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Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

Awareness of food allergies: a survey of pediatricians in Kuwait

Authors: Waleed Al-Herz, Khalid Husain, Ahmed Al-Khabaz, Mohamed A. A. Moussa, Fawaz Al-Refaee

Published in: BMC Pediatrics | Issue 1/2017

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Abstract

Background

Early diagnosis of food allergies (FA) is important for a favorable prognosis. This study aimed to determine the level of awareness of FA among pediatricians in Kuwait.

Method

A 43-item self-administered questionnaire was designed and distributed to pediatricians working at 4 government hospitals in Kuwait.

Results

A total of 140 pediatricians completed the questionnaire, with a participation rate of 51.1% (81 males and 59 females). The mean age of participants was 40.81 years, and the mean number of years working in pediatrics was 13.94 years. The mean overall knowledge score was 22.2. The pediatricians’ overall knowledge scores were found to be significantly associated with their age (older pediatricians had higher overall scores) and years of experience as a pediatrician but were independent from hospital site, gender, or rank. A multiple linear regression revealed pediatrician age and gender were the only variables that were significantly associated with the overall knowledge score. Only 16.4% of the participants answered at least 2/3 of the survey questions correctly. The questions that were correctly answered by ≤ 2/3 of the participants constituted 80% of clinical presentation questions, 66.6% of diagnostics questions, 77.7% of treatment questions, and 42.8% of prevention questions. Interestingly, among 68 pediatricians (48.5%) who determined that they felt comfortable evaluating and treating patients with FA, only 12 (17.6%) passed the questionnaire.

