title: [Management and prevention of cow's milk protein allergy: Contribution of community pharmacists].
abstract: Cow's milk protein allergy (CMPA) is a public health issue in children whose quality of life is strongly affected. The objective of this article is to review the present state of knowledge on the CMPA, and highlight some emerging alternatives in its management and in its prevention. Good knowledge in the appropriate infant formula, exclusion diets, the handling of the emergency treatment thanks to the use of epinephrine auto-injector pens, the use of personalized care project and accessibility to allergic patients' association are factors that secure the management. Breastfeeding and appropriate dietary diversification are for their part major preventive measures. The use of probiotics and desensitization immunotherapy are interesting emerging tracks. The role of community pharmacists in all these steps is discussed. It is indeed a nearby health professional involved both in improving prevention and in the optimization of the management. Its educational posture is crucial in assisting patients to help them better understand the CMPA and its treatment; as part of its new tasks, he can be integrated into therapeutic education programs to help allergic children and their families in a multidisciplinary context to better manage their daily life.
authors.affiliation: Pharmacie Clémenceau, 14000 Caen, France. Electronic address: cathy.rouelle@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Rouelle
authors.affiliation: Pédiatrie médicale, CHU de Caen, 14000 Caen, France.
authors.forename: A
authors.initials: A
authors.lastname: Arion
authors.affiliation: UFR des sciences pharmaceutiques, université de Caen Normandie, 14000 Caen, France; UMR 1086 Inserm « cancers et préventions », centre François-Baclesse, avenue du général-Harris, 14076 Caen cedex 05, France.
authors.forename: V
authors.initials: V
authors.lastname: Prevost
mesh_terms: D000818:Animals; D002417:Cattle; D002648:Child; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016269:Milk Hypersensitivity / Q000517:prevention & control* / Q000628:therapy*; D008894:Milk Proteins / Q000009:adverse effects; D010594:Pharmacies; D010595:Pharmacists
chemical_list: D008894:Milk Proteins
keywords: Allergie alimentaire chez le nourrisson; Allergie aux protéines du lait de vache; Children's food allergy; Conseil à l’officine; Counseling; Cow's milk allergy; Cow's milk protein intolerance; Intolérance aux protéines du lait; Patient education; Éducation du patient