Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey
Yüce A, Dalgıç B, Çullu-Çokuğraş F, Çokuğraş H, Kansu A, Alptekin-Sarıoğlu A, Şekerel BE. Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey. Turk J Pediatr 2017; 59: 233-243. Region-specific recommendations for the prevention, diagnosis, and treatm...
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| Veröffentlicht in: | Turkish journal of pediatrics 2017, Vol.59 (3), p.233-243 |
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| creator | Yüce, Aysel Dalgıç, Buket Çullu-Çokuğraş, Fügen Çokuğraş, Haluk Kansu, Aydan Alptekin-Sarıoğlu, Aysugül Şekerel, Bülent Enis |
| description | Yüce A, Dalgıç B, Çullu-Çokuğraş F, Çokuğraş H, Kansu A, Alptekin-Sarıoğlu A, Şekerel BE. Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey. Turk J Pediatr 2017; 59: 233-243. Region-specific recommendations for the prevention, diagnosis, and treatment of cow`s milk protein allergy (CMPA) are not available in Turkey. This cross-sectional questionnaire-survey was designed to evaluate CMPA awareness and practice among Turkish pediatricians. A total of 410 pediatricians were included based on their voluntary participation. Questionnaires elicited demographic data and pediatricians` awareness and practice of CMPA in infants and children. Atopic dermatitis (91.5%), diarrhea (88.0%) and significant blood in stool (85.9%) were the most common symptoms considered suggestive of CMPA. Continuation of breast feeding via elimination of CMP containing products from maternal diet was the most commonly selected (79.0%) therapeutic option in exclusively breast-fed infants diagnosed with CMPA. Amino acid-based formula was the most commonly selected formula in a non-exclusively breast-fed infant with CMPA, for infants presenting with anaphylaxis (58.8%), enterocolitis (40.7%) or multiple food allergies (52.0%), and also for at-risk infants (40.2%). Earliest time to re-challenge was identified to be 6 months by 52.0% of pediatricians. In conclusion, our findings revealed high awareness of CMPA among Turkish pediatricians in terms of clinical presentation and first priority diagnostic tests. However, CMPA practice among Turkish pediatricians needs to be improved in terms of avoidance of other mammalian milks, selection of therapeutic formulas among non-exclusively breast-fed infants and at-risk infants consistent with guideline-based indications and cost-effectivity. |
| doi_str_mv | 10.24953/turkjped.2017.03.002 |
| format | Article |
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Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey. Turk J Pediatr 2017; 59: 233-243. Region-specific recommendations for the prevention, diagnosis, and treatment of cow`s milk protein allergy (CMPA) are not available in Turkey. This cross-sectional questionnaire-survey was designed to evaluate CMPA awareness and practice among Turkish pediatricians. A total of 410 pediatricians were included based on their voluntary participation. Questionnaires elicited demographic data and pediatricians` awareness and practice of CMPA in infants and children. Atopic dermatitis (91.5%), diarrhea (88.0%) and significant blood in stool (85.9%) were the most common symptoms considered suggestive of CMPA. Continuation of breast feeding via elimination of CMP containing products from maternal diet was the most commonly selected (79.0%) therapeutic option in exclusively breast-fed infants diagnosed with CMPA. Amino acid-based formula was the most commonly selected formula in a non-exclusively breast-fed infant with CMPA, for infants presenting with anaphylaxis (58.8%), enterocolitis (40.7%) or multiple food allergies (52.0%), and also for at-risk infants (40.2%). Earliest time to re-challenge was identified to be 6 months by 52.0% of pediatricians. In conclusion, our findings revealed high awareness of CMPA among Turkish pediatricians in terms of clinical presentation and first priority diagnostic tests. However, CMPA practice among Turkish pediatricians needs to be improved in terms of avoidance of other mammalian milks, selection of therapeutic formulas among non-exclusively breast-fed infants and at-risk infants consistent with guideline-based indications and cost-effectivity.