Varying Approaches to Management of IgE-Mediated Food Allergy in Children Around the World

Perspectives and gaps in the management of food allergy and anaphylaxis in the Asia-Pacific Region

“…A recent article reviewed that Germany had a high ratio of 6.5 allergists per 100,000 population, but not all allergy specialists managed FAs. 22 Some might be in different fields such as dermatology or respiratory therapy, highlighting the challenges in comparing allergy service provision across regions. To ensure that there are enough allergy specialists to meet the rising demand for allergy care, it is critical to continue advancing the allergy discipline across the Asia-Pacific region.…”

“…27 , 28 In contrast to the findings from our study, a global review of IgE-mediated FA management showed that all surveyed countries but Brazil had access to adrenaline autoinjectors, with most offering 2 brands and some up to 4. 22 In most of the regions examined, the reasons mentioned as contributing to the unavailability of adrenaline autoinjectors include high costs, lack of regionally produced autoinjectors, and lack of guidelines on the prescription of adrenaline at a national or regional level. On the basis of the most recent guidelines, it is recommended that adrenaline autoinjectors be used as the primary treatment for anaphylaxis.…”

The role of pediatricians in the diagnosis and management of IgE-mediated food allergy: a review

“…Component testing (molecular diagnosis) allows the identification of sIgE for specific proteins, or components, which are available for several allergens including peanut, milk, egg, and several tree nuts ( 7 , 36 ). Ara h 2 is an example of component testing and is approved for the diagnosis of peanut allergy by the FDA ( 22 , 37 ). Compared with whole peanut SPT and sIgE tests, Ara h 2 testing is cost-effective and has increased specificity for diagnosis ( 22 ).…”

The ability of children and families with and without nut allergy to correctly identify nuts

“…In current practice, allergists recommend the introduction of nuts they deem safe to the child's 'in-home' diet, but practice varies internationally. 1 This presents an important safety issue for patients and their families. Safe introduction of nuts at home should involve children and their guardians carefully reading labels on packages.…”