World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update – I – Plan and definitions

the WAO DRACMA guideline group

doi:10.1016/j.waojou.2021.100609

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update – I – Plan and definitions

the WAO DRACMA guideline group

Department of Epidemiology and Environmental Health

IRCCS Ospedale pediatrico Bambino Gesù - Roma
McMaster University
Hamilton Health Sciences
National Hospital Organization Sagamihara National Hospital
Hospital Quirónsalud Bizkaia
Cincinnati Children's Hospital Medical Center
LSU Health Sciences Center - Shreveport
University of Naples Federico II
Hospital Británico de Buenos Aires
Université Paris Cité
UNIFACISA University Centre
Fatebenefratelli Hospital
Aga Khan University
King's College London
Guy's and St Thomas' NHS Foundation Trust
Chongqing Medical University
Italian Society of Pediatric Allergy and Immunology
New York University
University of Warmia and Mazury in Olsztyn
National and Kapodistrian University of Athens
University of Manchester
Nippon Medical School
Allergy & Anaphylaxis Australia (A&AA)
Centro Medico-Docente La Trinidad
Schneider Childrens Medical Center Israel
Tel Aviv University
University of Pennsylvania
Medical University of Warsaw
Italian NHS and Italian Society of Social and Preventive Pediatrics
Vrije Universiteit Brussel
University of Colorado Anschutz Medical Campus
Allergy UK
Chinese University of Hong Kong

Research output: Contribution to journal › Article › peer-review

65 Scopus citations

Abstract

Since the World Allergy Organization (WAO) Diagnosis and Rationale against Cow's Milk Allergy (DRACMA) Guidelines were published 10 years ago, new evidence has accumulated about the diagnosis, therapy, and specific immunotherapy for cow's milk allergy (CMA). For this reason, WAO has felt the need to update the guidelines. We introduce here this update. The new DRACMA guidelines aim to comprehensively address the guidance on diagnosis and therapy of both IgE non-IgE-mediated forms of cow's milk allergy in children and adults. They will be divided into 18 chapters, each of which will be dedicated to an aspect. The focus will be on the meta-analyzes and recommendations that will be expressed for the 3 most relevant clinical aspects: (a) the diagnostic identification of the condition; (b) the choice of the replacement formula in case of CMA in infancy when the mother is not able to breastfeed, and (c) the use of specific immunotherapy for cow's milk protein allergy.

Original language	English
Article number	100609
Journal	World Allergy Organization Journal
Volume	15
Issue number	1
DOIs	https://doi.org/10.1016/j.waojou.2021.100609
State	Published - Jan 2022

Keywords

Cow's milk allergy
Food allergy
GRADE
Oral immunotherapy

Access to Document

10.1016/j.waojou.2021.100609

Cite this

@article{19865e0c2f6a4159921a48d100574564,

title = "World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update – I – Plan and definitions",

abstract = "Since the World Allergy Organization (WAO) Diagnosis and Rationale against Cow's Milk Allergy (DRACMA) Guidelines were published 10 years ago, new evidence has accumulated about the diagnosis, therapy, and specific immunotherapy for cow's milk allergy (CMA). For this reason, WAO has felt the need to update the guidelines. We introduce here this update. The new DRACMA guidelines aim to comprehensively address the guidance on diagnosis and therapy of both IgE non-IgE-mediated forms of cow's milk allergy in children and adults. They will be divided into 18 chapters, each of which will be dedicated to an aspect. The focus will be on the meta-analyzes and recommendations that will be expressed for the 3 most relevant clinical aspects: (a) the diagnostic identification of the condition; (b) the choice of the replacement formula in case of CMA in infancy when the mother is not able to breastfeed, and (c) the use of specific immunotherapy for cow's milk protein allergy.",

keywords = "Cow's milk allergy, Food allergy, GRADE, Oral immunotherapy",

author = "\{the WAO DRACMA guideline group\} and Alessandro Fiocchi and Antonio Bognanni and Jan Bro{\.z}ek and Motohiro Ebisawa and Holger Sch{\"u}nemann and Ansotegui, \{Ignacio J.\} and Stefania Arasi and Assa'ad, \{Amal H.\} and Bahna, \{Sami L.\} and Canani, \{Roberto Berni\} and Martin Bozzola and Derek Chu and Lamia Dahdah and Christophe Dupont and Firmino, \{Ramon Targino\} and Elena Galli and Rose Kamenwa and Gideon Lack and Haiqi Li and Alberto Martelli and Anna Nowak-W{\c e}grzyn and Papadopoulos, \{Nikolas G.\} and Ruby Pawankar and Maria Said and Mario S{\'a}nchez-Borges and Raanan Shamir and Spergel, \{Jonathan M.\} and Hania Szajewska and Luigi Terracciano and Yvan Vandenplas and Carina Venter and Amena Warner and Susan Waserman and Wong, \{Gary W.K.\}",

