Novel Approaches to Food Allergy Management During COVID-19 Inspire Long-Term Change
Autor: | Elissa M. Abrams, David Fleischer, Matthew Greenhawt, Mariam Hanna, Julie Wang, Marcus Shaker, Edmond S. Chan, Douglas P. Mack |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Telemedicine Peanut allergy Food allergy prevention EMS Emergency medical services Pneumonia Viral Specialty OIT Oral immunotherapy Virtual care Disease Oral immunotherapy Article LEAP Learning Early About Peanut Betacoronavirus Food allergy ED Emergency department NIAID National Institute of Allergy and Infectious Disease Pandemic medicine Emergency medical services Immunology and Allergy Humans OFC Oral food challenge PPE Personal protective equipment Intensive care medicine Anaphylaxis Pandemics COVID-19 Coronavirus disease 2019 Oral food challenge business.industry SARS-CoV-2 Oral food challenges COVID-19 medicine.disease FDA Food and Drug Administration Immunotherapy business Coronavirus Infections Food Hypersensitivity |
Zdroj: | The Journal of Allergy and Clinical Immunology. in Practice |
ISSN: | 2213-2201 2213-2198 |
Popis: | The SARS-CoV2 pandemic has prompted a re-evaluation of our current practice of medicine. The seemingly abrupt worldwide spread of this disease resulted in immediate changes and a reduction in many allergy-focussed services and procedures. The reality of the long-term circulation of this virus in our communities requires us to evolve as a specialty. In this article, we outline current and future challenges in the management of food allergy in light of coronavirus disease 2019 (COVID-19). We focus on infant food allergy prevention, management of anaphylaxis, accurate diagnosis with oral food challenges, and active management of food allergy with oral immunotherapy. This article identifies the challenges of conflicting guidelines, shortcomings of acute management approaches, and inherent system deficiencies. We offer perspectives and strategies that can be implemented now, including an evaluation of virtual care and telemedicine for the management of food allergy. The use of a shared decision-making model results in novel approaches that can benefit our patients and our specialty for years to come. COVID-19 has forced us to re-evaluate our current way of thinking about food allergy management to better treat our patients. |
Databáze: | OpenAIRE |
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