Lozinsky Adriana C, Meyer Rosan, Anagnostou Katherine, Dziubak Robert, Reeve Kate, Godwin Heather, Fox Adam T, Shah Neil
Department of Paediatric Gastroenterology, Great Ormond Street Children's Hospital, London WC1N 3JH, UK.
Department of Paediatric Allergy, Guy's and St Thomas' Hospitals NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK.
Children (Basel). 2015 Jul 21;2(3):317-29. doi: 10.3390/children2030317.
Cow's milk protein allergy (CMPA) is the most common food allergy in infants and can affect a family's quality of life. The purpose of this paper is to evaluate the knowledge and experience of general practitioners (GPs) in terms of CMPA diagnosis and management and to explore the views of parents on the current diagnostic process. Two surveys were conducted in June 2014, which collected data from GPs and parents of infants diagnosed with CMPA in the United Kingdom. The questionnaires included quantitative and qualitative questions, which measured self-reported knowledge, management and perceived treatment progression, and the educational needs of GPs. We also explored parents' experiences of local healthcare support in relation to CMPA. A total of 403 GPs and 300 parents completed the surveys. The main symptoms of CMPA and diagnosis period differed between GPs and parents. Other key points include different perceptions on symptom presentation and improvement, lack of awareness from GPs about current guidelines, and the significant burden on both families and GPs. This is the first study attempting to establish GP and parental experience in diagnosing CMPA. It is notable that the difference can be improved through training, appropriate diagnostic tools and improved communication between physicians and parents.
牛奶蛋白过敏（CMPA）是婴儿中最常见的食物过敏，会影响家庭生活质量。本文旨在评估全科医生（GPs）在CMPA诊断和管理方面的知识与经验，并探讨家长对当前诊断过程的看法。2014年6月进行了两项调查，收集了来自英国被诊断为CMPA的婴儿的全科医生和家长的数据。问卷包括定量和定性问题，测量自我报告的知识、管理和感知的治疗进展，以及全科医生的教育需求。我们还探讨了家长在CMPA方面获得当地医疗支持的经历。共有403名全科医生和300名家长完成了调查。全科医生和家长对CMPA的主要症状和诊断时期看法不同。其他关键点包括对症状表现和改善的不同认知、全科医生对当前指南缺乏认识，以及给家庭和全科医生带来的巨大负担。这是第一项试图确立全科医生和家长在诊断CMPA方面经验的研究。值得注意的是，通过培训、合适的诊断工具以及改善医生与家长之间的沟通，这种差异是可以改善的。
