Cow’s milk allergy as viewed by family physicians
Cow’s milk allergy as viewed by family physicians
Aim: Allergic diseases are increasing in the modern world and newborn infants encounter food allergies primarily. The most commonly seen food allergy in Turkey is cow’s milk protein allergy. In this study, cow’s milk protein allergy was examined from the perspective of family doctors and levels of knowledge were measured with a face-to-face questionnaire.Material and Methods: The responses of 210 (146 males, 64 females) family doctors who completed the questionnaire by participating in the study and the relationship of these answers with professional experience (Professional Experience; 1-10 years / 11-30 years).Results: Family physicians; 99 (47.1%) had previously encountered milk allergy, 162 (72.1%) knew the age at which cow’s milk allergy is seen, 51 (24.3%) knew to what extent the allergy could recover, 65 (31%) knew the clinical conditions related to cow’s milk allergy, 97 (46.2%) knew that diet could create cow’s milk allergy, 10 (4.8%) knew the tests that are used in food allergies, and 19 (9%) knew that formula could be involved in cow’s milk allergy. Professional experience ranged from 1 to 27 years (1-10 years, n=151 / 11-30 years, n=59) No statistically significant difference was determined between the group with 1-10 years of experience and the group with 11-30 years of experience in respect of the level of knowledge of cow’s milk allergy.Conclusion: In conclusion, family physicians should receive regular in-service training on allergy topics just as for other areas of medicine and the efficacy of the training should be evaluated with objective measurements.
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- Kansu A, Yüce A, Dalgıç B, et al. Consensus statement on diagnosis, treatment and follow-up of cow’s milk protein allergy among infants and children in Turkey. Turk J Pediatr 2016;58:1-11.
- Comberiati P, Landi M, Martelli A, et al. Awareness of allergic enterocolitis among primary-care paediatricians: A web-based pilot survey. Allergol Immunopathol (Madr) 2016;44:461-6.
- Lozinsky AC, Meyer R, Anagnostou K, et al. Cow’s milk protein allergy from diagnosis to management: a very different journey for general practitioners and parents. Children (Basel) 2015;2:317-29.
- Topal E, Çatal F, Özdemir R, ark. Aile hekimlerinin inek sütü allerjisinin tanısı ve tedavisi ile adrenalin otoenjektörü kullanımı hakkındaki bilgi düzeylerinin ölçülmesi. Asthma Allergy Immunol 2014;12:9-14.
- Erkoçoğlu M, Civelek E, Azkur D, et al. Knowledge and attitudes of primary care physicians regarding food allergy and anaphylaxis in Turkey. Allergol Immunopathol (Madr) 2013;41:292-7.
- Gupta RS, Springston EE, Kim JS, et al. Food allergy knowledge, attitudes, and beliefs of primary care physicians. Pediatrics 2010;125:126-32.
- Fiocchi A, Schunemann H, Ansotegui I, et al. The global impact of the DRACMA guidelines cow’s milk allergy clinical practice. World Allergy Organ J 2018;11:2.
- Soares-Weiser K, Takwoingi Y, Panesar SS, et al. EAACI food allergy and anaphylaxis guidelines group. the diagnosis of food allergy: a systematic review and meta-analysis. Allergy 2014;69:76-86.
- Vandenplas Y. prevention and management of cow’s milk allergy in non-exclusively breastfed infants. Nutrients 2017;9pii: E731.
- Sarinho E, Lins MDGM. Severe forms of food allergy. J Pediatr (Rio J) 2017;1:53-9.
- Kneepkens CM, Meijer Y. Clinical practice. Diagnosis and treatment of cow’s milk allergy. Eur J Pediatr 2009;168:891-6.
- Barros KV, Flor Silveira VL, Laranjeira MS, et al. evidence for involvement of IL-9 and IL-22 in cows’ milk allergy in infants. Nutrients 2017;9pii:E1048.