A European survey of management approaches in chronic urticaria in children: EAACI pediatric urticaria taskforce.


Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
01 2022
Historique:
revised: 21 09 2021
received: 12 08 2021
accepted: 27 09 2021
pubmed: 4 10 2021
medline: 18 3 2022
entrez: 3 10 2021
Statut: ppublish

Résumé

Although well described in adults, there are scarce and heterogeneous data on the diagnosis and management of chronic urticaria (CU) in children (0-18 years) throughout Europe. Our aim was to explore country differences and identify the extent to which the EAACI/GA²LEN/EDF/WAO guideline recommendations for pediatric urticaria are implemented. The EAACI Task Force for pediatric CU disseminated an online clinical survey among EAACI pediatric section members. Members were asked to answer 35 multiple choice questions on current practices in their respective centers. The survey was sent to 2,773 physicians of whom 358 (13.8%) responded, mainly pediatric allergists (80%) and pediatricians (49.7%), working in 69 countries. For diagnosis, Southern European countries used significantly more routine tests (eg, autoimmune testing, allergological tests, and parasitic investigation) than Northern European countries. Most respondents (60.3%) used a 2 Even though most members of the Pediatric Section of EAACI are familiar with the EAACI/WAO/GA2LEN/EDF guidelines, a significant number do not follow them. Also, the large variation in diagnosis and treatment strengthens the need to re-evaluate, update, and standardize guidelines on the diagnosis and management of CU in children.

Sections du résumé

BACKGROUND
Although well described in adults, there are scarce and heterogeneous data on the diagnosis and management of chronic urticaria (CU) in children (0-18 years) throughout Europe. Our aim was to explore country differences and identify the extent to which the EAACI/GA²LEN/EDF/WAO guideline recommendations for pediatric urticaria are implemented.
METHODS
The EAACI Task Force for pediatric CU disseminated an online clinical survey among EAACI pediatric section members. Members were asked to answer 35 multiple choice questions on current practices in their respective centers.
RESULTS
The survey was sent to 2,773 physicians of whom 358 (13.8%) responded, mainly pediatric allergists (80%) and pediatricians (49.7%), working in 69 countries. For diagnosis, Southern European countries used significantly more routine tests (eg, autoimmune testing, allergological tests, and parasitic investigation) than Northern European countries. Most respondents (60.3%) used a 2
CONCLUSIONS
Even though most members of the Pediatric Section of EAACI are familiar with the EAACI/WAO/GA2LEN/EDF guidelines, a significant number do not follow them. Also, the large variation in diagnosis and treatment strengthens the need to re-evaluate, update, and standardize guidelines on the diagnosis and management of CU in children.

Identifiants

pubmed: 34601755
doi: 10.1111/pai.13674
doi:

Substances chimiques

Histamine H1 Antagonists 0
Omalizumab 2P471X1Z11

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13674

Informations de copyright

© 2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

Références

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Auteurs

Sophia Tsabouri (S)

Child Health Department, Medical School, University of Ioannina, Ioannina, Greece.

Stefania Arasi (S)

Translational Research in Pediatric Specialities Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Burcin Beken (B)

Department of Pediatric Allergy and Immunology, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey.

Martin K Church (MK)

Charite-Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Allergy-Centre-Charite, Berlin, Germany.

Montserrat Alvaro-Lozano (M)

Pediatric Allergy and Clinical Immunology Department, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Universitat de Barcelona, Barcelona, Spain.

Carlo Caffarelli (C)

Clinica Pediatrica, Department of Medicine and Surgery, University of Parma, Parma, Italy.

Carsten Flohr (C)

Department of Pediatric Dermatology, St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, UK.

Sherief R Janmohamed (SR)

Department of Dermatology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium.

George N Konstantinou (GN)

Department of Allergy and Clinical Immunology, 424 General Military Training Hospital, Thessaloniki, Greece.

Susanne Lau (S)

Department for Pediatric Pneumology and Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Sebastien Lefevre (S)

Regional Institute for Allergic Diseases, Metz Regional Hospital, Metz, France.

Charlotte G Mortz (CG)

Department of Dermatology and Allergy Center, Odense Research Center for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark.

Giovanni Pajno (G)

Department of Pediatrics, Allergy Unit, University of Messina, Messina, Italy.

Helena Pite (H)

Allergy Center, CUF Descobertas Hospital and CUF Tejo Hospital, Lisbon, Portugal.

Krzysztof Rutkowski (K)

Department of Pediatric Allergy, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Petra Staubach (P)

Department of Dermatology, University Medical Center Mainz, Mainz, Germany.
CEDOC, Chronic Diseases Research Center, NOVA Medical School/Faculdade de Ciencias Medicas, Universidade Nova de Lisboa, Lisbon, Portugal.

Lauri-Ann Van der Poel (LA)

Children's Allergy Service, GSTT Foundation Trust, London, UK.

Torsten Zuberbier (T)

Charite-Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Allergy-Centre-Charite, Berlin, Germany.

Tabi A Leslie (TA)

Department of Dermatology, Royal Free Hospital, London, UK.

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