</description><identifier>ISSN: 0041-4301</identifier><identifier>EISSN: 2791-6421</identifier><identifier>DOI: 10.24953/turkjped.2017.03.002</identifier><identifier>PMID: 29376567</identifier><language>eng</language><publisher>Turkey: Hacettepe University Faculty of Medicine</publisher><subject>Amino acids ; Anaphylaxis ; Animals ; Babies ; Breast Feeding ; Breastfeeding & lactation ; Cattle ; Child ; Child, Preschool ; Clinical medicine ; Cross-Sectional Studies ; Dermatitis ; Diagnostic tests ; Diet ; Disease prevention ; Dysphagia ; Food allergies ; Gastroenterology ; Health Knowledge, Attitudes, Practice ; Humans ; Immunology ; Infant ; Milk ; Milk Hypersensitivity - diagnosis ; Milk Hypersensitivity - therapy ; Milk Proteins - immunology ; Nutrition research ; Pediatricians - statistics & numerical data ; Pediatrics ; Practice Patterns, Physicians' - statistics & numerical data ; Proteins ; Questionnaires ; Statistical analysis ; Surveys and Questionnaires ; Turkey</subject><ispartof>Turkish journal of pediatrics, 2017, Vol.59 (3), p.233-243</ispartof><rights>Copyright Hacettepe University Faculty of Medicine May/Jun 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-46b8dec8182870a5afe65f68cbd2a089f5e993744e0e178c9a0190ee15d6aa0e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29376567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yüce, Aysel</creatorcontrib><creatorcontrib>Dalgıç, Buket</creatorcontrib><creatorcontrib>Çullu-Çokuğraş, Fügen</creatorcontrib><creatorcontrib>Çokuğraş, Haluk</creatorcontrib><creatorcontrib>Kansu, Aydan</creatorcontrib><creatorcontrib>Alptekin-Sarıoğlu, Aysugül</creatorcontrib><creatorcontrib>Şekerel, Bülent Enis</creatorcontrib><title>Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey</title><title>Turkish journal of pediatrics</title><addtitle>Turk J Pediatr</addtitle><description>Yüce A, Dalgıç B, Çullu-Çokuğraş F, Çokuğraş H, Kansu A, Alptekin-Sarıoğlu A, Şekerel BE. Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey. Turk J Pediatr 2017; 59: 233-243. Region-specific recommendations for the prevention, diagnosis, and treatment of cow`s milk protein allergy (CMPA) are not available in Turkey. This cross-sectional questionnaire-survey was designed to evaluate CMPA awareness and practice among Turkish pediatricians. A total of 410 pediatricians were included based on their voluntary participation. Questionnaires elicited demographic data and pediatricians` awareness and practice of CMPA in infants and children. Atopic dermatitis (91.5%), diarrhea (88.0%) and significant blood in stool (85.9%) were the most common symptoms considered suggestive of CMPA. Continuation of breast feeding via elimination of CMP containing products from maternal diet was the most commonly selected (79.0%) therapeutic option in exclusively breast-fed infants diagnosed with CMPA. Amino acid-based formula was the most commonly selected formula in a non-exclusively breast-fed infant with CMPA, for infants presenting with anaphylaxis (58.8%), enterocolitis (40.7%) or multiple food allergies (52.0%), and also for at-risk infants (40.2%). Earliest time to re-challenge was identified to be 6 months by 52.0% of pediatricians. In conclusion, our findings revealed high awareness of CMPA among Turkish pediatricians in terms of clinical presentation and first priority diagnostic tests. However, CMPA practice among Turkish pediatricians needs to be improved in terms of avoidance of other mammalian milks, selection of therapeutic formulas among non-exclusively breast-fed infants and at-risk infants consistent with guideline-based indications and cost-effectivity.