November 20, 2015

Guidelines on the management of IgE-mediated food allergies

S2k-Guidelines of the German Society for Allergology and Clinical Immunology (DGAKI) in collaboration with the German Medical Association of Allergologists (AeDA), the German Professional Association of Pediatricians (BVKJ), the German Allergy and Asthma Association (DAAB), German Dermatological Society (DDG), the German Society for Nutrition (DGE), the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS), the German Society for Oto-Rhino-Laryngology, Head and Neck Surgery, the German Society for Pediatric and Adolescent Medicine (DGKJ), the German Society for Pediatric Allergology and Environmental Medicine (GPA), the German Society for Pneumology (DGP), the German Society for Pediatric Gastroenterology and Nutrition (GPGE), German Contact Allergy Group (DKG), the Austrian Society for Allergology and Immunology (Æ-GAI), German Professional Association of Nutritional Sciences (VDOE) and the Association of the Scientific Medical Societies Germany (AWMF)
  • Margitta Worm 
  • Imke Reese
  • Barbara Ballmer-Weber
  • Kirsten Beyer
  • Stephan C. Bischoff
  • ,Martin Classen
  • Peter J. Fischer
  • Thomas Fuchs
  • Isidor Huttegger
  • Preamble

    The present guideline updates and summarizes S1- and S2-guidelines published by the German Association of Scientific Medical Societies (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF) which have been published on various aspects of food allergy [123456,7].

    It fulfills the methodological requirements set out by the AWMF on the development of guidelines for diagnosis and treatment and represent S2k-guidelines according to the AWMF three-level concept. DELBI criteria were taken into account [9].
    The strength of recommendation for the individual recommendations is expressed in the guidelines using standardized formulations (Tab. 1) [10].
    Tab. 1
    Strengths of recommendation
    Strength of recommendation
    Syntax
    Strong recommendation
    Shall
    Recommendation
    Should
    Open recommendation
    Can
    The guideline is based on the current European Academy of Allergy and Clinical Immunology (EAACI) S3-guideline on the diagnosis and treatment of food allergy [11], as well as on systematic EAACI reviews [12,13] from 2014, for which systematic literature searches of PubMed, meta-analyses, clinical studies, and other scientific investigations were undertaken. Consensus on the present guideline was achieved independently from the European guidelines by an interdisciplinary panel of German-speaking experts who were nominated by the participating societies.


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