under review – August 2022
Guidelines for the diagnosis and management of suspected cow’s milk protein allergy (CMPA) in primary care
Introduction
- These guidelines are for the diagnosis and management of suspected cow’s milk protein allergy
- The prevalence of cow’s milk allergy is up to 7.5% of infants during the first year of life
- Cow’s milk allergy commonly presents in infancy, with most affected children presenting with symptoms by 6 months of age
- Cow’s milk allergy can be classified into IgE mediated reactions immediate onset reactions and non- IgE mediated delayed onset
- Cow’s milk allergy will resolve in the majority of children during early child hood
4 steps to implement the guidelines
- Take an allergy focused history
- Decide whether history is suggestive of IgE mediated or non-IgE mediated allergy
- Advise elimination diet and appropriate formula choice and onward referral if required.
- In suspected mild to moderate non-IgE mediated allergy, primary care health professional to advise 4 week trial of complete milk and dairy exclusion then home reintroduction of milk, over 7 days, to confirm or refute diagnosis and onward referral if required.
CMPA Table 1.pdf, CMPA Algorithm 1.pdf, CMPA Appendix 1_How to follow a cow’s milk free diet.pdf
CMPA Table 2.pdf, CMPA Algorithm 2.pdf , CMPA Appendix 2_Reintroduction of cow’s milk.pdf
CMPA Table 3.pdf, CMPA Appendix 3_Allergy focused clinical history.pdf