A quality improvement initiative to increase access to food challenges

Food challenges are critical to determine if an individual has food allergy when history and testing are inconclusive or the allergy may have been outgrown.(1) Passing a challenge may have nutritional, psychological and financial benefits.(1-3) We and others have shown that challenges can be safely carried out in a clinic setting.(4-9) This article is protected by copyright. All rights reserved.

[1]  C. Minard,et al.  Multicenter prevalence of anaphylaxis in clinic-based oral food challenges. , 2017, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[2]  Dionne A. Graham,et al.  Implementation of a Standardized Clinical Assessment and Management Plan (SCAMP) for Food Challenges. , 2017, The journal of allergy and clinical immunology. In practice.

[3]  M. Greenhawt,et al.  The economic effect and outcome of delaying oral food challenges. , 2016, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[4]  M. Greenhawt,et al.  Oral food challenge and food allergy quality of life in caregivers of children with food allergy. , 2015, The journal of allergy and clinical immunology. In practice.

[5]  A. Fiocchi,et al.  Oral food challenge: safety, adherence to guidelines and predictive value of skin prick testing , 2012, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[6]  S. Sicherer,et al.  Oral food challenge practices among allergists in the United States. , 2012, The Journal of allergy and clinical immunology.

[7]  H. Sampson,et al.  Epinephrine treatment is infrequent and biphasic reactions are rare in food-induced reactions during oral food challenges in children. , 2009, The Journal of allergy and clinical immunology.

[8]  K. Anstrom,et al.  Safety of open food challenges in the office setting. , 2008, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[9]  H. Sampson.  Utility of food-specific IgE concentrations in predicting symptomatic food allergy. , 2001, The Journal of allergy and clinical immunology.