title: Consultation with registered dietitian to prevent accidental reactions to food: insight from an egg allergy influenza vaccination cohort.
abstract: Egg is an ubiquitous allergen found in many food products. Current food allergy guidelines recognize the importance of consultation with a registered dietitian to ensure nutritional adequacy. However, there is a lack of evidence on its impact on the implementation of allergen avoidance strategies. Taking advantage of a well-characterized cohort of influenza vaccination in egg-allergic children (n=397), we tested the hypothesis that real-life professional dietary advice was associated with a decrease in accidental reactions to egg in allergic children with retrospective questionnaires. Lack of consultation with a dietitian was associated with a 1.89-fold increase in the risk of accidental reactions to egg (confidence interval: 1.47-2.42). The only other independent variable that predicted reactions was having had a history of acute reaction to egg prior diagnosis (relative risk=2.02; confidence interval: 1.64-3.00). These findings support the usefulness of referral to a food allergy-specialized dietitian at time of diagnosis in order to prevent future accidental reactions to egg.
authors.affiliation: Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.|Department of Medicine, Centre Hospitalier de l'Université de Montréal, Service of Allergy and Clinical Immunology, Montreal, Quebec, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Bégin
authors.affiliation: Department of Medicine, Centre Hospitalier de l'Université de Montréal, Service of Allergy and Clinical Immunology, Montreal, Quebec, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Filion
authors.affiliation: Department of Medicine, Centre Hospitalier de l'Université de Montréal, Service of Allergy and Clinical Immunology, Montreal, Quebec, Canada.
authors.forename: F
authors.initials: F
authors.lastname: Graham
authors.affiliation: Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Lacombe-Barrios
authors.affiliation: Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Paradis
authors.affiliation: Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.|Department of Medicine, Centre Hospitalier de l'Université de Montréal, Service of Allergy and Clinical Immunology, Montreal, Quebec, Canada.
authors.forename: L
authors.initials: L
authors.lastname: Paradis
authors.affiliation: Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Des Roches
mesh_terms: D000056:Accident Prevention / Q000379:methods*; D000707:Anaphylaxis / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D021181:Egg Hypersensitivity / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D007252:Influenza Vaccines; D008297:Male; D064686:Nutritionists / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
chemical_list: D007252:Influenza Vaccines