Department of Mother and Child Health, The Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region, University of Padua, Padua, Italy.
Allergy. 2014 Aug;69(8):1008-25. doi: 10.1111/all.12429. Epub 2014 Jun 9.
Food allergy can result in considerable morbidity, impact negatively on quality of life, and prove costly in terms of medical care. These guidelines have been prepared by the European Academy of Allergy and Clinical Immunology's (EAACI) Guidelines for Food Allergy and Anaphylaxis Group, building on previous EAACI position papers on adverse reaction to foods and three recent systematic reviews on the epidemiology, diagnosis, and management of food allergy, and provide evidence-based recommendations for the diagnosis and management of food allergy. While the primary audience is allergists, this document is relevant for all other healthcare professionals, including primary care physicians, and pediatric and adult specialists, dieticians, pharmacists and paramedics. Our current understanding of the manifestations of food allergy, the role of diagnostic tests, and the effective management of patients of all ages with food allergy is presented. The acute management of non-life-threatening reactions is covered in these guidelines, but for guidance on the emergency management of anaphylaxis, readers are referred to the related EAACI Anaphylaxis Guidelines.
食物过敏可导致相当大的发病率,对生活质量产生负面影响,并在医疗保健方面造成昂贵的代价。这些指南由欧洲过敏与临床免疫学学会(EAACI)的食物过敏和过敏反应小组制定,基于之前关于食物不良反应的 EAACI 立场文件和最近关于食物过敏的流行病学、诊断和管理的三项系统评价,为食物过敏的诊断和管理提供循证建议。虽然主要受众是过敏症专家,但本文件与所有其他医疗保健专业人员相关,包括初级保健医生以及儿科和成人专家、营养师、药剂师和辅助医务人员。本文件介绍了我们目前对食物过敏表现、诊断测试作用以及所有年龄段食物过敏患者有效管理的理解。这些指南涵盖了非危及生命的反应的急性管理,但有关过敏反应的紧急管理指南,请读者参考相关的 EAACI 过敏反应指南。