Table E1.
Questions used in this survey and responses obtained
| Question | Response options | Responses obtained, n (%) |
|---|---|---|
| Q1. Please select your main role as a health professional. | Dietitian | 9 (5.7) |
| Medical doctor | 92 (58.2) | |
| Nurse/nurse practitioner | 51 (32.3) | |
| Other | 6 (3.8) | |
| Q2. A. If you are a dietitian, in what area of dietetics do you work? | General dietetics | 0 (0) |
| Pediatric dietetics | 5 (55.6) | |
| Specialist allergy dietetics | 4 (44.4) | |
| Other | 0 (0) | |
| Q2. B. If you are a doctor, please select which option best describes your medical practice. | Specialist in allergy/immunology | 41 (44.6) |
| Adult physician (hospital based) | 6 (6.6) | |
| General pediatrics | 39 (42.4) | |
| General practice | 4 (4.4) | |
| Other | 2 (2) | |
| Q2.C. If you are a nurse, please select the option which best describes your area of practice. | Specialist allergy nurse | 41 (80.4) |
| Pediatrics | 8 (15.7) | |
| Adult nursing | 2 (3.9) | |
| Community nurse/nurse in general practice | 0 (0) | |
| Other | 0 (0) | |
| Q3. Do you work in | A tertiary specialist allergy clinic | 67 (48) |
| District general hospital | 63 (49.6) | |
| Primary care facility | 3 (2.4) | |
| Q4. For how many years have you been performing food challenges yourself? | Over 10 y | 56 (37.1) |
| 5-10 y | 46 (30.5) | |
| Under 5 y | 37 (24.5) | |
| I am still in training | 12 (8) | |
| Q5. The patients I see are | All pediatric patients | 100 (86.7) |
| Mostly pediatric but some adult patients | 7 (4.7) | |
| About half pediatric and half adult patients | 2 (1.3) | |
| Mostly adult but some pediatric patients | 17 (11.3) | |
| All adult | 24 (16) | |
| Q6. How many food challenges does your unit perform every month, on average? | <5 per month | 41 (28) |
| 5-10 | 32 (21.9) | |
| 10-25 | 33 (22.6) | |
| 25-50 | 26 (17.8) | |
| More than 50 | 14 (9.6) | |
| Q7. Do you think “lip doses” are useful as a first step in performing a food challenge? | Yes | 101 (69.7) |
| No | 33 (22.8) | |
| Not sure | 11 (7.6) | |
| Q8. Do you (or your unit) ever use lip doses when doing a food challenge? | Yes | 117 (80.7) |
| Never | 28 (19.3) | |
| Q9. How do you perform a lip dose to cow's milk? | Apply a drop to the inner lip | 49 (45) |
| Apply a drop to the outer lip | 48 (44) | |
| Other | 12 (11) | |
| Q10. How do you perform a lip dose to peanut? | Apply a smear of peanut butter to the inner lip | 15 (13.8) |
| Apply a smear of peanut butter to the outer lip | 19 (17.4) | |
| Rub some peanut on the inner lip | 37 (33.9) | |
| Rub some peanut on the outer lip | 29 (29.6) | |
| Other | 9 (8.3) | |
| Q11. How do you perform a lip dose to cashew nut? | Rub some cashew on the inner lip | 50 (48.3) |
| Rub some cashew on the outer lip | 48 (44.4) | |
| Other | 10 (9.3) | |
| Q12. What do you consider to be a positive lip dose (tick all that apply)? | Patient complains of itchy lip or mouth | 38 (36.5) |
| Redness or erythema at the site of application of dose | 48 (46.2) | |
| Urticaria and/or swelling at the site of application | 97 (93.3) | |
| Urticaria/angioedema on the face, but away from the site of application | 77 (74) | |
| Urticaria on the body | 73 (70.2) | |
| Q13-17. If the following symptoms occurred to a lip dose, what would you do? | ||
| Q13. Patient complains of itchy lip or mouth | STOP the challenge, ie, not proceed to an oral dose | 18 (17.3) |
| CONTINUE with the challenge, ie, proceed to an oral dose | 86 (82.7) | |
| Q14. Redness or erythema at the site of application of dose | STOP the challenge, ie, not proceed to an oral dose | 32 (30.8) |
| CONTINUE with the challenge, ie, proceed to an oral dose | 72 (69.2) | |
| Q15. Urticaria and/or swelling at the site of application | STOP the challenge, ie, not proceed to an oral dose | 91 (87.5) |
| CONTINUE with the challenge, ie, proceed to an oral dose | 13 (12.5) | |
| Q16. Urticaria/angioedema on the face, but away from the site of application | STOP the challenge, ie, not proceed to an oral dose | 97 (93.3) |
| CONTINUE with the challenge, ie, proceed to an oral dose | 7 (6.7) | |
| Q17. Urticaria on the body | STOP the challenge, ie, not proceed to an oral dose | 97 (93.3) |
| CONTINUE with the challenge, ie, proceed to an oral dose | 7 (6.7) |