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

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:...

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Detalhes bibliográficos
Autores: Martorell, A, Alonso, E, Echeverría, L, Escudero, C, García-Rodríguez, R, Blasco, C, Bone, J, Borja-Segade, J, Bracamonte, T, Claver, A, Corzo, JL, De la Hoz, B, Del Olmo, R, Dominguez, O, Fuentes-Aparicio, V, Guallar, I, Larramona, H, Martín-Muñoz, F, Matheu, V, Michavila, A, Ojeda, I, Ojeda, P, Piquer, M, Poza, P, Reche, M, del Rio, PR, Rodríguez, M, Ruano, F, Sánchez-García, S, Terrados, S, Valdesoiro, L, Vazquez-Ortiz, M
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Recursos:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p6066
Acesso em linha:https://i3pt.portalinvestigacion.com/publicaciones/6066
Access Level:acceso abierto
Palavra-chave:Guide
Oral immunotherapy
Desensitization
Specific oral tolerance induction
Milk allergy
Egg allergy
Omalizumab
Sublingual immunotherapy
Descrição
Resumo: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.

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