Beltrán-Cárdenas Carlos Eduardo, Granda-Restrepo Diana María, Franco-Aguilar Alejandro, Lopez-Teros Veronica, Arvizu-Flores Aldo Alejandro, Cárdenas-Torres Feliznando Isidro, Ontiveros Noé, Cabrera-Chávez Francisco, Arámburo-Gálvez Jesús Gilberto
Postgraduate Program in Nutrition Sciences, Faculty of Nutrition Sciences, University of Sinaloa, Culiacan, Sinaloa 80019, Mexico.
Food Department, Faculty of Pharmaceutical and Food Sciences, University of Antioquia, Medellín, Antioquia 50010, Colombia.
Medicina (Kaunas). 2021 Feb 5;57(2):146. doi: 10.3390/medicina57020146.
: The epidemiology of food allergy (FA) and food-dependent anaphylaxis remains unknown in Colombia. Our aim was to estimate by parent-report the prevalence of FA and food-dependent anaphylaxis in a Colombian population of schoolchildren. A printed questionnaire was sent to parents of schoolchildren aged 5-12 years old from Medellín, Colombia in order to collect FA-related data. Nine hundred and sixty-nine (969) parents returned the questionnaire with valid responses (response rate, 52.5%). The estimated prevalence rates (95% CI) were: adverse food reactions 12.79% (10.76-15.07), "perceived FA, ever" 10.93% (9.08-13.08), "physician-diagnosed FA, ever" 4.33% (3.14-5.81), "immediate-type FA, ever" 6.81% (5.30-8.58), "immediate-type FA, current" 3.30% (2.26-4.63), and food-dependent anaphylaxis 1.85% (1.10-2.92). The most frequently reported food allergens were milk (1.44%), fruits (0.41%), meat (0.41%), and peanut (0.3%). Sixty-one percent of "food-dependent anaphylaxis" cases sought medical attention, but only eleven percent of the cases reported the prescription of an epinephrine autoinjector. FA and food-dependent anaphylaxis are not uncommon among schoolchildren from Colombia. The prescription of epinephrine autoinjectors should be encouraged among health personnel for the optimal management of suspected cases of food-dependent anaphylaxis.
在哥伦比亚，食物过敏（FA）和食物依赖型过敏反应的流行病学情况尚不清楚。我们的目的是通过家长报告来估计哥伦比亚学龄儿童群体中FA和食物依赖型过敏反应的患病率。向哥伦比亚麦德林市5至12岁学龄儿童的家长发送了一份印刷问卷，以收集与FA相关的数据。969名家长返回了有效问卷（回复率为52.5%）。估计患病率（95%置信区间）为：食物不良反应12.79%（10.76 - 15.07），“曾感知到的FA”10.93%（9.08 - 13.08），“医生诊断过的曾患FA”4.33%（3.14 - 5.81），“曾患速发型FA”6.81%（5.30 - 8.58），“现患速发型FA”3.30%（2.26 - 4.63），以及食物依赖型过敏反应1.85%（1.10 - 2.92）。最常报告的食物过敏原是牛奶（1.44%）、水果（0.41%）、肉类（0.41%）和花生（0.3%）。61%的“食物依赖型过敏反应”病例寻求过医疗救治，但只有11%的病例报告开具了肾上腺素自动注射器的处方。FA和食物依赖型过敏反应在哥伦比亚学龄儿童中并不罕见。应鼓励卫生人员开具肾上腺素自动注射器处方，以优化对疑似食物依赖型过敏反应病例的管理。
