Cargando…

International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children

PURPOSE: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow’s milk protein allergy (CMPA) and lactose intolerance (LI) in infants. METHODS: A global survey was conducted in several c...

Descripción completa

Detalles Bibliográficos
Autores principales: Madrazo, J Armando, Alrefaee, Fawaz, Chakrabarty, Anjan, de Leon, Julia C., Geng, Lanlan, Gong, Sitang, Heine, Ralf G., Järvi, Anette, Ngamphaiboon, Jarungchit, Ong, Christina, Rogacion, Jossie M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110852/
https://www.ncbi.nlm.nih.gov/pubmed/35611371
http://dx.doi.org/10.5223/pghn.2022.25.3.263
_version_ 1784709195291951104
author Madrazo, J Armando
Alrefaee, Fawaz
Chakrabarty, Anjan
de Leon, Julia C.
Geng, Lanlan
Gong, Sitang
Heine, Ralf G.
Järvi, Anette
Ngamphaiboon, Jarungchit
Ong, Christina
Rogacion, Jossie M.
author_facet Madrazo, J Armando
Alrefaee, Fawaz
Chakrabarty, Anjan
de Leon, Julia C.
Geng, Lanlan
Gong, Sitang
Heine, Ralf G.
Järvi, Anette
Ngamphaiboon, Jarungchit
Ong, Christina
Rogacion, Jossie M.
author_sort Madrazo, J Armando
collection PubMed
description PURPOSE: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow’s milk protein allergy (CMPA) and lactose intolerance (LI) in infants. METHODS: A global survey was conducted in several countries with diverse health care settings. The survey consisted of multiple-choice questions in 3 main domains: (1) understanding and clinical practices around CMPA and LI; (2) case scenarios; and (3) disease-specific knowledge and potential educational needs. RESULTS: Responses were available from 1,663 participants. About 62% of respondents were general practitioners or general pediatricians, and the remainder were pediatric allergists/gastroenterologists (18%) or other health practitioners (20%). The survey identified knowledge gaps regarding the types of CMPA (IgE-mediated vs. non-IgE-mediated) and the clinical overlap with LI. The survey suggested diverse clinical practices regarding the use of hypoallergenic formulas, as well as misconceptions about the prebiotic benefits of lactose in extensively hydrolyzed formulas in non-breastfed infants with CMPA. Responses to the two case scenarios highlighted varying levels of awareness of the relevant clinical practice guidelines. While respondents generally felt confident in managing infants with CMPA and LI, about 80% expressed an interest for further training in this area. CONCLUSION: The current survey identified some knowledge gaps and regional differences in the management of infants with CMPA or LI. Local educational activities among general and pediatric healthcare providers may increase the awareness of clinical practice guidelines for the diagnosis and treatment of both conditions and help improve clinical outcomes.
format Online
Article
Text
id pubmed-9110852
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
record_format MEDLINE/PubMed
spelling pubmed-91108522022-05-23 International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children Madrazo, J Armando Alrefaee, Fawaz Chakrabarty, Anjan de Leon, Julia C. Geng, Lanlan Gong, Sitang Heine, Ralf G. Järvi, Anette Ngamphaiboon, Jarungchit Ong, Christina Rogacion, Jossie M. Pediatr Gastroenterol Hepatol Nutr Original Article PURPOSE: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow’s milk protein allergy (CMPA) and lactose intolerance (LI) in infants. METHODS: A global survey was conducted in several countries with diverse health care settings. The survey consisted of multiple-choice questions in 3 main domains: (1) understanding and clinical practices around CMPA and LI; (2) case scenarios; and (3) disease-specific knowledge and potential educational needs. RESULTS: Responses were available from 1,663 participants. About 62% of respondents were general practitioners or general pediatricians, and the remainder were pediatric allergists/gastroenterologists (18%) or other health practitioners (20%). The survey identified knowledge gaps regarding the types of CMPA (IgE-mediated vs. non-IgE-mediated) and the clinical overlap with LI. The survey suggested diverse clinical practices regarding the use of hypoallergenic formulas, as well as misconceptions about the prebiotic benefits of lactose in extensively hydrolyzed formulas in non-breastfed infants with CMPA. Responses to the two case scenarios highlighted varying levels of awareness of the relevant clinical practice guidelines. While respondents generally felt confident in managing infants with CMPA and LI, about 80% expressed an interest for further training in this area. CONCLUSION: The current survey identified some knowledge gaps and regional differences in the management of infants with CMPA or LI. Local educational activities among general and pediatric healthcare providers may increase the awareness of clinical practice guidelines for the diagnosis and treatment of both conditions and help improve clinical outcomes. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2022-05 2022-05-09 /pmc/articles/PMC9110852/ /pubmed/35611371 http://dx.doi.org/10.5223/pghn.2022.25.3.263 Text en Copyright © 2022 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Madrazo, J Armando
Alrefaee, Fawaz
Chakrabarty, Anjan
de Leon, Julia C.
Geng, Lanlan
Gong, Sitang
Heine, Ralf G.
Järvi, Anette
Ngamphaiboon, Jarungchit
Ong, Christina
Rogacion, Jossie M.
International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title_full International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title_fullStr International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title_full_unstemmed International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title_short International Cross-Sectional Survey among Healthcare Professionals on the Management of Cow’s Milk Protein Allergy and Lactose Intolerance in Infants and Children
title_sort international cross-sectional survey among healthcare professionals on the management of cow’s milk protein allergy and lactose intolerance in infants and children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110852/
https://www.ncbi.nlm.nih.gov/pubmed/35611371
http://dx.doi.org/10.5223/pghn.2022.25.3.263
work_keys_str_mv AT madrazojarmando internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT alrefaeefawaz internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT chakrabartyanjan internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT deleonjuliac internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT genglanlan internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT gongsitang internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT heineralfg internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT jarvianette internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT ngamphaiboonjarungchit internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT ongchristina internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren
AT rogacionjossiem internationalcrosssectionalsurveyamonghealthcareprofessionalsonthemanagementofcowsmilkproteinallergyandlactoseintoleranceininfantsandchildren