We aimed to build a practice parameter and to formulate
recommendations specifying the indications, procedure
and consequences of OFCs in children. We considered
four major issues: 1) the selection of children for OFC
(indications and contraindications); 2) the complete procedure
which should be followed (material, where the test
should be carried out, technique and management of reactions);
3) the interpretation of the OFC and 4) the consequences
of the OFC. These recommendations focus in
particular on the three major foods most frequently implicated
in FA in children: cow’s milk, hen’s eggs and peanut.
OFCs are carried out similarly for other foods and these
recommendations could therefore be applied to other
foods. These recommendations concern paediatric tests,
and are aimed at physicians involved in the management
of FA in children.