Food Allergy Diagnosis and Management Practices Among Pediatricians


Today I'm excited to share with you another food allergy-related paper that was just published in the journal "Clinical Pediatrics".  The paper is entitled "Food Allergy Diagnosis and Management Practices Among Pediatricians" and you can read it by clicking on this link.  The paper had three goals:
1) To determine if and to what degree rates of parent-reported food allergy differ from rates of doctor-reported food allergy;  
2) To assess how well pediatricians follow the national clinical practice guidelines for food allergy; and
3) To find out why pediatricians think they and their colleagues don't always follow the guidelines.

 Here's a brief summary of what we found (taken from the abstract):

Overall, 10.9% of parents reported having a child with food allergy and two thirds of these cases were detected by the pediatrician. Chart reviews revealed high rates of guideline adherence with respect to allergist referral (67.3%), but less consistent adherence regarding documentation of reaction history (38.8%), appropriate use of diagnostic tests (34.7%), prescription of epinephrine autoinjectors (44.9%), and counseling families in food allergy management (24.5%). Pediatricians suggested that poor adherence was due to lack of documentation, familiarity with guidelines, and clarity regarding the pediatrician’s role in managing food allergy. Findings emphasize the need to better establish the role of the pediatrician and to improve awareness and adherence to guidelines.