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Resumen de A Delphi consensus on diagnosis, management, and treatment with allergen immunotherapy of polysensitized children in Spain: CAPP study, Part 1

Maria Mesa del Castillo, Francisco José Canals Candela, Candela Ana Martínez Cañavate, Cristina Rivas Juesas, H. Larramona, Miguel Tortajada Girbés, Jose Manuel Lucas Moreno, M.M. Folque, Ana Morales Tirado, Ana Isabel Tabar Purroy

  • Background:The study aimed to evaluate the level of agreement between specialists in pediatric allergology regarding the diagnosis and indications for pollen allergen immunother-apy (AIT) of polysensitized children in Spain.Materials and methods:A Delphi study was performed using an online survey designed by a committee of pediatric AIT experts: 46 and 44 panelists participated in rounds 1 and 2, respectively. In round 1, 204 statements on 8 dimensions were evaluated (Diagnosis; Therapeutic management; Pollens – Part I; Mites; Moulds; Animals; Hymenoptera venom; and Mixtures - Part II). A total of 148 statements were finally accepted after round 2. Panel members rated their level of agreement with assessments on a 9-point Likert scale based on acceptance by ≥ 66.7% of them.Results:According to the results, the polysensitization determination in allergic patients is confirmed by clinical history, skin prick test, total and specific IgE, and molecular diagnos-tics. Clinical assessments are recommended for the AIT effectiveness evaluation. Follow-ups


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