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Allergic reactions during travel among individuals with IgE-mediated food allergy

Brady, Kathryn; Martinez-Flores, Beatriz; Trogen, Brit; Cruz-Vasquez, Joseline; Nowak-Wegrzyn, Anna
PMID: 37925073
ISSN: 2213-2201
CID: 5607202

Zoom Objective Structured Clinical Exams: Virtually the same as the real thing?

Desai, Purnahamsi V; Howell, Heather B; McGrath, Meaghan; Ramsey, Rachel; Lebowitz, Jonathan; Trogen, Brit; Cha, Christine; Pierce, Kristyn A; Zabar, Sondra
OBJECTIVE:Objective structured clinical exams (OSCE) are used to train and assess resident foundational family-centered communication skills incorporating key stakeholders. In 2020 encounters were conducted virtually. We sought to compare standardized patient (SP) and family faculty (FF) assessment across OSCE and virtual OSCE (VOSCE) formats. METHODS:The intern classes of 2019 and 2020 completed a live OSCE and VOSCE respectively where they disclosed an error to an SP. The 10 minute encounter was observed by an FF and facilitator followed by a 20 minute debrief. The SP and FF completed a behavioral checklist to evaluate skill mastery. RESULTS:Eighteen (90%) of the 20 interns completed the encounter each year. Total mastery scores were significantly higher for SP assessment than for FF assessment in both OSCE [68% vs 46% (z=-3.005, p<.05)] and VOSCE formats [68% vs 53% (z=-2.105, p<0.05)]. Total mastery scores of SPs across OSCE and VOSCE formats did not significantly differ, nor did FF scores based on evaluation format. CONCLUSIONS:Our current experience suggests VOSCEs are a viable alternative to in person sessions given the comparable assessment across the two modalities. The ease of participating in virtual sessions may provide a way to more easily partner with key stakeholders.
PMID: 36400337
ISSN: 1876-2867
CID: 5372182

Disparities in the Diagnosis and Management of Anaphylaxis

Trogen, Brit; Jacobs, Samantha; Wang, Julie
PURPOSE OF REVIEW/OBJECTIVE:The goal of this review is to characterize health disparities impacting the recognition and treatment of anaphylaxis. RECENT FINDINGS/RESULTS:Previous research has identified major health disparities related to atopic conditions including asthma, atopic dermatitis, and food allergies (FA); however, disparities related to anaphylaxis have yet to be examined in depth. We found widespread health disparities in the incidence and severity of anaphylaxis, as well as in the management of allergies (particularly food allergies) that place individuals at risk of anaphylaxis. Sociodemographic factors are associated with numerous negative health outcomes related to anaphylaxis. We highlight several key steps that must be taken to address these disparities.
PMID: 36454450
ISSN: 1534-6315
CID: 5383682

Recurrence of Food Protein-Induced Enterocolitis Syndrome (FPIES) Following a Food Challenge [Editorial]

Jacobs, Samantha; Trogen, Brit; Nowak-Wegrzyn, Anna
PMID: 36610758
ISSN: 2213-2201
CID: 5410222

Early Introduction of Allergenic Foods and the Prevention of Food Allergy

Trogen, Brit; Jacobs, Samantha; Nowak-Wegrzyn, Anna
The increasing prevalence of food allergies is a growing public health problem. For children considered high risk of developing food allergy (particularly due to the presence of other food allergies or severe eczema), the evidence for the early introduction of allergenic foods, and in particular peanut and egg, is robust. In such cases, the consensus is clear that not only should such foods not be delayed, but that they should be introduced at approximately 4 to 6 months of age in order to minimize the risk of food allergy development. The early introduction of allergenic foods appears to be an effective strategy for minimizing the public health burden of food allergy, though further studies on the generalizability of this approach in low-risk populations is needed.
PMCID:9268235
PMID: 35807745
ISSN: 2072-6643
CID: 5278462

Allergic Reactions During Travel Among Individuals With IgE-mediated Food Allergy [Meeting Abstract]

Martinez-Flores, B; Trogen, B; Nowak-Wegrzyn, A; Vasquez, J C
Rationale: Although IgE-mediated food allergies affect 7.6% of children and 9% of adults in the United States, there is limited information on the prevalence and characteristics of allergic reactions to food during travel. Understanding the reactions that occur during travel will provide at-risk passengers and carriers with the necessary information to create measures to prevent and manage these emergencies.
Method(s): We analyzed two patient registry surveys on allergic history and allergic reactions established by Food Allergy Research and Education (FARE) using SPSS.
Result(s): Out of 4956 survey respondents who described the location of their allergic reactions to foods, 86 (1.7%) reported reactions during travel. Of these, 18.6% (n=16) occurred on an airplane/in-flight, and 81.4% (n=70) were reported while commuting/in-transit. Overall, the most common sites of reported reactions were home (17.2%, n=2270) and dining out (7.4%, n=976). There were no statistically significant differences between those reporting travel-related reactions and non-travel-related reactions with regards to concomitant asthma, eczema, allergic rhinitis, drug allergy, or eosinophilic esophagitis. There was no difference in self-reported severity of the reaction and epinephrine use during the reaction. However, those reporting travel-related reactions were significantly more likely to report a lifetime history of anaphylaxis (p=0.04). Peanut and tree nuts were the most commonly identified food allergen for both travel-related reactions and non-travel-related reactions.
Conclusion(s): Allergic reactions during travel were rare in these surveys and were reported more frequently during commuting than on airplanes/in-flight. Individuals reporting travel reactions were more likely to report a lifetime history of anaphylaxis.
Copyright
EMBASE:2016656103
ISSN: 1097-6825
CID: 5157382

A Survey Examining the Impact of COVID-19 on Food Protein-Induced Enterocolitis Syndrome (FPIES)

Trogen, Brit; Jin, Hope; Cianferoni, Antonella; Chehade, Mirna; Schultz, Fallon; Chavez, Amity; Warren, Christopher; Nowak-Wegrzyn, Anna H
PMID: 34740821
ISSN: 2213-2201
CID: 5038582

Food protein-induced enterocolitis syndrome: Non-immunoglobulin E-mediated food allergy bridging innate and adaptive immunity [Comment]

Trogen, Brit; Nowak-Wegrzyn, Anna
PMID: 34479731
ISSN: 1534-4436
CID: 5011352

Risk Compensation and COVID-19 Vaccines [Editorial]

Trogen, Brit; Caplan, Arthur
PMID: 33646837
ISSN: 1539-3704
CID: 4802412

Understanding vaccine hesitancy in COVID-19

Trogen, Brit; Pirofski, Liise-Anne
Vaccines are one of the greatest medical innovations of all time, but there has been skepticism about them throughout history. Although initial concerns about scarcity increased public demand for COVID-19 vaccines, as supply meets demand, vaccine hesitancy may become a defining theme of the next stage of the COVID-19 pandemic.
PMCID:8030992
PMID: 33851144
ISSN: 2666-6340
CID: 4878832