Abstract
Cow's milk protein allergy (CMPA) is a type of food allergy (FA), that is, a reaction of the immune system in the gastrointestinal tract due to the ingestion of proteins such as beta-lactoglobulin, alphalactalbumin, and casein. This condition most substantially affects children in the early stages of their development, about 2% of the American child population, and, consequently, directly or indirectly influences the families of each of them. In the Brazilian context, the epidemiological analysis is shallow in quantitative and qualitative data. Because of this, this study aims to understand the path of patients with CMPA, from diagnosis to treatment, and how their income and their knowledge of their rights in the Unified Health System interfere throughout this process. A form was used as a method to collect data from families with CMPA patients, accounting for 107 in all, which were consulted through online communities. Facing the financial and nutritional challenges of treating a child with CMPA and, at the same time, with the results obtained, the authors of this study were able to verify that, despite the high cost of adapting the diet of this AA, the economic factor was not it was relevant within this consulted microcosm regarding treatment, but slightly influential in the diagnosis. Analyzing the knowledge of the benefit offered by SUS concerning the child's nutritional supplementation, it was possible to verify that, of a total of 44 people, about 45%, know the benefit, but do not use it, and do not perform the supplementation. So, for this and other obtained relations, the study concluded that low income is not a limiting factor for the treatment of patients with CMPA, being slightly influential in the way in which families seek the diagnosis of this FA. In line with this view, it was possible to note the high evasion of SUS Primary Care and the non-use of the formulas offered, although they are sometimes known by the target audience.
Metrics
References
- Filho WR, Scalco MF, Pinto JA. Allergy to cow's milk protein. Medical Journal of Minas Gerais, [s. l.], v. 24.3, 24 Sept. 2014. DOI 10.5935/2238-3182.20140105. Available at: http://www.rmmg.org/artigo/details/1658. Accessed on: 13 May 2020.
- 2. Medeiros LCS. et al. Nutrient intake and nutritional status of children on a diet free from cow's milk and dairy products. J. Pediatrician (Rio J.), Porto Alegre, v. 80, no. 5, p. 363-370, 2004. Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572004000600006&lng=en&nrm=iso>. Access on 27 Feb. 2022. http://dx.doi.org/10.2223/JPED.1220.
- Clinical Protocol and Therapeutic Guidelines Cow's Milk Protein Allergy (CMPA) of the National Commission for Incorporation of Technologies in SUS – Ministry of Health.
- Federal Medical Council. Brazilian Society of Parenteral and Enteral Nutrition; Federal Council of Medicine. Brazilian Society of Internal Medicine; Federal Council of Medicine. Brazilian Association of Nutrition. Nutritional therapy in the patient with cow's milk allergy. Project Guidelines, Project Guidelines, 11 July. 2011. Available at: https://diretriz.amb.org.br/_BibliotecaAntiga/terapia_nutricional_no_paciente_com_alergia_ao_leite_de_vaca.pdf. Accessed on: 25 jun. 2020
- Koda YKL et al: Food allergy diarrhea. In: Marcondes E. Basic Pediatrics. 1994, 8th edition – vol.2. 16: 1194-1196.
- Macitelli MR. Allergy to cow's milk protein / Milena Ribeiro Macitelli – São Paulo 2011.
- Botelho RBA. Regional cuisine: the Northeast and healthy eating 2006. Doctoral Thesis in Health Sciences-University of Brasília, Brasília, 2006.
- Ceza MR, Ferreira CT. Oral tolerance in the treatment of CMPA. pediatric mod, v. 51, no. 10, 2015.Available at: <http://www.moreirajr.com.br/revistas.asp?fase=r003&id_materia=6169>. Accessed on 08 Sep. 2020
- Teixeira LMO. Allergy to cow's milk proteins: Monograph: Cows Milk Protein Allergy. 2010. Available at: <https://repositorioaberto.up.pt/bitstream/10216/54529/4/137223_1006TCD06.pdf>. Accessed on 08 Sep. 2022
- Alves JQN, Mendes JFR. Dietary intake and nutritional status in children with cow's milk protein allergy. Health Science Commission, [s. l.], year 2013, v. 24(1), p. 65-72, 30 Sept. 2013. Available at: http://bvsms.saude.gov.br/bvs/artigos/consumo_dietetico_estado_nutricional_criancas.pdf. Accessed 3 Aug. 2022
- Brazilian Society of Pediatrics; Brazilian Association of Allergy and Immunology (Brazil). Brazilian Consensus on Food Allergy: 2007. Rev. Brazilian Allergy Immunopathol., vol. 31, no. 2, 2008.
- Medeiros LB. The free supply of milk with special formula and the phenomenon of health judicialization in Brazil. 2013.Available at: <http://dspace.unesc.net/bitstream/1/1911/1/Luana%20B%C3%BArigo%20Medeiros.pdf>. Accessed on 08 Sep. 2020
- Rati RMS et al. "Children cannot wait": the search for urgent and emergency services by mothers and their children in non-urgent conditions. Science collective health, Rio de Janeiro, v. 18, no. 12, p. 3663-3672, Dec. 2013 Available at http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232013001200022&lng=en&nrm=iso>. Accessed on 08 Sep. 2022.
- Costa LA, Neves JAB. Bureaucracy and social insertion: a study on the Ministry of Health in the management of the Unified Health System (SUS). Saude soc., São Paulo, v. 22, no. 4, p. 1117-1131, Dec. 2013. Available at <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-2902013000400014&lng=en&nrm=iso>. Accessed on Sep. 2020.
- 15. SGS Days. Food allergy and the impact on the child and family. 2016. Master's Thesis. Available at: <https://estudogeral.sib.uc.pt/bitstream/10316/36668/1/Tese%20de%20Mestrado%20-%20Sara%20Dias.pdf>. Accessed: 08 Sep. 2022.