Conclusions

This survey demonstrates that there is a noteworthy deficiency of pediatricians’ awareness about FA. The implementation of strategies to improve pediatricians’ awareness is critical to diagnose food allergy patients early and improve their health and outcomes.
Literature
1.
go back to reference Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69(8):1008–25.CrossRefPubMed Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69(8):1008–25.CrossRefPubMed
2.
go back to reference Osborne NJ, Koplin JJ, Martin PE, et al. Prevalence of challenge-proven IgE-mediated food allergy using population-based sampling and predetermined challenge criteria in infants. J Allergy Clin Immunol. 2011;127:668–76.CrossRefPubMed Osborne NJ, Koplin JJ, Martin PE, et al. Prevalence of challenge-proven IgE-mediated food allergy using population-based sampling and predetermined challenge criteria in infants. J Allergy Clin Immunol. 2011;127:668–76.CrossRefPubMed
4.
go back to reference Mackay IR, Rosen FS. Allergy and allergic diseases. N Eng J Med. 2001;344:30–7.CrossRef Mackay IR, Rosen FS. Allergy and allergic diseases. N Eng J Med. 2001;344:30–7.CrossRef
5.
go back to reference Cochrane S, Beyer K, Clausen M, et al. Factors influencing the incidence and prevalence of food allergy. Allergy. 2009;64:1246–55.CrossRefPubMed Cochrane S, Beyer K, Clausen M, et al. Factors influencing the incidence and prevalence of food allergy. Allergy. 2009;64:1246–55.CrossRefPubMed
6.
go back to reference Venter C, Pereira B, Grundy J, et al. Incidence of parentally reported and clinically diagnosed food hypersensitivity in the first year of life. J Allergy Clin Immunol. 2006;117:1118–24.CrossRefPubMed Venter C, Pereira B, Grundy J, et al. Incidence of parentally reported and clinically diagnosed food hypersensitivity in the first year of life. J Allergy Clin Immunol. 2006;117:1118–24.CrossRefPubMed
7.
go back to reference Pyrhönen K, Näyhä S, Kaila M, et al. Occurrence of parent-reported food hypersensitivities and food allergies among children aged 1-4 yr. Pediatr Allergy Immunol. 2009;20:328–38.CrossRefPubMed Pyrhönen K, Näyhä S, Kaila M, et al. Occurrence of parent-reported food hypersensitivities and food allergies among children aged 1-4 yr. Pediatr Allergy Immunol. 2009;20:328–38.CrossRefPubMed
8.
go back to reference Sladkevicius E, Nagy E, Lack G, et al. Resource implications and budget impact of managing cow milk allergy in the UK. J Med Econ. 2010;13(1):119–28.CrossRefPubMed Sladkevicius E, Nagy E, Lack G, et al. Resource implications and budget impact of managing cow milk allergy in the UK. J Med Econ. 2010;13(1):119–28.CrossRefPubMed
9.
go back to reference Gupta RS, Springston EE, Kim JS, et al. Food allergy knowledge, attitudes, and beliefs of primary care physicians. Pediatrics. 2010;125(1):126–32.CrossRefPubMed Gupta RS, Springston EE, Kim JS, et al. Food allergy knowledge, attitudes, and beliefs of primary care physicians. Pediatrics. 2010;125(1):126–32.CrossRefPubMed
10.
go back to reference Wilson BG, Cruz NV, Fiocchi A, et al. American College of Allergy, Asthma & Immunology Adverse Reactions to Food Committee. Survey of physicians’ approach to food allergy, Part 2: Allergens, diagnosis, treatment, and prevention. Ann Allergy Asthma Immunol. 2008;100(3):250–5.CrossRefPubMed Wilson BG, Cruz NV, Fiocchi A, et al. American College of Allergy, Asthma & Immunology Adverse Reactions to Food Committee. Survey of physicians’ approach to food allergy, Part 2: Allergens, diagnosis, treatment, and prevention. Ann Allergy Asthma Immunol. 2008;100(3):250–5.CrossRefPubMed
11.
go back to reference Ribeiro CC, Leite Speridião Pda G, de Morais MB. Knowledge and practice of physicians and nutritionists regarding the prevention of food allergy. Clin Nutr. 2013;32(4):624–9.CrossRefPubMed Ribeiro CC, Leite Speridião Pda G, de Morais MB. Knowledge and practice of physicians and nutritionists regarding the prevention of food allergy. Clin Nutr. 2013;32(4):624–9.CrossRefPubMed
12.
go back to reference Gupta RS, Lau CH, Dyer AA, et al. Food allergy diagnosis and management practices among pediatricians. Clin Pediatr. 2014;53(6):524–30.CrossRef Gupta RS, Lau CH, Dyer AA, et al. Food allergy diagnosis and management practices among pediatricians. Clin Pediatr. 2014;53(6):524–30.CrossRef
13.
14.
go back to reference Morawetz DY, Hiscock H, Allen KJ, et al. Management of food allergy: a survey of Australian paediatricians. J Paediatr Child Health. 2014;50(6):432–7.CrossRefPubMed Morawetz DY, Hiscock H, Allen KJ, et al. Management of food allergy: a survey of Australian paediatricians. J Paediatr Child Health. 2014;50(6):432–7.CrossRefPubMed
15.
go back to reference Boyce JA, Assa’ad A, Burks AW, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res. 2011;31(1):61–75.CrossRefPubMedCentral Boyce JA, Assa’ad A, Burks AW, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res. 2011;31(1):61–75.CrossRefPubMedCentral
16.
go back to reference Fleischer DM, Spergel JM, Assa’ad AH, et al. Primary prevention of allergic disease through nutritional interventions. J Allergy Clin Immunol Pract. 2013;1(1):29–36.CrossRefPubMed Fleischer DM, Spergel JM, Assa’ad AH, et al. Primary prevention of allergic disease through nutritional interventions. J Allergy Clin Immunol Pract. 2013;1(1):29–36.CrossRefPubMed
17.
go back to reference Burks AW, Tang M, Sicherer S, et al. ICON: food allergy. J Allergy Clin Immunol. 2012;129(4):906–20.CrossRefPubMed Burks AW, Tang M, Sicherer S, et al. ICON: food allergy. J Allergy Clin Immunol. 2012;129(4):906–20.CrossRefPubMed
Metadata
Title
Awareness of food allergies: a survey of pediatricians in Kuwait
Authors
Waleed Al-Herz
Khalid Husain
Ahmed Al-Khabaz
Mohamed A. A. Moussa
Fawaz Al-Refaee
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-016-0773-9

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