Access the full text.
Sign up today, get DeepDyve free for 14 days.
M. Levy, D. Price, X. Zheng, Colin Simpson, P. Hannaford, A. Sheikh (2004)
Inadequacies in UK primary care allergy services: national survey of current provisions and perceptions of needClinical & Experimental Allergy, 34
S. Celik-Bilgili, A. Mehl, A. Verstege, U. Staden, M. Nocon, K. Beyer, B. Niggemann (2005)
The predictive value of specific immunoglobulin E levels in serum for the outcome of oral food challengesClinical & Experimental Allergy, 35
Based on the WHO/WAO meeting on the prevention of allergy and allergic asthma
E. Durán-Tauleria, G. Vignati, M. Guedan, C. Petersson (2004)
The utility of specific immunoglobulin E measurements in primary careAllergy, 59
T. Hothorn, K. Hornik, M. Wiel, A. Zeileis (2006)
A Lego System for Conditional InferenceThe American Statistician, 60
Dr. Short (1987)
Diagnosis?The Lancet, 330
P. Eigenmann (2004)
Breaking frontiers for better early allergy diagnosisAllergy, 59
S. Holgate, G. Lack (2005)
Improving the management of atopic diseaseArchives of Disease in Childhood, 90
Bodo Niggemann, Kirsten Beyer (2005)
Diagnostic pitfalls in food allergy in childrenAllergy, 60
A. Høst, S. Andrae, S. Charkin, C. Díaz-Vazquez, S. Dreborg, P. Eigenmann, F. Friedrichs, P. Grinsted, G. Lack, G. Meylan, P. Miglioranzi, A. Muraro, A. Nieto, B. Niggemann, C. Pascual, M.-G. Pouech, F. Rancé, E. Rietschel, M. Wickman (2003)
Allergy testing in children: why, who, when and how?Allergy, 58
Breaking frontiers for better early
Britta Ungern-Sternberg, Craig Sims (2019)
in ChildrenA Guide to Pediatric Anesthesia
E. Isolauri, Y. Sütas, M. Salo, R. Isosomppi, M. Kaila (1998)
Elimination diet in cow's milk allergy: risk for impaired growth in young children.The Journal of pediatrics, 132 6
S. Weinmann, P. Kamtsiuris, K. Henke, M. Wickman, Å. Jenner, U. Wahn (2003)
The costs of atopy and asthma in children: Assessment of direct costs and their determinants in a birth cohortPediatric Allergy and Immunology, 14
Isolauri Isolauri, Sütas Sütas, Salo Salo, Isosomppi Isosomppi, Kaila Kaila (1998)
Elimination diet in cow’s milk allergy: risk for impaired growth in young childrenJ Paediatr, 132
(2002)
Categorical Data Analysis, 2nd edn
(2006)
Team
Allergy testing is an important pre‐requisite for both early identification of infants at increased risk for later development of allergic diseases and for specific allergy treatment including specific allergen avoidance measures, pharmacotherapy and specific immunotherapy. The aim of this study was to investigate the influence of in vitro allergen‐specific immunoglobulin E (IgE) testing on the primary care physician’s diagnosis and clinical management of children with symptoms of eczema, wheezing/asthma and rhinitis. The trial was a prospective study performed at 14 paediatric primary care practices in Germany, covering 380 children below 6 yr of age. For one group of children the physician received the IgE test results as soon as possible and used them as an additional tool when diagnosing and giving clinical management advice. For the other group of children the IgE test results were not made available to the physician until the children were brought to a second visit, about 7 wk later. When diagnosis was made without access to allergen‐specific IgE results, 8% of the children were diagnosed as allergic, 6% as non‐allergic and in 86% of the cases the physician was uncertain. With access to allergen‐specific IgE results the figures were 13%, 65% and 22%, respectively. Concerning clinical management advice no statistically significant differences between the two study groups were observed. When comparing the first and second visits of the patients coming for a second visit advice to reduce aeroallergen exposure was given to 27% of the patients at visit 1 and to 36% of the patients at visit 2 (p = 0.002). The difference between the first and second visits of the other clinical management advice studied did not reach statistical significance. In this study the availability of IgE test results to the primary care physician had an impact on the decision‐making process of the diagnosis but not on the pharmaceutical or avoidance advice given. The reason why IgE test results were not fully exploited needs to be further scrutinized.
Pediatric Allergy and Immunology – Wiley
Published: Jun 1, 2008
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.