Sheikh Asiyah, Sheikh Zakariya, Roberts Graham, Muraro Antonella, Dhami Sangeeta, Sheikh Aziz
Research Students, Edinburgh, UK.
Clinical and Experimental Sciences and Human Development in Health Academic Unit, University of Southampton Faculty of Medicine, Southampton, UK.
Clin Transl Allergy. 2017 Jul 25;7:23. doi: 10.1186/s13601-017-0161-z. eCollection 2017.
Clinical practice guidelines are important tools to promote evidence-based clinical care, but not all countries have the capacity or infrastructure to develop these in-house. The European Academy of Allergy and Clinical Immunology has recently developed guidelines for the prevention, diagnosis and management of food allergy and the management of anaphylaxis. In order to inform dissemination, adaptation and implementation plans, we sought to identify countries that have/do not have national guidelines for food allergy and anaphylaxis.
Two reviewers independently searched PubMed to identify countries with guidelines for food allergy and/or anaphylaxis from the inception of this database to December 2016. This was supplemented with a search of the Agency for Healthcare Research and Quality's National Guideline Clearinghouse in order to identify any additional guidelines that may not have been reported in the peer-reviewed literature. Data were descriptively and narratively synthesized.
Overall, 5/193 (3%) of countries had at least one guideline for food allergy or anaphylaxis. We found that one (1%) country had a national guideline for the prevention of food allergy, three (2%) countries had a guideline for the diagnosis of food allergy and three (2%) countries had a guideline for the management of food allergy. Three (2%) countries had an anaphylaxis guideline.
This study concludes that the overwhelming majority of countries do not have any national clinical practice guidelines for food allergy or anaphylaxis.
临床实践指南是促进循证临床医疗的重要工具，但并非所有国家都有能力或基础设施自行制定这些指南。欧洲变态反应与临床免疫学会最近制定了食物过敏的预防、诊断和管理以及过敏反应管理的指南。为了为传播、改编和实施计划提供信息，我们试图确定哪些国家有/没有食物过敏和过敏反应的国家指南。
两名审阅者独立检索PubMed，以确定从该数据库建立到2016年12月有食物过敏和/或过敏反应指南的国家。此外还检索了医疗保健研究与质量局的国家指南库，以确定同行评审文献中可能未报道的任何其他指南。对数据进行描述性和叙述性综合分析。
总体而言，193个国家中有5个（3%）至少有一项食物过敏或过敏反应指南。我们发现，有一个（1%）国家有预防食物过敏的国家指南，三个（2%）国家有食物过敏诊断指南，三个（2%）国家有食物过敏管理指南。三个（2%）国家有过敏反应指南。
本研究得出结论，绝大多数国家没有任何关于食物过敏或过敏反应的国家临床实践指南。
