Over restrictive elimination of foods in children with food allergy

Background Previous studies demonstrated critical deficits in diagnosis and management of childhood food allergy (FA), recent developments FA research support adopting a proactive approach management. Our objective was to describe knowledge patterns pediatricians. Method We applied 24-item survey 170 general pediatricians, pediatric allergists gastroenterologists practicing Turkey. Results Some IgE-mediated symptoms such as cough, urticaria, wheezing anaphylaxis were falsely recognized non-IgE-mediated by 30%, 29%, 25% 19% the participants, respectively. By contrast, 50% participants bloody stool, finding FA. Most frequently least used diagnostic tools specific IgE (30.5%) oral challenge test (1.7%), Maternal diet restrictions infant advised 82% 82%, Percentages physicians eliminating only 1 21%, 19%; 2 foods 15%, 11%; 3 7%, 8%; 4-5 8%, 5 10 26%; > 28%, from maternal diet, Cow`s milk, cheese, butter, yoghurt, baked milk products hen`s egg most commonly restricted items. Conclusion Overall, pediatricians fair. Pediatricians utilize an overly restrictive when advising eliminations Recent favor more induce immune tolerance need be encouraged clinical practice. Future educational efforts should focus on emphasizing deleterious effects injudicious extensive eliminations.