Use of baked milk challenges in clinical practice: a worldwide survey

Yiota (Panagiota) Athanasopoulou,Tara Dean²,Carina Venter

doi:10.1186/2045-7022-5-s3-p148

Abstract

Results Of 113 participants 51(45.1%) were dietitians, 31(27.4%) Paediatric Allergists and Paediatricians, 15(13.3%) Allergists/Clinical Immunologists, 2(1.9%) General Practitioners, and 14(12.4%) other health scientists. 14 (12.7%) of participants reported that they use baked milk challenges to confirm the diagnosis in CMA and 82(73.2%) to determine tolerance to milk. 52(46%) perform baked milk challenges in IgE mediated CMA in hospital, 8(7.1%) suggest home and 33(29.2%) in both places. In non-IgE mediated CMA, 8(7.1%) conduct these challenges in hospital, 51(45.1%) at home and 27 (23.9%) at both places. 17(15%) of responders stated that they use graded introduction of milk containing foods (Milk Ladder) to diagnose CMA and 80(70.8%) to determine tolerance. 19(16.8%) carry out the Milk Ladder in IgE CMA in hospital, 22(19.5%) use it at home and 27(23.9%) in both places. 3(2.7%) perform graded milk introduction in non-IgE mediated CMA in hospital, 56(49.6%) suggest home, and 18(15.9%) in both places.

Highlights

Current research suggests that graded introduction of cow’s milk, starting with baked milk, may be used as a prognostic indicator for outgrowing Cow’s Milk Allergy (CMA)
Practitioners, and 14(12.4%) other health scientists. 14 (12.7%) of participants reported that they use baked milk challenges to confirm the diagnosis in CMA and 82(73.2%) to determine tolerance to milk. 52(46%) perform baked milk challenges in IgE mediated CMA in hospital, 8(7.1%) suggest home and 33(29.2%) in both places
In non-IgE mediated CMA, 8(7.1%) conduct these challenges in hospital, 51(45.1%) at home and 27 (23.9%) at both places. 17(15%) of responders stated that they use graded introduction of milk containing foods (Milk Ladder) to diagnose CMA and 80(70.8%) to determine tolerance. 19(16.8%) carry out the Milk Ladder in IgE CMA in hospital, 22(19.5%) use it at home and 27(23.9%) in both places. 3(2.7%) perform graded milk introduction in non-IgE mediated CMA in hospital, 56(49.6%) suggest home, and 18(15.9%) in both places

Summary

Introduction

Current research suggests that graded introduction of cow’s milk, starting with baked milk, may be used as a prognostic indicator for outgrowing Cow’s Milk Allergy (CMA). Use of baked milk challenges in clinical practice: a worldwide survey Yiota (Panagiota) Athanasopoulou1*, Tara Dean21, Carina Venter1,2 From Food Allergy and Anaphylaxis Meeting 2014 Dublin, Ireland.

Results

Conclusion