note = "Publisher Copyright: {\textcopyright} 2021 The Author(s)",

year = "2022",

month = jan,

doi = "10.1016/j.waojou.2021.100609",

language = "English",

volume = "15",

journal = "World Allergy Organization Journal",

issn = "1939-4551",

publisher = "Elsevier Inc.",

number = "1",

}

TY - JOUR

T1 - World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update – I – Plan and definitions

AU - the WAO DRACMA guideline group

AU - Fiocchi, Alessandro

AU - Bognanni, Antonio

AU - Brożek, Jan

AU - Ebisawa, Motohiro

AU - Schünemann, Holger

AU - Ansotegui, Ignacio J.

AU - Arasi, Stefania

AU - Assa'ad, Amal H.

AU - Bahna, Sami L.

AU - Canani, Roberto Berni

AU - Bozzola, Martin

AU - Chu, Derek

AU - Dahdah, Lamia

AU - Dupont, Christophe

AU - Firmino, Ramon Targino

AU - Galli, Elena

AU - Kamenwa, Rose

AU - Lack, Gideon

AU - Li, Haiqi

AU - Martelli, Alberto

AU - Nowak-Węgrzyn, Anna

AU - Papadopoulos, Nikolas G.

AU - Pawankar, Ruby

AU - Said, Maria

AU - Sánchez-Borges, Mario

AU - Shamir, Raanan

AU - Spergel, Jonathan M.

AU - Szajewska, Hania

AU - Terracciano, Luigi

AU - Vandenplas, Yvan

AU - Venter, Carina

AU - Warner, Amena

AU - Waserman, Susan

AU - Wong, Gary W.K.

PY - 2022/1

Y1 - 2022/1

N2 - Since the World Allergy Organization (WAO) Diagnosis and Rationale against Cow's Milk Allergy (DRACMA) Guidelines were published 10 years ago, new evidence has accumulated about the diagnosis, therapy, and specific immunotherapy for cow's milk allergy (CMA). For this reason, WAO has felt the need to update the guidelines. We introduce here this update. The new DRACMA guidelines aim to comprehensively address the guidance on diagnosis and therapy of both IgE non-IgE-mediated forms of cow's milk allergy in children and adults. They will be divided into 18 chapters, each of which will be dedicated to an aspect. The focus will be on the meta-analyzes and recommendations that will be expressed for the 3 most relevant clinical aspects: (a) the diagnostic identification of the condition; (b) the choice of the replacement formula in case of CMA in infancy when the mother is not able to breastfeed, and (c) the use of specific immunotherapy for cow's milk protein allergy.

AB - Since the World Allergy Organization (WAO) Diagnosis and Rationale against Cow's Milk Allergy (DRACMA) Guidelines were published 10 years ago, new evidence has accumulated about the diagnosis, therapy, and specific immunotherapy for cow's milk allergy (CMA). For this reason, WAO has felt the need to update the guidelines. We introduce here this update. The new DRACMA guidelines aim to comprehensively address the guidance on diagnosis and therapy of both IgE non-IgE-mediated forms of cow's milk allergy in children and adults. They will be divided into 18 chapters, each of which will be dedicated to an aspect. The focus will be on the meta-analyzes and recommendations that will be expressed for the 3 most relevant clinical aspects: (a) the diagnostic identification of the condition; (b) the choice of the replacement formula in case of CMA in infancy when the mother is not able to breastfeed, and (c) the use of specific immunotherapy for cow's milk protein allergy.

KW - Cow's milk allergy

KW - Food allergy

KW - GRADE

KW - Oral immunotherapy

UR - https://www.scopus.com/pages/publications/85123803574

U2 - 10.1016/j.waojou.2021.100609

DO - 10.1016/j.waojou.2021.100609

M3 - Article

AN - SCOPUS:85123803574

SN - 1939-4551

VL - 15

JO - World Allergy Organization Journal

JF - World Allergy Organization Journal

IS - 1

M1 - 100609

ER -

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines update – I – Plan and definitions

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this