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Patient selection for milk and egg ladders using a food ladder safety checklist Chua, Gilbert T.; Chan, Edmond S.; Yeung, Joanne; Cameron, Scott B.; Soller, Lianne; Williams, Brock; Chomyn, Alanna; Vander Leek, Timothy K.; Abrams, Elissa M.; Mak, Raymond; et al.

Description

A food ladder is a form of home-based dietary advancement therapy that gradually increases exposure to an allergenic food through the gradual introduction of egg or milk containing food with increasing quantity and allergenicity from extensively heated forms, such as baked goods, to less processed products. While widely considered safe, the food ladder is not risk-free and most of the egg and milk ladder studies only included preschoolers with mild egg and milk allergies, and with no or well-controlled asthma. We propose a Food Ladder Safety Checklist to assist with patient selection using “4 A's” based on available evidence for food ladders, including Age, active or poorly controlled Asthma, history of Anaphylaxis, and Adherence.

Item Metadata

Title
Patient selection for milk and egg ladders using a food ladder safety checklist
Creator
Chua, Gilbert T.; Chan, Edmond S.; Yeung, Joanne; Cameron, Scott B.; Soller, Lianne; Williams, Brock; Chomyn, Alanna; Vander Leek, Timothy K.; Abrams, Elissa M.; Mak, Raymond; Wong, Tiffany
Contributor
Children's Hospital (Vancouver, B.C.). Research Institute; University of British Columbia. Food, Nutrition and Health Program
Publisher
BioMed Central
Date Issued
2022-06-12
Description
A food ladder is a form of home-based dietary advancement therapy that gradually increases exposure to an allergenic food through the gradual introduction of egg or milk containing food with increasing quantity and allergenicity from extensively heated forms, such as baked goods, to less processed products. While widely considered safe, the food ladder is not risk-free and most of the egg and milk ladder studies only included preschoolers with mild egg and milk allergies, and with no or well-controlled asthma. We propose a Food Ladder Safety Checklist to assist with patient selection using “4 A's” based on available evidence for food ladders, including Age, active or poorly controlled Asthma, history of Anaphylaxis, and Adherence.
Subject
Food ladders; Milk allergy; Egg allergy; Safety
Type
Text
Language
eng
Date Available
2022-09-27
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0420748
URI
http://hdl.handle.net/2429/82768
Affiliation
Land and Food Systems, Faculty of; Medicine, Faculty of; Allergy and Immunology, Division of; Pediatrics, Department of
Citation
Allergy, Asthma & Clinical Immunology. 2022 Jun 12;18(1):51
Publisher DOI
10.1186/s13223-022-00696-w
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Copyright Holder
The Author(s)
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
DSpace

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Rights

Attribution 4.0 International (CC BY 4.0)