ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Closing the Knowledge Gap: New food allergy guidelines provide clarity to some otolaryngologists

by Bryn Nelson • February 28, 2011

  • Tweet
  • Email
Print-Friendly Version

In a departure from past recommendations, the panel concluded that there was insufficient evidence to suggest that women should restrict their diet while pregnant or nursing (Guideline 36). “I think that takes a big load off the minds of parents, particularly those who have food allergy in the family,” Dr. Reisacher said.

You Might Also Like

No related posts.

Explore This Issue
March 2011

Perhaps even more noteworthy to many otolaryngologists was the recommendation that “introduction of solid foods should not be delayed beyond 4 to 6 months of age,” including the introduction of potentially allergenic foods (Guideline 40). “The prior thinking was that you had to withhold milk for a year, eggs for two years, and nuts and seafood for three years, and now they’re saying that there’s really no reason to withhold anything beyond four to six months,” Dr. Reisacher said.

“That’s a very big change in what was advised previously,” said Dr. Mahoney, who noted that the new recommendations are in agreement with the American Academy of Pediatrics’ (AAP) own recently revised guidelines (Pediatrics. 2008;121(1):183-91).

Dr. Simon said the major revision has come as the result of some surprising new research. “There’s some data suggesting that we may have completely missed the boat on this one, and that potentially earlier introduction of food may actually be a good idea,” he said. “At that point, the infant’s immune system is very, very underdeveloped, and it may accept the food and get tolerant to it, whereas if you wait longer, when the immune system has really matured, that’s when it’s going to see it as something foreign and then develop the allergy. So we may have had this really backwards.”

Vaccines

The guidelines include another change in the recommendations on which vaccines grown in chick embryos can be safely administered to patients with a history of severe reactions to egg protein (Guideline 31). The recommendation on administering flu vaccine is less clear-cut than that of other vaccines, reflecting both a lack of firm evidence and the observation that “egg allergy is relatively common among the very patients who would highly benefit from influenza vaccination,” according to the document.

“A huge problem that we have, particularly with the flu epidemic and H1N1, is people coming in who have had sensitivities and reactions to egg not knowing whether or not they should receive a flu shot,” Dr. Reisacher said. In issuing some guidance, he said the latest recommendations by the NIAID are somewhat less conservative than previous advice from the American Academy of Pediatrics.”

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Allergy, Everyday Ethics, Medical Education, Pediatric, Special Reports Tagged With: best practices, guidelines, pediatric otolaryngologyIssue: March 2011

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Complications for When Physicians Change a Maiden Name
    • Vertigo in the Elderly: What Does It Mean?
    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?
    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • What Happens to Medical Students Who Don’t Match?
    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?
    • Vertigo in the Elderly: What Does It Mean?
    • Neurogenic Cough Is Often a Diagnosis of Exclusion
    • Novel Bioabsorbable Plate Associated with Lower Leak Risk in Patients Receiving Endoscopic Skull Base Repair
    • New Findings Support Use of Cemiplimab as Neoadjuvant Therapy in Patients with Resectable Cutaneous Squamous Cell Carcinoma
    • Kinetic Oscillation Stimulation an Effective, Lasting Second-Line Treatment for Patients with Nonallergic Rhinitis
    • Otolaryngologists Vary Significantly in Choice of Injectable Materials for Vocal Fold Injection Augmentation
    • COVID-19 Infection May Be Associated with Unique Manifestation of Facial Nerve Paralysis/Palsy

Polls

Do you believe that having more otolaryngologists appear on mainstream media outlets is a good thing for the field?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2023 The Triological Society. All Rights Reserved.
ISSN 1559-4939