which 17 investigated prenatal or early childhood SCFAs and the development of allergic diseases in childhood, and 20 assessed SCFAs in patients with pre‐existing allergic diseases. Study design, study populations, outcome definition, analysis method and reporting of the results varied between papers. Overall, there was some evidence showing that the three main SCFAs (acetate, propionate and butyrate) in the first few years of life had a protective effect against allergic diseases, especially for atopic dermatitis, wheeze or asthma and IgE‐mediated food allergy in childhood. The association between each SCFA and allergic disease appeared to be different by disease and the age of assessment. Further research that can determine the potentially timing specific effect of each SCFA will be useful to investigate how SCFAs can be used in treatment or in prevention against allergic diseases. [ABSTRACT FROM AUTHOR]

Published
2024
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31. A systematic review and meta‐analysis on nutritional and dietary interventions for the treatment of acute respiratory infection in pediatric patients: An EAACI taskforce.

Author

Milani, Gregorio P., Alberti, Ilaria, Abodi, Martina, Lakoumentas, John, Konstantinou, George N., Papadopoulos, Nikolaos G., Pop, Raluca M., Bocsan, Ioana C., Cassimos, Dimitrios, Kull, Inger, Bettocchi, Silvia, Corsello, Antonio, Cugliari, Marco, Ciliberti, Letizia, Spolidoro, Giulia C. I., Agostoni, Carlo, Vlieg Boerstra, Berber, Venter, Carina, O'Mahony, Liam, and Vassilopoulou, Emilia

Subjects
RESPIRATORY infections, PEDIATRIC respiratory diseases, RESPIRATORY infections in children, CHILD patients, VITAMIN A
Abstract

Acute respiratory infections are a major cause of morbidity and mortality in children worldwide. Dietary and nutritional interventions, including minerals and vitamin supplementation, have been explored as potential treatments for these infections. However, the evidence on their efficacy is limited and inconclusive. This systematic review and meta‐analysis aim to provide a comprehensive summary of the available evidence on the effectiveness of dietary and nutritional interventions for treating acute respiratory tract infections in children. A systematic review was conducted according to the PRISMA 2020 guidelines in April 2022 and updated in April 2023. Clinical trials focusing on dietary or nutritional interventions, including supplementations, in children with acute respiratory tract infections were included. The selection of interventions and outcomes was based on biological plausibility. Data were extracted using a standardized form, and the risk of bias was assessed using the Cochrane Risk of Bias Tool. Meta‐analysis was performed using random‐effect models. A total of 50 studies were included in the review. Four trials were conducted in low, 32 in lower‐middle, 12 in upper‐middle, and only two in high‐income countries. The studies evaluated various dietary interventions, including zinc, vitamin A, vitamin E, vitamin D, and probiotics. The results of individual studies on the efficacy of these interventions were mixed, with some showing positive effects on clinical outcomes such as duration of symptoms, while others showed no significant impact. Meta‐analysis was conducted for zinc supplementation in children with pneumonia, and the pooled results suggested a potential limited benefit in terms of reduced hospital length of stay but not time to recovery. Meta‐analyses on vitamin D did not show any effect in children with pneumonia. This systematic review fills a critical gap in the literature by synthesizing the available evidence on the efficacy and safety of nutritional or dietary interventions for acute respiratory tract infections in children. The findings indicate no dietary or nutritional intervention can currently be recommended for the routine treatment of respiratory tract infections in children based on single supplement studies. The metanalysis suggests that zinc supplementation might have a beneficial effect on length of hospitalization in children with pneumonia. New studies are needed to establish more conclusive evidence for pediatric acute respiratory diseases especially for children living in a context of high‐income countries. [ABSTRACT FROM AUTHOR]

Published
2024
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36. Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis

