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Guidelines for the use of infant formulas to treat cows milk protein allergy: an Australian consensus panel opinion
Author(s) -
Kemp Andrew S,
Hill David J,
Allen Katrina J,
Anderson Kym,
Davidson Geoffrey P,
Day Andrew S,
Heine Ralph G,
Peake Jane E,
Prescott Susan L,
Shugg Albert W,
Sinn John K
Publication year - 2008
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2008.tb01534.x
Subject(s) - medicine , milk allergy , atopic dermatitis , infant formula , food allergy , allergy , elimination diet , enterocolitis , milk protein , pediatrics , necrotizing enterocolitis , anaphylaxis , failure to thrive , dermatology , immunology , food science , biology
Three types of infant formula (soy, extensively hydrolysed and amino acid) may be appropriate for treating cows milk protein allergy. Selection of a formula depends on the allergy syndrome to be treated. Extensively hydrolysed formula is recommended as first choice for infants under 6 months of age for treating immediate cows milk allergy (non‐anaphylactic), food protein‐induced enterocolitis syndrome, atopic eczema, gastrointestinal symptoms and food protein‐induced proctocolitis. Soy formula is recommended as first choice for infants over 6 months of age with immediate food reactions, and for those with gastrointestinal symptoms or atopic dermatitis in the absence of failure to thrive. Amino acid formula is recommended as first choice in anaphylaxis and eosinophilic oesophagitis. If treatment with the initial formula is not successful, use of an alternative formula is recommended.