Diagnostic therapeutic care pathway for pediatric food allergies and intolerances in Italy: a joint position paper by the Italian Society for Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and the Italian Society for Pediatric Allergy and Immunology (SIAIP)

Roberto Berni Canani; Carlo Caffarelli; Mauro Calvani; Alberto Martelli; Laura Carucci; Tommaso Cozzolino; Patrizia Alvisi; Carlo Agostoni; Paolo Lionetti; Gian Luigi Marseglia

doi:10.1186/s13052-022-01277-8

Diagnostic therapeutic care pathway for pediatric food allergies and intolerances in Italy: a joint position paper by the Italian Society for Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and the Italian Society for Pediatric Allergy and Immunology (SIAIP)

Ital J Pediatr. 2022 Jun 10;48(1):87. doi: 10.1186/s13052-022-01277-8.

Authors

Roberto Berni Canani^#^{1

2

3

4}, Carlo Caffarelli^#⁵, Mauro Calvani^#⁶, Alberto Martelli^#⁷, Laura Carucci^{8

9}, Tommaso Cozzolino^{8

9}, Patrizia Alvisi¹⁰, Carlo Agostoni^{11

12}, Paolo Lionetti¹³, Gian Luigi Marseglia¹⁴

Affiliations

¹ Department of Translational Medical Science, University of Naples Federico II, Naples, Italy. berni@unina.it.
² CEINGE-Biotecnologie Avanzate s.c.ar.l. University of Naples Federico II, Naples, Italy. berni@unina.it.
³ European Laboratory for the Investigation of Food-Induced Diseases, University of Naples, Federico II, Naples, Italy. berni@unina.it.
⁴ Task Force for Microbiome Studies, University of Naples Federico II, Naples, Italy. berni@unina.it.
⁵ Pediatric Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy.
⁶ Pediatric Unit, S. Camillo Forlanini Hospital, Rome, Italy.
⁷ Department of Pediatrics, G. Salvini Hospital, Garbagnate Milanese, Milan, Italy.
⁸ Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
⁹ CEINGE-Biotecnologie Avanzate s.c.ar.l. University of Naples Federico II, Naples, Italy.
¹⁰ Pediatric Gastroenterology Unit, Maggiore Hospital, Bologna, Italy.
¹¹ Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
¹² Pediatric Intermediate Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
¹³ Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital, Florence, Italy.
¹⁴ Pediatric Clinic, IRCCS "S. Matteo" Foundation, University of Pavia, Pavia, Italy.

^# Contributed equally.

Abstract

Epidemiologic data suggest an increased prevalence of pediatric food allergies and intolerances (FAIs) during the last decades. This changing scenario has led to an increase in the overall healthcare costs, due to a growing demand for diagnostic and treatment services. There is the need to establish Evidence-based practices for diagnostic and therapeutic intervention that could be adopted in the context of public health policies for FAIs are needed.This joint position paper has been prepared by a group of experts in pediatric gastroenterology, allergy and nutrition from the Italian Society for Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and the Italian Society for Pediatric Allergy and Immunology (SIAIP). The paper is focused on the Diagnostic Therapeutic Care Pathway (DTCP) for pediatric FAIs in Italy.

Keywords: Adverse food reactions; Anaphylaxis; Carbohydrates intolerance; Component resolved diagnosis; Food allergy; Lactose intolerance; Oral food challenge.

Publication types

Review

MeSH terms

Child
Critical Pathways
Food Hypersensitivity* / diagnosis
Food Hypersensitivity* / epidemiology
Food Hypersensitivity* / therapy
Gastroenterology*
Humans
Italy / epidemiology
Nutritional Status
Societies, Medical