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. 2017 Aug;140(2):e20170194. doi: 10.1542/peds.2017-0194

TABLE 1.

Recommendations Regarding Management Directed to Pediatricians and/or the AAP

Recommendations From the Report Applicable to Pediatricians at the Patient-Care Level or Addressable by the AAP Features, AAP Resources, Current Actions, Potential Future Work
The AAP should regularly update guidelines on diagnosis, prevention, and management of food allergy on the basis of strong scientific evidence as emerging scientific data become available. The AAP has a number of Clinical Reports on food allergy diagnosis, management of food anaphylaxis, and food allergy management in schools.12,27,32,33,37 It also participated in development of guidelines.26 Participation in updating and developing resources is needed.
Health care providers should receive training on approaches to counseling patients and their caregivers. Counseling training is envisioned to be provided in part by professional organizations through various means, including the Internet. In addition to the guidelines mentioned above, the AAP has educational modules on selected topics including programming at the annual National Conference and Exhibition. More information and materials to fulfill these recommendations are still needed.
Health care providers should counsel patients and their caregivers on food allergies by following the most recent guidelines emphasizing the need to take age-appropriate responsibility. Counseling is particularly important for those at high risk and with severe food allergy, such as adolescents and those with both food allergy and asthma. The areas of counseling include emergency management, avoidance in a variety of settings, nutritional counseling, and psychosocial counseling.
Health care providers and others should use intramuscular epinephrine as a first line of emergency management for episodes of food allergy anaphylaxis. The AAP recently released 2 Clinical Reports on these topics, including information regarding the use of epinephrine for first aid management in the community and for providing written plans for recognition and treatment of food allergy and anaphylaxis.32,33