</description><subject>Amino acids</subject><subject>Anaphylaxis</subject><subject>Animals</subject><subject>Babies</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cattle</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical medicine</subject><subject>Cross-Sectional Studies</subject><subject>Dermatitis</subject><subject>Diagnostic tests</subject><subject>Diet</subject><subject>Disease prevention</subject><subject>Dysphagia</subject><subject>Food allergies</subject><subject>Gastroenterology</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Immunology</subject><subject>Infant</subject><subject>Milk</subject><subject>Milk Hypersensitivity - diagnosis</subject><subject>Milk Hypersensitivity - therapy</subject><subject>Milk Proteins - immunology</subject><subject>Nutrition research</subject><subject>Pediatricians - statistics & numerical data</subject><subject>Pediatrics</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Proteins</subject><subject>Questionnaires</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires</subject><subject>Turkey</subject><issn>0041-4301</issn><issn>2791-6421</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkc1v1DAQxS1ERbeFPwFkiQuXLOOvOOFWrWhBqsSlPZtZZ1K8TZzFTlrtf4_7sRdOPszvjd-8x9hHAWupW6O-zku63-2pW0sQdg1qDSDfsJW0rahqLcVbtgLQotIKxCk7y3lXAAutfcdOZatsbWq7YrSZHn9nPobhnu_TNFOIHIeB0t2B4yMmipQzx9iVKfo5eOI4TvGO35TvQ_7Di4OAcwo-YMzf-AX_u1CewxQjhkRVXtIDHd6zkx6HTB9e33N2e_n9ZvOjuv519XNzcV151ei50vW26cg3opGNBTTYU236uvHbTiI0bW-oLc61JiBhG98iiBaIhOlqRCB1zr687C2nPPtwY8iehgEjTUt2oshLWkZBQT__h-6mJcXizkmw1mihjSiUeaF8mnJO1Lt9CiOmgxPgnntwxx7cUw8OlCsxF92n1-3Ldiyzo-oYvPoHTqWHdw</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Yüce, Aysel</creator><creator>Dalgıç, Buket</creator><creator>Çullu-Çokuğraş, Fügen</creator><creator>Çokuğraş, Haluk</creator><creator>Kansu, Aydan</creator><creator>Alptekin-Sarıoğlu, Aysugül</creator><creator>Şekerel, Bülent Enis</creator><general>Hacettepe University Faculty of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2017</creationdate><title>Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey</title><author>Yüce, Aysel ; 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Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey. Turk J Pediatr 2017; 59: 233-243. Region-specific recommendations for the prevention, diagnosis, and treatment of cow`s milk protein allergy (CMPA) are not available in Turkey. This cross-sectional questionnaire-survey was designed to evaluate CMPA awareness and practice among Turkish pediatricians. A total of 410 pediatricians were included based on their voluntary participation. Questionnaires elicited demographic data and pediatricians` awareness and practice of CMPA in infants and children. Atopic dermatitis (91.5%), diarrhea (88.0%) and significant blood in stool (85.9%) were the most common symptoms considered suggestive of CMPA. Continuation of breast feeding via elimination of CMP containing products from maternal diet was the most commonly selected (79.0%) therapeutic option in exclusively breast-fed infants diagnosed with CMPA. Amino acid-based formula was the most commonly selected formula in a non-exclusively breast-fed infant with CMPA, for infants presenting with anaphylaxis (58.8%), enterocolitis (40.7%) or multiple food allergies (52.0%), and also for at-risk infants (40.2%). Earliest time to re-challenge was identified to be 6 months by 52.0% of pediatricians. In conclusion, our findings revealed high awareness of CMPA among Turkish pediatricians in terms of clinical presentation and first priority diagnostic tests. However, CMPA practice among Turkish pediatricians needs to be improved in terms of avoidance of other mammalian milks, selection of therapeutic formulas among non-exclusively breast-fed infants and at-risk infants consistent with guideline-based indications and cost-effectivity.</abstract><cop>Turkey</cop><pub>Hacettepe University Faculty of Medicine</pub><pmid>29376567</pmid><doi>10.24953/turkjped.2017.03.002</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Amino acids Anaphylaxis Animals Babies Breast Feeding Breastfeeding & lactation Cattle Child Child, Preschool Clinical medicine Cross-Sectional Studies Dermatitis Diagnostic tests Diet Disease prevention Dysphagia Food allergies Gastroenterology Health Knowledge, Attitudes, Practice Humans Immunology Infant Milk Milk Hypersensitivity - diagnosis Milk Hypersensitivity - therapy Milk Proteins - immunology Nutrition research Pediatricians - statistics & numerical data Pediatrics Practice Patterns, Physicians' - statistics & numerical data Proteins Questionnaires Statistical analysis Surveys and Questionnaires Turkey |
| title | Cow`s milk protein allergy awareness and practice among Turkish pediatricians: A questionnaire-survey |
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