Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais

OBJECTIVES: To perform a narrative review of the literature about current guidelines for food allergy and present the main recommendations for Cow’s Milk Protein Allergy (CMPA) management in children at primary health care by algorithms. METHODS: We searched for relevant publications on the Cochran...

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Main Authors: Carlos Tourinho Lapa Filho, Hannah Fernandes Lapa, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Dirceu Solé, Mário César Vieira, Ricardo Queiroz Gurgel
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2022-09-01
Series:Residência Pediátrica
Subjects:
Online Access:https://residenciapediatrica.com.br/detalhes/1193/alergia%20as%20proteinas%20do%20leite%20de%20vaca%20e%20a%20atencao%20primaria%20a%20saude-%20uma%20revisao%20narrativa%20das%20diretrizes%20atuais
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author Carlos Tourinho Lapa Filho
Hannah Fernandes Lapa
Jackeline Motta Franco
Sarah Cristina Fontes Vieira
Dirceu Solé
Mário César Vieira
Ricardo Queiroz Gurgel
author_facet Carlos Tourinho Lapa Filho
Hannah Fernandes Lapa
Jackeline Motta Franco
Sarah Cristina Fontes Vieira
Dirceu Solé
Mário César Vieira
Ricardo Queiroz Gurgel
author_sort Carlos Tourinho Lapa Filho
collection DOAJ
description OBJECTIVES: To perform a narrative review of the literature about current guidelines for food allergy and present the main recommendations for Cow’s Milk Protein Allergy (CMPA) management in children at primary health care by algorithms. METHODS: We searched for relevant publications on the Cochrane Library, MEDLINE, PubMed, Guidelines International Network, National Guidelines Clearinghouse and National Institute for Health and Clinical Excellence (NICE) using the keywords on this topic. We made a comprehensive review of these publications as well as the recommendations of the Brazilian guide and consensus for food allergy. FINAL REMARKS: Adequate diagnosis and treatment for CMPA in children is essential, considering its nutritional, emotional and socioeconomic burden. Clinical practice guidelines provide recommendations based on scientific evidence improving quality of care; however, their implementation is challenging due to the lack of practical algorithms applicable and accessible for the management of CMPA in primary care. In addition, the lack of algorithms that favor accessibility to information from the extensive scientific content available is a reality that makes relevant a more practical proposal for a management of CMPA, applicable and accessible in order to consolidate a clinical practice based on scientific evidence.
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spelling doaj.art-ae1a01784fd142a7b2e1ee7662c4b22d2023-11-28T14:00:01ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142022-09-0112310.25060/residpediatr-2022.v12n3-526Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuaisCarlos Tourinho Lapa Filho0Hannah Fernandes Lapa1Jackeline Motta Franco2Sarah Cristina Fontes Vieira3Dirceu Solé4Mário César Vieira5Ricardo Queiroz Gurgel6Hospital Universitário da Universidade Federal de Sergipe, Departamento de Pediatria - Aracaju - Sergipe - BrasilHospital Universitário da Universidade Federal de Sergipe, Departamento de Pediatria - Aracaju - Sergipe - BrasilHospital Universitário da Universidade Federal de Sergipe, Departamento de Pediatria - Aracaju - Sergipe - BrasilHospital Universitário da Universidade Federal de Sergipe, Departamento de Pediatria - Aracaju - Sergipe - BrasilUniversidade Federal de São Paulo, Departamento de Pediatria - São Paulo - São Paulo - BrasilPontifícia Universidade Católica do Paraná, Departamento de Pediatria - Curitiba - Paraná - BrasilHospital Universitário da Universidade Federal de Sergipe, Departamento de Pediatria - Aracaju - Sergipe - BrasilOBJECTIVES: To perform a narrative review of the literature about current guidelines for food allergy and present the main recommendations for Cow’s Milk Protein Allergy (CMPA) management in children at primary health care by algorithms. METHODS: We searched for relevant publications on the Cochrane Library, MEDLINE, PubMed, Guidelines International Network, National Guidelines Clearinghouse and National Institute for Health and Clinical Excellence (NICE) using the keywords on this topic. We made a comprehensive review of these publications as well as the recommendations of the Brazilian guide and consensus for food allergy. FINAL REMARKS: Adequate diagnosis and treatment for CMPA in children is essential, considering its nutritional, emotional and socioeconomic burden. Clinical practice guidelines provide recommendations based on scientific evidence improving quality of care; however, their implementation is challenging due to the lack of practical algorithms applicable and accessible for the management of CMPA in primary care. In addition, the lack of algorithms that favor accessibility to information from the extensive scientific content available is a reality that makes relevant a more practical proposal for a management of CMPA, applicable and accessible in order to consolidate a clinical practice based on scientific evidence.https://residenciapediatrica.com.br/detalhes/1193/alergia%20as%20proteinas%20do%20leite%20de%20vaca%20e%20a%20atencao%20primaria%20a%20saude-%20uma%20revisao%20narrativa%20das%20diretrizes%20atuaismilk allergyfood allergydiagnosisprimary caredisease management
spellingShingle Carlos Tourinho Lapa Filho
Hannah Fernandes Lapa
Jackeline Motta Franco
Sarah Cristina Fontes Vieira
Dirceu Solé
Mário César Vieira
Ricardo Queiroz Gurgel
Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
Residência Pediátrica
milk allergy
food allergy
diagnosis
primary care
disease management
title Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
title_full Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
title_fullStr Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
title_full_unstemmed Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
title_short Alergia às proteínas do leite de vaca e a atenção primária à saúde: uma revisão narrativa das diretrizes atuais
title_sort alergia as proteinas do leite de vaca e a atencao primaria a saude uma revisao narrativa das diretrizes atuais
topic milk allergy
food allergy
diagnosis
primary care
disease management
url https://residenciapediatrica.com.br/detalhes/1193/alergia%20as%20proteinas%20do%20leite%20de%20vaca%20e%20a%20atencao%20primaria%20a%20saude-%20uma%20revisao%20narrativa%20das%20diretrizes%20atuais
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