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Allergy prevention.
J Dtsch Dermatol Ges 2010; 8(9):718-24JD

Abstract

The further increase of allergies in industrialized countries demands evidence-based measures of primary prevention. The recommendations as published in the guideline of 2004 were updated and consented on the basis of a systematic literature search. Evidence from the period February 2003-May 2008 was searched in the electronic databases Cochrane and MEDLINE as well as in reference lists of recent reviews and by contacting experts. The retrieved citations were screened for relevance first by title and abstract and in a second step as full paper. Levels of evidence were assigned to each included study and the methodological quality of the studies was assessed as high or low. Finally the revised recommendations were formally consented (nominal group process) by representatives of relevant societies and organizations including a self-help group. Of originally 4556 hits, 217 studies (4 Cochrane Reviews, 14 meta-analyses, 19 randomized controlled trials, 135 cohort and 45 case-control studies) were included and critically appraised. Grossly unchanged remained the recommendations on avoiding environmental tobacco smoke, breast-feeding over 4 months (alternatively hypoallergenic formulas for children at risk), avoiding a mold-promoting indoor climate, vaccination according to current recommendations, and avoidance of furry pets (especially cats) in children at risk. The recommendation on reducing the house dust mite allergen exposure as a measure of primary prevention was omitted and the impact of a delayed introduction of supplementary food was reduced. New recommendations were adopted concerning fish consumption (during pregnancy / breast-feeding and as supplementary food in the first year), avoidance of overweight, and reducing the exposure to indoor and outdoor air pollutants. The revision of this guideline on a profound evidence basis led to (1) a confirmation of existing recommendations, (2) substantial revisions, and (3) new recommendations. Thereby it is possible to give evidence-based and up-to-date recommendations on primary prevention of allergies.

Authors+Show Affiliations

Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) in cooperation with the Society of German Allergologists (ADA), the German Society for Pediatric and Adolescent Medicine (DGKJ), the German Society of Dermatology (DDG) and the German Society of Pediatric Allergology (GPA).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng ger

PubMed ID

19878402

Citation

Muche-Borowski, Cathleen, et al. "Allergy Prevention." Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, vol. 8, no. 9, 2010, pp. 718-24.
Muche-Borowski C, Kopp M, Reese I, et al. Allergy prevention. J Dtsch Dermatol Ges. 2010;8(9):718-24.
Muche-Borowski, C., Kopp, M., Reese, I., Sitter, H., Werfel, T., & Schäfer, T. (2010). Allergy prevention. Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, 8(9), pp. 718-24. doi:10.1111/j.1610-0387.2009.07313.x.
Muche-Borowski C, et al. Allergy Prevention. J Dtsch Dermatol Ges. 2010;8(9):718-24. PubMed PMID: 19878402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Allergy prevention. AU - Muche-Borowski,Cathleen, AU - Kopp,Matthias, AU - Reese,Imke, AU - Sitter,Helmut, AU - Werfel,Thomas, AU - Schäfer,Torsten, AU - ,, AU - ,, AU - ,, AU - ,, AU - ,, Y1 - 2009/10/29/ PY - 2009/11/3/entrez PY - 2009/11/3/pubmed PY - 2011/2/22/medline SP - 718 EP - 24 JF - Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG JO - J Dtsch Dermatol Ges VL - 8 IS - 9 N2 - The further increase of allergies in industrialized countries demands evidence-based measures of primary prevention. The recommendations as published in the guideline of 2004 were updated and consented on the basis of a systematic literature search. Evidence from the period February 2003-May 2008 was searched in the electronic databases Cochrane and MEDLINE as well as in reference lists of recent reviews and by contacting experts. The retrieved citations were screened for relevance first by title and abstract and in a second step as full paper. Levels of evidence were assigned to each included study and the methodological quality of the studies was assessed as high or low. Finally the revised recommendations were formally consented (nominal group process) by representatives of relevant societies and organizations including a self-help group. Of originally 4556 hits, 217 studies (4 Cochrane Reviews, 14 meta-analyses, 19 randomized controlled trials, 135 cohort and 45 case-control studies) were included and critically appraised. Grossly unchanged remained the recommendations on avoiding environmental tobacco smoke, breast-feeding over 4 months (alternatively hypoallergenic formulas for children at risk), avoiding a mold-promoting indoor climate, vaccination according to current recommendations, and avoidance of furry pets (especially cats) in children at risk. The recommendation on reducing the house dust mite allergen exposure as a measure of primary prevention was omitted and the impact of a delayed introduction of supplementary food was reduced. New recommendations were adopted concerning fish consumption (during pregnancy / breast-feeding and as supplementary food in the first year), avoidance of overweight, and reducing the exposure to indoor and outdoor air pollutants. The revision of this guideline on a profound evidence basis led to (1) a confirmation of existing recommendations, (2) substantial revisions, and (3) new recommendations. Thereby it is possible to give evidence-based and up-to-date recommendations on primary prevention of allergies. SN - 1610-0387 UR - https://www.unboundmedicine.com/medline/citation/19878402/Allergy_prevention_ L2 - https://doi.org/10.1111/j.1610-0387.2009.07313.x DB - PRIME DP - Unbound Medicine ER -