Local feedback from food allergy prevention guidelines

Alessandro Fiocchi, R. Qualizza, A. Martelli, L. Terracciano, S. Arrigoni, C. Ortolani

Research output: Contribution to journalArticlepeer-review


Objective. The Milan centre for prevention, diagnosis and therapy of Allergic diseases (DAM) issued guidelines to standardise dietary intervention to prevent food allergies. These guidelines were presented at a meeting of the local medical community and were then forwarded by health authorities to all the neonatal units of the health district. We evaluate here the local reaction one year after their publication. Methods. A questionnaire survey consisting of 57 items was sent to the 28 neonatal units within the remit of DAM (year 0) and was then re-administered after 12 months (year 1). Change in responses between the questionnaires was tested by the Wilcoxon rank sum test (α = 0.05). Guidelines were used to rate answers as "right" (n = 29) or "wrong" (n = 28). Change in response between year 0 and year 1 was used to measure overall compliance to guidelines. Results. All centres returned the completed questionnaires within the year of the study. Correct answers yielded an incremental change of 21/29 items. Six items yielded a decreased proportion of correct answers and two showed no difference after the intervention. Incorrect answers in year 0 did not improve in year 1. Conclusions. The fact that this educational programme dealt with topics for which there was already a consensus shows that local guidelines can improve paediatricians' practices in some areas but fail to obtain total compliance. In this complex field, our data suggest that different ways for implementation (e.g. using a reminder and feedback assessment) should be followed.

Original languageEnglish
Pages (from-to)130-136
Number of pages7
JournalItalian Journal of Pediatrics
Issue number2
Publication statusPublished - Apr 2003


  • Dietary allergy prevention
  • Guidelines
  • Hypoallergenic formulae

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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