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FOOD ALLERGY (PEDIATRIC)

Food allergy is an adverse reaction due to a specific immune response occurring reproducibly upon exposure to certain foods. It occurs minutes to hours after food consumption.
Immunological mechanisms can be IgE mediated, non-IgE mediated or mixed IgE and non-IgE mediated.
It may be life-threatening and is the most common cause of anaphylaxis in children.
It should be differentiated from food intolerance in which adverse reactions from exposure to food arise from non-immunological mechanisms.

Food%20allergy%20(pediatric) Patient Education

Patient Education

Patient/Caregiver Education

Nutritional counseling and regular growth monitoring are recommended for all children with food allergy (FA)
Patient and caregivers should be educated on allergy to avoid inadvertent ingestion of food allergens
- Learn to read food labels, to inquire at restaurants and take precautionary measures to prevent unintentional exposure to known food allergens
Medical information bracelet or necklace for the patient can provide important medical details when patient is found unconscious or cannot communicate due to the food-induced adverse reaction
FA action plan should be developed, containing steps to take in case of a reaction
- Include doses of medications and contact information for family members and healthcare providers
- This plan should be thoroughly discussed with patients, family members and caregivers
- Patients with history of food-induced anaphylaxis need to know how to use self-injectable Epinephrine

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Spotlight on multidrug-resistant gram-negative infections: New developments for an old problem

Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021

Antimicrobial resistance has become increasingly dire as the rapid emergence of drug resistance, especially gram-negative pathogens, has outpaced the development of new antibiotics. At a recent virtual symposium, Dr Hsu Li Yang, Vice Dean (Global Health) and Programme Leader (Infectious Diseases), NUS Saw Swee Hock School of Public Health, presented epidemiological data on multidrug-resistant (MDR) gram-negative bacteria (GNB) in Asia, while Dr Tan Thuan Tong, Head and Senior Consultant, Department of Infectious Diseases, Singapore General Hospital (SGH), focused on the role of ceftazidime-avibactam in MDR GNB infections. Dr Andrea Kwa, Assistant Director of Research, Department of Pharmacy, SGH, joined the panel in an interactive fireside chat, to discuss challenges, practical considerations, and solutions in MDR gram-negative infections. This Pfizer-sponsored symposium was chaired by Dr Ng Shin Yi, Head and Senior Consultant of Surgical Intensive Care, SGH.