Ramírez Mayans Jaime Alfonso, Ignorosa Arellano Karen Rubí, Toro Monjaraz Erick Manuel, Cervantes Bustamante Roberto, Ruiz Castillo Marlene Alejandra, Medina Vera Isabel de Jesús, Ayala Germán Ana Gabriela, Bacarreza Nogales Dante Vladimir, Casas Guzik Lucía, Chávez Barrera José Antonio, Díaz Madero Sergio, Flores Fong Laura Esther, Galaz Pantoja Méndez Manuel Enrique, Gris Calvo Judith Ileana, Huerta Hernández Rosa Elena, Limón Rojas Ana Elena, Macías Avilés Héctor, Méndez Nieto Carlos, Ortega Martell José Antonio, Oyervides García Carlos Iván, Peña Vélez Rubén, Reynés Manzur José Nicolás, Saez de Ocariz Gutiérrez María Del Mar, Sagols Méndez Gerardo, Uriquidi Rivera Martha Eugenia, Worona Dibner Liliana, Wakida Kusunoki Guillermo Hideo, Vandenplas Yvan
{"title":"墨西哥就牛奶蛋白过敏达成共识。","authors":"Ramírez Mayans Jaime Alfonso, Ignorosa Arellano Karen Rubí, Toro Monjaraz Erick Manuel, Cervantes Bustamante Roberto, Ruiz Castillo Marlene Alejandra, Medina Vera Isabel de Jesús, Ayala Germán Ana Gabriela, Bacarreza Nogales Dante Vladimir, Casas Guzik Lucía, Chávez Barrera José Antonio, Díaz Madero Sergio, Flores Fong Laura Esther, Galaz Pantoja Méndez Manuel Enrique, Gris Calvo Judith Ileana, Huerta Hernández Rosa Elena, Limón Rojas Ana Elena, Macías Avilés Héctor, Méndez Nieto Carlos, Ortega Martell José Antonio, Oyervides García Carlos Iván, Peña Vélez Rubén, Reynés Manzur José Nicolás, Saez de Ocariz Gutiérrez María Del Mar, Sagols Méndez Gerardo, Uriquidi Rivera Martha Eugenia, Worona Dibner Liliana, Wakida Kusunoki Guillermo Hideo, Vandenplas Yvan","doi":"10.15586/aei.v52i1.958","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico.</p><p><strong>Material and methods: </strong>The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each).</p><p><strong>Results: </strong>Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow's milk protein were provided.</p><p><strong>Conclusions: </strong>The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.</p>","PeriodicalId":7536,"journal":{"name":"Allergologia et immunopathologia","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mexican consensus on cow's milk protein allergy.\",\"authors\":\"Ramírez Mayans Jaime Alfonso, Ignorosa Arellano Karen Rubí, Toro Monjaraz Erick Manuel, Cervantes Bustamante Roberto, Ruiz Castillo Marlene Alejandra, Medina Vera Isabel de Jesús, Ayala Germán Ana Gabriela, Bacarreza Nogales Dante Vladimir, Casas Guzik Lucía, Chávez Barrera José Antonio, Díaz Madero Sergio, Flores Fong Laura Esther, Galaz Pantoja Méndez Manuel Enrique, Gris Calvo Judith Ileana, Huerta Hernández Rosa Elena, Limón Rojas Ana Elena, Macías Avilés Héctor, Méndez Nieto Carlos, Ortega Martell José Antonio, Oyervides García Carlos Iván, Peña Vélez Rubén, Reynés Manzur José Nicolás, Saez de Ocariz Gutiérrez María Del Mar, Sagols Méndez Gerardo, Uriquidi Rivera Martha Eugenia, Worona Dibner Liliana, Wakida Kusunoki Guillermo Hideo, Vandenplas Yvan\",\"doi\":\"10.15586/aei.v52i1.958\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico.</p><p><strong>Material and methods: </strong>The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each).</p><p><strong>Results: </strong>Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow's milk protein were provided.</p><p><strong>Conclusions: </strong>The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. 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Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico.
Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each).
Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow's milk protein were provided.
Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.
期刊介绍：
Founded in 1972 by Professor A. Oehling, Allergologia et Immunopathologia is a forum for those working in the field of pediatric asthma, allergy and immunology. Manuscripts related to clinical, epidemiological and experimental allergy and immunopathology related to childhood will be considered for publication. Allergologia et Immunopathologia is the official journal of the Spanish Society of Pediatric Allergy and Clinical Immunology (SEICAP) and also of the Latin American Society of Immunodeficiencies (LASID). It has and independent international Editorial Committee which submits received papers for peer-reviewing by international experts. The journal accepts original and review articles from all over the world, together with consensus statements from the aforementioned societies. Occasionally, the opinion of an expert on a burning topic is published in the "Point of View" section. Letters to the Editor on previously published papers are welcomed. Allergologia et Immunopathologia publishes 6 issues per year and is included in the major databases such as Pubmed, Scopus, Web of Knowledge, etc.
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