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Mexican consensus on cow’s milk protein allergy
Ramírez Mayans, Jaime Alfonso; Ignorosa Arellano, Karen Rubí; Toro Monjaraz, Erick Manuel; Cervantes Bustamante, Roberto; Ruiz Castillo, Marlene Alejandra; Medina Vera, Isabel de Jesús; Ayala Germán, Ana Gabriela; Bacarreza Nogales, Dante Vladimir; Casas Guzik, Lucía; Chávez Barrera, José Antonio.
Afiliación
  • Ramírez Mayans, Jaime Alfonso; Instituto Nacional de Pediatria. Pediatric Gastroenterology and Nutrition Department. Mexico City. Mexico
  • Ignorosa Arellano, Karen Rubí; Instituto Nacional de Pediatria. Pediatric Gastroenterology and Nutrition Department. Mexico City. Mexico
  • Toro Monjaraz, Erick Manuel; Instituto Nacional de Pediatria. Pediatric Gastroenterology and Nutrition Department. Mexico City. Mexico
  • Cervantes Bustamante, Roberto; Instituto Nacional de Pediatria. Pediatric Gastroenterology and Nutrition Department. Mexico City. Mexico
  • Ruiz Castillo, Marlene Alejandra; Hospital del Niño DIF. Pediatric Gastroenterology. Hidalgo. México
  • Medina Vera, Isabel de Jesús; Instituto Nacional de Pediatria. Research Methodology Department. Mexico City. México
  • Ayala Germán, Ana Gabriela; Hospital General Agustín O Haran. Pediatric Gastroenterology. Yucatán. México
  • Bacarreza Nogales, Dante Vladimir; Hospital General Zona 1 IMSS. Pediatric Gastroenterology. Tijuana. México
  • Casas Guzik, Lucía; Hospital Infantil de Morelia Eva Sámano de López Mateos. Pediatric Gastroenterology. Morelia. México
  • Chávez Barrera, José Antonio; IMSS. Hospital General del Centro Médico Nacional La Raza. Pediatric Gastroenterology. Mexico City. Mexico
Allergol. immunopatol ; 52(1): 24-37, 01 jan. 2024. ilus, tab
Article en En | IBECS | ID: ibc-229173
Biblioteca responsable: ES1.1
Ubicación: ES15.1 - BNCS
ABSTRACT
Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources (AU)
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Texto completo: 1 Colección: 06-national / ES Base de datos: IBECS Asunto principal: Hipersensibilidad a la Leche Límite: Animals / Female / Humans País/Región como asunto: Mexico Idioma: En Revista: Allergol. immunopatol Año: 2024 Tipo del documento: Article
Texto completo
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Texto completo: 1 Colección: 06-national / ES Base de datos: IBECS Asunto principal: Hipersensibilidad a la Leche Límite: Animals / Female / Humans País/Región como asunto: Mexico Idioma: En Revista: Allergol. immunopatol Año: 2024 Tipo del documento: Article