Table 2.

In-office preparation summary

Procure safe and appropriate food products

At minimum, store food products according to the manufacturer’s recommendations

Refrigeration may extend the shelf life of certain products

Label products with the date of opening; hold products no longer than recommended by the manufacturer after opening

Create a protocol and train the staff about safe food handling

Have a dedicated oral immunotherapy dose preparation area

Clean and sterilize food contact surfaces and equipment in the preparation area

Wash hands and don single-use gloves before preparation

Carefully measure the dose and the label with the food item’s name, dose, and patient’s name

Clean the food preparation area and equipment, wash hands, and wear new gloves when changing from one allergen dose preparation to another