Frequency, severity and causes of unexpected allergic reactions to food: a systematic literature review

作者: A. Versluis , A. C. Knulst , A. G. Kruizinga , A. Michelsen , G. F. Houben

DOI: 10.1111/CEA.12328

关键词:

摘要: Summary: Food allergic patients have to deal with an avoidance diet. Confusing labelling terms or precautionary labels can result in misinterpretation and risk-taking behaviour. Even those that strictly adhere their diet experience (sometimes severe) unexpected reactions food. The frequency, severity causes of such are unknown. objective this review was describe the food aged > 12 years, order develop improved strategies allergy. A systematic carried out by two researchers, six electronic databases (CINAHL, Cochrane, EMBASE, Medline, Psychinfo Scopus). search performed keywords relating This resulted 24 studies which met inclusion criteria; 18 observational qualitative studies. shows knowledge about frequency is limited. Peanut, nuts, egg, fruit/vegetables milk main causal foods. Severe even fatalities occur. Most take place at home, but a significant number also when eating friends' houses restaurants. Labelling issues, attitude risky behaviour attribute reactions. We conclude prospective needed get more insight severity, quantity unintended allergen ingested food, be able optimize support dealing Although exact not known, occur severe. For clinical practice, means patient education dietary instructions necessary. © 2014 John Wiley & Sons Ltd.

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