Child food allergy advice from NICE to assist GPs
By Stephen Robinson, 23 February 2011
Guidance to help GPs diagnose child food allergies has been issued by NICE.
The guideline, the first of its kind, is designed to assist GPs in the clear diagnosis and assessment of the condition in children.
Hospital admissions in the UK for food allergies have increased five-fold since 1990.
In addition, a fifth of children who report an allergy also wrongly self-report diagnoses and avoid eating certain foods as a result, but do not have a confirmed diagnosis.
The guideline advises GPs to take an allergy-focused clinical history if allergy is suspected, including a physical examination. Diagnosis may include skin prick and/or blood tests for immunoglobulin antibodies, which can suggest particular allergic reactions.
But diagnostic tests available on the high street or the internet are not recommended as there is little evidence the tests work.
Referral to secondary care should be considered if the child has ongoing problems including faltering growth, vomiting, abdominal pain, loose or frequent stools, or constipation, in combination with other GI symptoms.
- Related MIMS Guidelines and Summaries
- Pharmalgen for the Treatment of Bee and Wasp Venom Allergy (TA246)
Latest Articles from GP
- GPs need support to tackle domestic violence, say researchers
- Viewpoint: BMA deputy chairman on why the decline in GP funding must be reversed
- Flu jab cuts diabetes deaths by 30%
- NHS England confirms plans to hand CCGs primary care commissioning role
- Scottish LMCs conference to debate fresh call for breakaway GP contract
Latest jobs Jobs web feed
- General Practitioners - Parkgate Medical Practice IntraHealth Competitive, Darlington
- Are you a Locum GP looking for work in Walk in Centres, OOH, Surgeries or Prisons at Top Rates? Medco Services Upto £100 p/h, National
- Salaried GP required in Hartlepool, Full-time, Up to £90k + MDU + Benefits Career Doctors £90k + MDU + annual leave, North East England, Hartlepool, Middlesbrough
- Salaried GP required in Traditional Langbaurgh surgery, £90k + Benefits Career Doctors £90,000 + MDU and benefits, Middlesbrough, Langbaurgh, County Durham, North East England
- GP required in Stockton on Tees, up to £90K + Benefits Career Doctors £90K + MDU + Benefits, Stockton on Tees, Middlebrough, North East England
- North (N15) London client requiring Full Time cover during March and April Locum.co.uk Fantastic rates on offer, North London (N15)