Smith Child Health Research Program, Children's Memorial Hospital, Chicago, Illinois 60614, USA.
Pediatrics. 2010 Jan;125(1):126-32. doi: 10.1542/peds.2009-1116. Epub 2009 Dec 7.
To provide insight into food allergy knowledge and perceptions among pediatricians and family physicians in the United States.
A national sample of pediatricians and family physicians was recruited between April and July 2008 to complete the validated, Web-based Chicago Food Allergy Research Survey for Primary Care Physicians. Findings were analyzed to provide composite/itemized knowledge scores, describe attitudes and beliefs, and examine the effects of participant characteristics on response.
The sample included 407 primary care physicians; 99% of the respondents reported providing care for food-allergic patients. Participants answered 61% of knowledge-based items correctly. Strengths and weaknesses were identified in each content domain evaluated by the survey. For example, 80% of physicians surveyed knew that the flu vaccine is unsafe for egg-allergic children, 90% recognized that the number of food-allergic children is increasing in the United States, and 80% were aware that there is no cure for food allergy. However, only 24% knew that oral food challenges may be used in the diagnosis of food allergy, 12% correctly rejected that chronic nasal problems are not symptom of food allergy, and 23% recognized that yogurts/cheeses from milk are unsafe for children with immunoglobulin E-mediated milk allergies. Fewer than 30% of the participants felt comfortable interpreting laboratory tests to diagnose food allergy or felt adequately prepared by their medical training to care for food-allergic children.
Knowledge of food allergy among primary care physicians was fair. Opportunities for improvement exist, as acknowledged by participants' own perceptions of their clinical abilities in the management of food allergy.
深入了解美国儿科医生和家庭医生对食物过敏的认识。
2008 年 4 月至 7 月期间，招募了全国范围内的儿科医生和家庭医生，让他们完成基于网络的芝加哥初级保健医生食物过敏研究调查。对调查结果进行分析，提供综合/分项知识评分，描述态度和信念，并考察参与者特征对反应的影响。
该样本包括 407 名初级保健医生；99%的受访者表示为食物过敏患者提供治疗。参与者正确回答了 61%的基于知识的项目。调查评估的每个内容领域都确定了优势和劣势。例如，80%的被调查医生知道流感疫苗对鸡蛋过敏的儿童不安全，90%的人认识到美国食物过敏儿童的数量正在增加，80%的人知道食物过敏没有治愈方法。然而，只有 24%的人知道口服食物挑战可用于食物过敏的诊断，12%的人正确拒绝慢性鼻问题不是食物过敏的症状，23%的人认识到含有免疫球蛋白 E 的牛奶酸奶/奶酪对牛奶过敏的儿童不安全。不到 30%的参与者对解读实验室检测以诊断食物过敏感到满意，或者对自己在食物过敏管理方面的医学培训感到足够准备。
初级保健医生对食物过敏的了解尚可。参与者自身对其管理食物过敏的临床能力的看法承认，存在改进的机会。
