Yıl: 2021 Cilt: 63 Sayı: 1 Sayfa Aralığı: 109 - 117 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.01.013 İndeks Tarihi: 25-05-2022

Over restrictive elimination of foods in children with foodallergy

Öz:
Background. Previous studies demonstrated critical deficits in diagnosis and management of childhood foodallergy (FA), and recent developments in FA research support adopting a proactive approach in FA management.Our objective was to describe FA knowledge and management patterns of pediatricians.Method. We applied a 24-item survey to 170 general pediatricians, pediatric allergists and pediatricgastroenterologists practicing in Turkey.Results. Some IgE-mediated symptoms of FA such as cough, urticaria, wheezing and anaphylaxis were falselyrecognized as symptoms of non-IgE-mediated FA by 30%, 29%, 25% and 19% of the participants, respectively.By contrast, 50% of the participants falsely recognized bloody stool, a finding of IgE-mediated FA. Mostfrequently and least frequently used diagnostic tools were specific IgE (30.5%) and oral food challenge test(1.7%), respectively. Maternal diet restrictions and infant diet restrictions were advised by 82% and 82%,respectively. Percentages of physicians eliminating only 1 food were 21%, 19%; 2 foods were 15%, 11%; 3 foodswere 7%, 8%; 4-5 foods were 8%, 11%; 5 to 10 foods were 21%, 26%; and >10 foods were 28%, 25% from thematernal and infant diet, respectively. Cow’s milk, cheese, butter, yoghurt, baked milk products and hen’s eggwere the most commonly restricted items.Conclusion. Overall, FA knowledge of pediatricians was fair. Pediatricians utilize an overly restrictive approachwhen advising diet eliminations in FA. Recent developments favor a more proactive approach to induce immunetolerance and need to be encouraged in pediatric clinical practice. Future educational efforts should focus onemphasizing the deleterious effects of injudicious and extensive eliminations.
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APA Ozdogan E, Melek Arsoy H, BÜYÜKTİRYAKİ A, Nacaroğlu H, Dut R, Uysal Soyer Ö, SAHINER U, Arik Yilmaz E, Akkaya A, Uslu Kızılkan N, Sackesen C (2021). Over restrictive elimination of foods in children with foodallergy. , 109 - 117. 10.24953/turkjped.2021.01.013
Chicago Ozdogan Elif,Melek Arsoy Hacer Efnan,BÜYÜKTİRYAKİ Ayşe Betül,Nacaroğlu Hikmet Tekin,Dut Raziye,Uysal Soyer Özge,SAHINER Umit,Arik Yilmaz Ebru,Akkaya A. Deniz,Uslu Kızılkan Nuray,Sackesen Cansin Over restrictive elimination of foods in children with foodallergy. (2021): 109 - 117. 10.24953/turkjped.2021.01.013
MLA Ozdogan Elif,Melek Arsoy Hacer Efnan,BÜYÜKTİRYAKİ Ayşe Betül,Nacaroğlu Hikmet Tekin,Dut Raziye,Uysal Soyer Özge,SAHINER Umit,Arik Yilmaz Ebru,Akkaya A. Deniz,Uslu Kızılkan Nuray,Sackesen Cansin Over restrictive elimination of foods in children with foodallergy. , 2021, ss.109 - 117. 10.24953/turkjped.2021.01.013
AMA Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C Over restrictive elimination of foods in children with foodallergy. . 2021; 109 - 117. 10.24953/turkjped.2021.01.013
Vancouver Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C Over restrictive elimination of foods in children with foodallergy. . 2021; 109 - 117. 10.24953/turkjped.2021.01.013
IEEE Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C "Over restrictive elimination of foods in children with foodallergy." , ss.109 - 117, 2021. 10.24953/turkjped.2021.01.013
ISNAD Ozdogan, Elif vd. "Over restrictive elimination of foods in children with foodallergy". (2021), 109-117. https://doi.org/10.24953/turkjped.2021.01.013
APA Ozdogan E, Melek Arsoy H, BÜYÜKTİRYAKİ A, Nacaroğlu H, Dut R, Uysal Soyer Ö, SAHINER U, Arik Yilmaz E, Akkaya A, Uslu Kızılkan N, Sackesen C (2021). Over restrictive elimination of foods in children with foodallergy. Turkish Journal of Pediatrics, 63(1), 109 - 117. 10.24953/turkjped.2021.01.013
Chicago Ozdogan Elif,Melek Arsoy Hacer Efnan,BÜYÜKTİRYAKİ Ayşe Betül,Nacaroğlu Hikmet Tekin,Dut Raziye,Uysal Soyer Özge,SAHINER Umit,Arik Yilmaz Ebru,Akkaya A. Deniz,Uslu Kızılkan Nuray,Sackesen Cansin Over restrictive elimination of foods in children with foodallergy. Turkish Journal of Pediatrics 63, no.1 (2021): 109 - 117. 10.24953/turkjped.2021.01.013
MLA Ozdogan Elif,Melek Arsoy Hacer Efnan,BÜYÜKTİRYAKİ Ayşe Betül,Nacaroğlu Hikmet Tekin,Dut Raziye,Uysal Soyer Özge,SAHINER Umit,Arik Yilmaz Ebru,Akkaya A. Deniz,Uslu Kızılkan Nuray,Sackesen Cansin Over restrictive elimination of foods in children with foodallergy. Turkish Journal of Pediatrics, vol.63, no.1, 2021, ss.109 - 117. 10.24953/turkjped.2021.01.013
AMA Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C Over restrictive elimination of foods in children with foodallergy. Turkish Journal of Pediatrics. 2021; 63(1): 109 - 117. 10.24953/turkjped.2021.01.013
Vancouver Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C Over restrictive elimination of foods in children with foodallergy. Turkish Journal of Pediatrics. 2021; 63(1): 109 - 117. 10.24953/turkjped.2021.01.013
IEEE Ozdogan E,Melek Arsoy H,BÜYÜKTİRYAKİ A,Nacaroğlu H,Dut R,Uysal Soyer Ö,SAHINER U,Arik Yilmaz E,Akkaya A,Uslu Kızılkan N,Sackesen C "Over restrictive elimination of foods in children with foodallergy." Turkish Journal of Pediatrics, 63, ss.109 - 117, 2021. 10.24953/turkjped.2021.01.013
ISNAD Ozdogan, Elif vd. "Over restrictive elimination of foods in children with foodallergy". Turkish Journal of Pediatrics 63/1 (2021), 109-117. https://doi.org/10.24953/turkjped.2021.01.013