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Guidelines for the Diagnosis and Management of Food Allergy in the United States

Drafting, Review, and Final Report

Drafting

The expert panel prepared a draft version of the guidelines based on an independent, systematic literature review, panel-identified supplementary documents, and consensus expert opinion. The expert panel used this additional information only to clarify and refine conclusions drawn from sources in the systematic literature review.

In October 2009, the expert panel discussed the first written draft version of the guidelines and their recommendations. Following the meeting, the expert panel incorporated any panel-wide changes to the recommendations within the draft guidelines. These revised recommendations were then subject to an initial panel-wide vote. Following discussion and revision as necessary, a second vote was held. All recommendations that received 90 percent or higher agreement were included in the draft guidelines for review by the coordinating committee and public review and comment.

Review

The draft guidelines were posted on the NIAID Web site in March 2010 for a period of 60 days to allow for public review and comment. More than 550 comments were collected and reviewed by the expert panel and NIAID. The expert panel revised the guidelines in response to some of these comments. All new recommendations were subjected to a panel-wide vote and achieved 90 percent consensus or more.

Final Report

The final Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-sponsored Expert Panel were published and made publically available in December 2010. The guidelines present 43 recommendations for the diagnosis and management of food allergy and food-induced anaphylaxis. Three "in summary" statements provide a brief review of U.S. national vaccine policy specifically related to vaccination of patients with egg allergy.

Read the complete Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-sponsored Expert Panel.

Last Updated January 21, 2011