Food allergy in children and young people : diagnosis and assessment of food allergy in children and young people in primary care and community settings / Centre for Clinical Practice (National Institute for Health and Clinical Excellence (Great Britain)).

Format:

Book

Author/Creator:

Centre for Clinical Practice (National Institute for Health and Clinical Excellence (Great Britain)), author, issuing body.

Series:

Clinical guideline (National Institute for Health and Clinical Excellence (Great Britain)) ; Number 116.

Clinical guideline (National Institute for Health and Clinical Excellence (Great Britain)) ; Number 116

Language:

English

Subjects (All):

Food allergy--Diagnosis.

Food allergy.

Physical Description:

1 online resource.

Place of Publication:

London : National Institute for Health and Clinical Excellence, 2011.

Summary:

Food allergy is an adverse immune response to a food. It can be classified into IgE-mediated and non-IgE-mediated reactions. Many non-IgE reactions, which are poorly defined both clinically and scientifically, are believed to be T-cell-mediated. Some reactions involve a mixture of both IgE and non-IgE responses and are classified as mixed IgE and non-IgE allergic reactions. Food allergy may be confused with food intolerance, which is a non-immunological reaction that can be caused by enzyme deficiencies, pharmacological agents and naturally occurring substances. Food intolerance will not be covered in this guideline. The starting point for the guideline is a suspicion of food allergy, and the use of an allergy-focused clinical history will help to determine whether a food allergy is likely.

Contents:

Introduction

Patient-centred care

1. Summary

1.1. List of all recommendations

1.2. Care pathway

1.3. Overview

2. How this guideline was developed

2.1. Introduction

2.2. Assessment and allergy-focused clinical history

2.3. Diagnosis of IgE-mediated food allergy

2.4. Diagnosis of non-IgE-mediated food allergy

2.5. Providing information and support

2.6. Referral to secondary or specialist care

2.7. Alternative diagnostic tools

3. Research recommendations

3.1. Prevalence and natural history of non-IgE-mediated food allergy

3.2. Clinical predictors of non-IgE-mediated food allergy

3.3. Information needs for children and young people during their care pathway to diagnosis of food allergy

3.4. Values of skin prick testing and specific IgE antibody testing and their predictive value

3.5. Modes of provision of support to healthcare professionals

4. Other versions of this guideline

Quick reference guide

'Understanding NICE guidance'

5. Related NICE guidance

5.1. Guidance under development in parallel with NICE

6. Updating the guideline

7. References, glossary and abbreviations

7.1 References

7.2 Glossary

7.3 Abbreviations

7.4. Appendices

8. Contributors

8.1. The Guideline Development Group

8.2. The short clinical guidelines technical team

8.3. The short clinical guidelines team

8.4. Centre for clinical practice

8.5. The Guideline Review Panel

8.6. Declarations of interest

8.7. Authorship and citation

Appendix 1: Scope, literature search, review protocol and evidence

Appendix 1.0. Scope

Appendix 1.1. Review protocol

Appendix 1.2. Literature search & search strategies

Appendix 1.3. Evidence tables

Appendix 2. Excluded studies

Appendix 3: Health economics

Appendix 3.0. Non-IgE-mediated food allergy - Cost effectiveness analysis

Appendix 3.1. IgE-mediated food allergy - Cost effectiveness analysis

Appendix 4. Declarations of interest.

Notes:

Description based on publisher supplied metadata and other sources.