Journal Article

Mexican consensus on cow’s milk protein allergy

Huerta Hernández, Rosa Elena, Reynés Manzur, José Nicolás, Ramírez Mayans, Jaime Alfonso, Ignorosa Arellano, Karen Rubi, Bacarreza Nogales, Dante Vladimir, Flores Fong, Laura Esther, Worona Dibner, Liliana, Vandenplas, Yvan, Sagols Méndez, Gerardo, Macías Avilés, Héctor, Méndez Nieto, Carlos, Limón Rojas, Ana Elena, Pantoja Méndez, Manuel Enrique Galaz, Guzik, Lucía Casas, Gris Calvo, Judith Ileana, Ayala Germán, Ana Gabriela, Uriquidi Rivera, Martha Eugenia, Toro Monjaraz, Erik Manuel, Ortega Martell, José Antonio, Peña Vélez, Rubén, Wakida Kusunoki, Guillermo Hideo, Díaz Madero, Sergio, Medina Vera, Isabel de Jesús, Cervantes Bustamante, Roberto, De Ocariz Gutiérrez, María del Mar Saez, Chávez Barrera, José Antonio, Oyervides García, Carlos Iván, Ruiz Castillo, Marlene Alejandra

2024

Overview

Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

• Publisher: Codon Publications
• Subject: Age / Algorithms / Allergies / Animals / Cattle / Child / Committees / Consensus / Constipation / Dermatitis / Female / Food allergies / Gastroenterology / Humans / Infant / Mexico / Milk / Milk Hypersensitivity - diagnosis / Milk Hypersensitivity - therapy / Milk, Human / Nutrition research / Pediatrics / Proteins