AIM: The prevalence of @entity5419 in Australia has increased, paralleled by an increase in waiting time to access tertiary @entity566 . We aimed to test whether a new model of care, based on serum specific IgE testing, was feasible and acceptable to Australian families. METHODS: A prospective pilot intervention study was conducted in community paediatric practices within 20-40   km of The Royal @entity1 's Hospital, Melbourne. @entity1  <=7 years with likely @entity5419 referred to the Department of Allergy and Immunology at RCH were included; @entity1 with @entity2021 , @entity56 (>three food groups) were excluded. Community general paediatricians, recruited through the Australian Paediatric Research Network, were trained via webinars on the management of four common @entity5419 -related scenarios. Paediatrician and @entity1 and family parameters were assessed at baseline and 3 months, including safety. RESULTS: 34/45 (76%) eligible families and 10/12 (83%) paediatricians participated. Paediatricians managed 27/34 (80%) of @entity1 independently, with 7/34 (20%) requiring referral to an allergist for more complex @entity5419 . Paediatricians reported improved knowledge and competency in managing @entity5419 : (mean (standard deviation) scores pre = 35 (5.3) and post = 43.3 (3.9) training). The majority of @entity1 received appropriate management; there were no @entity2021 episodes. There was no significant change in @entity1 quality of life or parent mental health. CONCLUSIONS: Management of simple @entity5419 by community paediatricians appears feasible and acceptable to paediatricians and families alike. Future research will evaluate this approach in an adequately powered and controlled trial.

Managing simple XXXX in community settings: A pilot study investigating a new model of care.

@entity1 :: ('9606', 'Species') :: ['children', 'Children', 'child'] @entity5419 :: ('MESH:D005512', 'Disease') :: ['food allergy'] @entity566 :: ('MESH:D006967', 'Disease') :: ['paediatric allergy care'] @entity56 :: ('MESH:D004342', 'Disease') :: ['drug allergy or complex food allergy'] @entity2021 :: ('MESH:D000707', 'Disease') :: ['anaphylaxis']
@entity5419 :: (MESH:D005512,Disease) :: ['food allergy']
