Middle East Consensus Statement on the Diagnosis and Management of Functional Gastrointestinal Disorders in <12 Months Old Infants / 대한소아소화기영양학회지

This paper covers algorithms for the management of regurgitation, constipation and infantile colic in infants. Anti-regurgitation formula may be considered in infants with troublesome regurgitation, while diagnostic investigations or drug therapy are not indicated in the absence of warning signs. Although probiotics have shown some positive evidence for the management of functional gastrointestinal disorders (FGIDs), the evidence is not strong enough to make a recommendation. A partially hydrolyzed infant formula with prebiotics and β-palmitate may be considered as a dietary intervention for functional constipation in formula fed infants. Lactulose has been shown to be effective and safe in infants younger than 6 months that are constipated. Macrogol (polyethylene glycol, PEG) is not approved for use in infants less than 6 months of age. However, PEG is preferred over lactulose in infants >6 months of age. Limited data suggests that infant formula with a partial hydrolysate, galacto-oligosaccharides/fructo-oligosaccharides, added β-palmitate may be of benefit in reducing infantile colic in formula fed infants in cases where cow's milk protein allergy (CMPA) is not suspected. Evidence suggests that the use of extensively hydrolyzed infant formula for a formula-fed baby and a cow's milk free diet for a breastfeeding mother may be beneficial to decrease infantile colic if CMPA is suspected. None of the FGIDs is a reason to stop breastfeeding.

Correction: Middle East Consensus Statement on the Diagnosis and Management of Functional Gastrointestinal Disorders in <12 Months Old Infants / 대한소아소화기영양학회지

The authors wish to make the following corrections to Table 4 and Fig. 3.

Common inhalant allergens in extrinsic atopic asthmatic children in rural areas in Egypt

One hundred atopic asthmatic children from rural areas and 20 age matched atopic asthmatics from urban areas were studied. Among rural children, 27+ACU- started their symptoms in their first year of life, 54+ACU- before the age of 3 and 89+ACU- before the age of six. The male: female ratio was 0.96: 1. Thirty nine% had positive family history of allergy and 55+ACU- had positive personal history of associated atopic manifestations. On skin testing house dust, dust mites and mixed moulds were the commonest sensitizers in both urban and rural asthmatics. Feathers sensitivity was more common in urban children but sensitivities to hay dust, straw dust, mixed grass pollens, wheat grain pollens,plantain pollens, sheep wool and horse hair were higher among rural children. The differences were only significant with house dust, straw dust and wheat grain pollens