Allergic gastroenteritis hospital admission time trends in Australia and New Zealand

Mullins, Raymond J; Turner, Paul J.; Barnes, Elizabeth H; Campbell, Dianne E.

doi:10.1111/jpc.13767

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Only one previous report documented rising hospitalizations due to allergic colitis in Australia and New Zealand. 3 In agreement, our study shows significant increases in hospitalizations and insurance claims due to allergic colitis in Chilean infants. The factors involved in the rise of non-IgE-mediated FA have not been determined, and it is unknown if factors contributing to the increase in IgE-mediated FA might play a role in this type of allergy.…”

supporting

confidence: 88%

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Increasing food allergies in Chile, a developing country post‐epidemiological transition

Hoyos-Bachiloglu

Escobar

Cifuentes

et al. 2020

Pediatric Allergy Immunology

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To the Editor,The clinical spectrum of food allergy (FA) is broad and includes immediate hypersensitivity reactions, typically IgE-mediated reactions, such as food-induced urticaria and food-induced anaphylaxis (FIA), and delayed or non-IgE-mediated reactions such as allergic proctocolitis and food protein-induced enterocolitis syndrome. IgE-mediated FA affects up to 2.5% of the adult population and 6%-8% of children. 1 Most of the epidemiological studies reporting an increase in IgE-mediated FA have been done in developed countries using proxies of FA incidence such as FIA hospitalizations and epinephrine autoinjector sales. 2 Although the literature on temporal trends of non-IgE-mediated FA is scarce, in developed countries its prevalence may have increased in parallel to the increase in IgEmediated FA. 3 To date, FA temporal trends have not been studied in developing countries.Chile is a developing country that has undergone rapid demographic and epidemiological transitions over few decades. In recent years, it has greatly reduced infant mortality and infectious diseases

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supporting

confidence: 88%

“…However, they continue to be lower than rates reported in developed countries like Australia. 3,6 The epidemiology of IgE-mediated FA has often been described using surrogate markers such as FIA hospitalization rates.…”

mentioning

confidence: 99%

Increasing food allergies in Chile, a developing country post‐epidemiological transition

Hoyos-Bachiloglu

Escobar

Cifuentes

et al. 2020

Pediatric Allergy Immunology

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“…A 2018 study examined non‐IgE allergic gastroenteritis‐related admissions to Australian and New Zealand hospitals and found an increase from 6.8 admissions per 100 000 per year in 1998–2000 to 26.5 per 100 000 by 2014. Since most of these cases occurred in infants under 12 months of age, the authors speculated that the bulk of the presentations were likely due to FPIES . A population‐based survey of paediatricians using the Australian Paediatric Surveillance Unit network has recently estimated the prevalence of acute FPIES in infants aged under 2 years at about 15 per 100 000 infants per year, which likely underestimates the true prevalence .…”

Section: Epidemiology and Prevalencementioning

confidence: 99%

Food protein‐induced enterocolitis syndrome: guidelines summary and practice recommendations

Mehr

Campbell

2019

Medical Journal of Australia

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Summary Food protein‐induced enterocolitis syndrome (FPIES) is a poorly understood non‐IgE gastrointestinal‐mediated food allergy that predominantly affects infants and young children. Cells of the innate immune system appear to be activated during an FPIES reaction. Acute FPIES typically presents between one and 4 hours after ingestion of the trigger food, with the principal symptom being profuse vomiting, and is often accompanied by pallor and lethargy. Additional features can include hypotension, hypothermia, diarrhoea, neutrophilia and thrombocytosis. In Australia, the most commonly reported foods responsible for FPIES are (in descending order) rice, cow's milk, egg, oats and chicken. Most children with FPIES react to only one food trigger, and thus, avoidance of multiple foods is often not indicated. FPIES is often misdiagnosed as sepsis or gastroenteritis. However, a diagnosis of FPIES is favoured if there is rapid resolution of symptoms within hours of presentation, an absence of fever, and a lack of a significant rise in C‐reactive protein at presentation. Diagnosis is often hampered by the lack of awareness of FPIES, absence of reliable biomarkers, the non‐specific nature of the presenting symptoms, and the delay between allergen exposure and symptoms. Although some national peak allergy bodies have attempted to improve the diagnosis and management of FPIES, up until 2017 there were no internationally agreed guidelines for its diagnosis and management.

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Geographical Variations in Food Protein-Induced Enterocolitis Syndrome

Infante

Cabrera‐Freitag

Morales‐Cabeza

et al. 2019

Curr Treat Options Allergy

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Allergic gastroenteritis hospital admission time trends in Australia and New Zealand

Cited by 5 publications

References 8 publications

Increasing food allergies in Chile, a developing country post‐epidemiological transition

Increasing food allergies in Chile, a developing country post‐epidemiological transition

Food protein‐induced enterocolitis syndrome: guidelines summary and practice recommendations

Geographical Variations in Food Protein-Induced Enterocolitis Syndrome

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