Conhecimento e prática de pediatras e nutricionistas sobre o tratamento da alergia às proteínas do leite de vaca no lactente

• Ano de defesa: 2017
• Autor(a) principal: Faria, Dayane Pedra Batista de [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Knowledge; Attitudes and practice in health; Milk allergy; Children; Nutritional status; Infants; Conhecimento; Atitudes e pratica em saúde; Alergia a leite; Crianças; Estado nutricional; Lactentes
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5001818; http://repositorio.unifesp.br/handle/11600/50607

Objective: Evaluate the knowledge and practice of pediatricians and nutritionists regarding cow's milk allergy (APLV) in infants, with emphasis on issues related to exclusion diet and nutritional status. Methods: Cross-sectional, descriptive study that enrolled convenience sample of 204 pediatricians and 202 nutritionists. Participants were randomly invited to 5 scientific events held in the city of São Paulo, from 2014 to 2016. Data was collected through structured and self-administered form. Results: Daily calcium recommendation for children up to 36 months of age was correctly indicated by 27.0% of pediatricians and 46.0% of nutritionists (p=0.001). Products not suitable as cow's milk substitutes were recommended by 1.5% and 21.0% of respondents. However, the reading of labels of industrialized products, 96.1% of pediatricians and 82.7% of nutritionists (p <0.001) instructed parents to read the terms that indicate the presence of milk in the food. Regarding the expressions/ingredients that should be excluded from the APLV patient's diet, it was observed that the professionals reported respectively: lactoalbumin 74.0% and 46.5% (p<0.001), casein 81.4% and 62, (P<0.001), caseinate 62.3% and 50.0% (p=0.169), milk compound 79.9% and 49.0% (p <0.001), serum proteins 71.1% and 62 , 9% (p = 0.098) and milk yeast 58.8% and 35.1% (p <0.001). Conclusions: results suggest that pediatricians and nutritionists present gaps in knowledge about the treatment of APLV in infants. Educational strategies that increase the knowledge of these professionals are important for the adequate management of APLV.