Recommendations Guide Oral Immunotherapy for Food Allergies

. The recommendations aim to increase the treatment's safety and decrease the potential for allergic reactions., the management of social and behavioral factors such as parental disagreement, and the benefits of OIT. The authors also present evidence-based guidance on contraindications, risk mitigation, and discontinuation of OIT. Finally, they stress the importance of informed consent.

A 36-member international panel of pediatric allergists, adult allergists, and immunologists developed a consensus document on patient preparation and consent for OIT. They used a Delphi methodology to reach consensus on statements and themes. More than 300 statements were initially proposed from consent forms, processes, and standard operating procedures that are already in use.

The panel also reached consensus on OIT alternatives including continued food avoidance . There was also unanimous agreement on the ability to discuss OIT discontinuation any time., Michael Pistiner, MD, director of food allergy advocacy, education, and prevention at Massachusetts General Hospital for Children in Boston, said that it will support parents and families in informed OIT initiation.

Pistiner described the methodology as sound and noted that panelists covered all the relevant topics that affect the safe initiation of OIT."They hit upon all the things that I would have wanted to see them hit upon," he said."I am definitely going to be using the talking points that they have developed. I think that this publication is helpful because it helps a team standardize and streamline those initial conversations that can take up to an hour.

Food Hypersensitivity Biologic Therapy Biologics Asthma Asthmatic Immunotherapy Canada Severe Asthma Uncontrolled Asthma Allergy Children Child Childhood Pediatrics Kids Anaplastic Lymphoma Kinase ALK ALK Tyrosine Kinase Receptor CD246 Cluster Of Differentiation 246 Patient Safety Agriculture/Farming Allergens Board Certification Boards Board Recertification

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