tailieunhanh - Báo cáo y học: "Should Younger Siblings of Peanut-Allergic Children Be Assessed by an Allergist before Being Fed Peanut"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Should Younger Siblings of Peanut-Allergic Children Be Assessed by an Allergist before Being Fed Peanut? | ORIGINAL ARTICLE Should Younger Siblings of Peanut-Allergic Children Be Assessed by an Allergist before Being Fed Peanut Joel J. Liem MD FRCPC Saiful Huq BSc Anita L. Kozyrskyj PhD and Allan B. Becker MD FRCPC The objective of this study was to determine the risk of peanut allergy in siblings of peanut-allergic children. In 2005-2006 560 households of children born in 1995 in the province of Manitoba Canada were surveyed. The index children 8- to 10-year-olds were assessed by a pediatric allergist and had skin-prick testing and or capRAST for peanut allergy. Surveys were completed by parents for siblings to determine the presence of peanut allergy. Of 560 surveys 514 92 were completed. Twenty-nine index children were peanut allergic. Fifteen of 900 siblings had peanut allergy. Four of 47 were siblings of peanut-allergic children and 11 of 853 were siblings of non-peanut-allergic children. The risk of peanut allergy was markedly increased in siblings of a peanut-allergic child odds ratio 95 confidence interval . Siblings of peanut-allergic children are much more likely to be allergic to peanut. An allergy assessment by a qualified allergist should be routinely recommended before feeding peanut to these children. Key words allergy tests cohort study odds ratio peanut allergy siblings There has been a dramatic increase in food allergy and other atopic conditions over the past decade or more 1 2 with the prevalence of peanut allergy increasing from 3 a decade ago to between and .4-6 Peanut allergy is the most common cause of fatal and near-fatal food-related Parents with a peanut-allergic child often have a great deal of stress in attempting to ensure a peanut-free environment in the home school and play environments to prevent a life-threatening reaction 0 A common question Joel J. Liem Windsor Allergy Asthma Education Centre Southwestern Ontario Medical Education Network Windsor ON Saiful Huq Manitoba .

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