RT Journal Article
SR Electronic
T1 Guidelines for the diagnosis and management of cow’s milk protein allergy in infants
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 902
OP 908
DO 10.1136/adc.2006.110999
VO 92
IS 10
A1 Yvan Vandenplas
A1 Martin Brueton
A1 Christophe Dupont
A1 David Hill
A1 Erika Isolauri
A1 Sibylle Koletzko
A1 Arnold P Oranje
A1 Annamaria Staiano
YR 2007
UL http://adc.bmj.com/content/92/10/902.abstract
AB Our aim was to develop guidance for general paediatricians and primary care physicians in diagnosing and managing cow’s milk protein allergy in infants. The guidelines were developed by discussion based on existing national recommendations and standards, clinical experience and, whenever possible, evidence from the literature. Separate algorithms cover breast-fed and formula-fed infants. The recommendations emphasise the importance of comprehensive history taking and careful physical examination. Patients with severe symptoms need to be referred to a specialist. Elimination of cow’s milk protein from the infant’s or mother’s diet and challenges are the gold standard for diagnosis. This guidance is intended as a basis for local discussion, implementation and prospective evaluation. The algorithms should be regularly assessed using clinical audit standards. Once validated, the diagnostic framework could provide a standardised approach in epidemiological and therapeutic studies.