Diagnostic approach and management of cow's milk protein allergy in infants and children

 Posted by Chantel M. Contributed by US National Library of Medicine National Institutes of Health

Dr. Koletzko S and the research team in the study of Diagnostic approach and management of cow's milk protein allergy in infants and children: A practical guideline of the GI-committee of ESPGHAN, posted in US National Library of Medicine National Institutes of Health, indicated that in breast-fed infants, the mother should start a strict CMP-free diet. Non-breast fed infants with confirmed CMPA should receive an extensively hydrolyzed protein based formula with proven efficacy in appropriate clinical trials; amino acids based formulae are reserved for certain situations. Soy protein formula, if tolerated, is an option beyond 6 months of age. Nutritional counseling and regular monitoring of growth is mandatory in all age groups requiring CMP exclusion. RE-. Patients should be re-evaluated every 6-12 months to assess whether they have developed tolerance to CMP. This is achieved in >75% by three years and >90% by six years of age. Inappropriate or overly long dietary eliminations should be avoided. Such restrictions may impair the quality of life of both child and family, induce improper growth, and also incur unnecessary healthcare costs.

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