Author

Spolidoro, Giulia C. I., primary, Nyassi, Sungkutu, additional, Lisik, Daniil, additional, Ioannidou, Athina, additional, Ali, Mohamed Mustafa, additional, Amera, Yohannes Tesfaye, additional, Rovner, Graciela, additional, Khaleva, Ekaterina, additional, Venter, Carina, additional, van Ree, Ronald, additional, Worm, Margitta, additional, Vlieg‐Boerstra, Berber, additional, Sheikh, Aziz, additional, Muraro, Antonella, additional, Roberts, Graham, additional, and Nwaru, Bright I., additional

Published
2024
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42. Allergy education and training for physicians

Author

Barker, Sally, Daniels, Lydia, Chang, Yoon-Seok, Chikovani, Tinatin, DunnGalvin, Audrey, Gerdts, Jennifer D., Gerth Van Wijk, Roy, Gibbs, Trevor, Villarreal Gonzalez, Rosalaura V., Guzman-Avilan, Rosa I., Hanna, Heather, Hossny, Elham, Kolotilina, Anastasia, Ortega Martell, José Antonio, Pacharn, Punchama, de Lira Quezada, Cindy E., Sibanda, Elopy, Stukus, David, Tham, Elizabeth Huiwen, Venter, Carina, Gonzalez-Diaz, Sandra N., Levin, Michael E., Martin, Bryan, Warner, John O., and Munblit, Daniel

Published
2021
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43. Harmonizing allergy care–integrated care pathways and multidisciplinary approaches

Author

Daniels, Lydia, Barker, Sally, Chang, Yoon-Seok, Chikovani, Tinatin, DunnGalvin, Audrey, Gerdts, Jennifer D., Gerth Van Wijk, Roy, Gibbs, Trevor, Villarreal-Gonzalez, Rosalaura V., Guzman-Avilan, Rosa I., Hanna, Heather, Hossny, Elham, Kolotilina, Anastasia, Ortega Martell, José Antonio, Pacharn, Punchama, de Lira Quezada, Cindy E., Sibanda, Elopy, Stukus, David, Tham, Elizabeth Huiwen, Venter, Carina, Gonzalez-Diaz, Sandra N., Levin, Michael E., Martin, Bryan, Munblit, Daniel, and Warner, John O.

Published
2021
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45. Dietary Management of Food Allergy

Author

Durban, Raquel, Groetch, Marion, Meyer, Rosan, Coleman Collins, Sherry, Elverson, Wendy, Friebert, Alyssa, Kabourek, Jamie, Marchand, Stephanie M., McWilliam, Vicki, Netting, Merryn, Skypala, Isabel, Van Brennan, Taryn, Vassilopoulou, Emillia, Vlieg–Boerstra, Berber, and Venter, Carina

Published
2021
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50. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–sponsored expert panel

Author

Togias, Alkis, Cooper, Susan F, Acebal, Maria L, Assa'ad, Amal, Baker, James R, Beck, Lisa A, Block, Julie, Byrd-Bredbenner, Carol, Chan, Edmond S, Eichenfield, Lawrence F, Fleischer, David M, Fuchs, George J, Furuta, Glenn T, Greenhawt, Matthew J, Gupta, Ruchi S, Habich, Michele, Jones, Stacie M, Keaton, Kari, Muraro, Antonella, Plaut, Marshall, Rosenwasser, Lanny J, Rotrosen, Daniel, Sampson, Hugh A, Schneider, Lynda C, Sicherer, Scott H, Sidbury, Robert, Spergel, Jonathan, Stukus, David R, Venter, Carina, and Boyce, Joshua A

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Health Services, Clinical Research, Nutrition, Food Allergies, Pediatric, Foodborne Illness, Digestive Diseases, Prevention, Inflammatory and immune system, Good Health and Well Being, Allergens, Arachis, Eczema, Egg Hypersensitivity, Humans, Immunoglobulin E, Infant, National Institute of Allergy and Infectious Diseases (U.S.), Peanut Hypersensitivity, Skin Tests, United States, Food, peanut, allergy, prevention, guidelines, Immunology, Allergy
Abstract

BackgroundFood allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy.ObjectivesPrompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy.ResultsThe addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation.ConclusionsGuidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy.

Published
2017

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