From: Epinephrine auto-injector prescriptions to food-allergic patients in primary care in The Netherlands
Probably food-allergic | Unlikely food-allergic | Patients with incomplete data | |
---|---|---|---|
Number participants, n (%) | 34 (50) | 34 (50) | 80 |
Sex adolescent, boys/girls n (%) | 17/17 (50/50) | 13/21 (38/62) | 43/37 |
Type of food allergies, n (%) | |||
Peanut | 8 (23) | 4 (12) | 13 (16) |
Tree nuts | 15 (44) | 4 (12) | 12 (15) |
Cow’s milk | 11 (32) | 9 (27) | 38 (48) |
Egg | 2 (6) | 2 (6) | 1 (1) |
Wheat | 1 (6) | – | 0 |
Soy | – | – | 1 (1) |
Sesame seed | 1 (3) | – | 0 |
Fish | – | 2 (6) | 1(1) |
Shell fish | – | 1 (3) | 1 (1) |
Celery | – | 1 (3) | 1 (1) |
Fruit | – | 8 (24) | 15 (19) |
Vegetables | – | 2 (6) | 2 (3) |
Other | – | 7(21) | 3 (4) |
Tests used to diagnose food allergy, n (%) | |||
Food-specific IgE levels (RAST) | 14 (59) | 14 (59) | 20 (25) |
Open food challenge | 9 (27) | 7 (21) | 9 (11) |
Skin prick test | 2 (6) | – | 1 (1) |
Referral to, total n (%) | 11 (32) | 7 (21) | 9 (11) |
(Pediatric) allergologist | 2 (6) | 1 (3) | – |
Dermatologist | – | 1 (3) | 1 (1) |
Pediatrician | 2 (6) | 2 (6) | 1 (1) |
Internist | 4 (12) | 3 (9) | 1 (1) |
Dietician | 2 (6) | 4 (12) | 5 (6) |
High risk patient, n (%) | 27 (79) | – | 4 (5)b |
Experienced anaphylaxis, n (%) | 5 (15) | – | 4 (5) |
Risk factors, n (%) | |||
Asthma or asthmatic reactions to food | 10 (29) | 3 (9) | 9 (11) |
Adolescent or young adult age | 21 (62) | 24 (71) | 70 (88) |
Systemic reaction to traces of the food allergena | 6 (18) | 1 (3) | – |
Having peanut or nut allergy | 23(68) | 8 (24) | 25 (32) |
Prescribed an EAI, yes/no n (%) | 8 (10) | ||
High risk patient | 10/17 (29/71) | – | 1 (1) |
Low risk patient | 2/8 (6/24) | – | 7 (9) |