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DOWNLOAD GP CME 2010 PROCEEDINGS BOOKLET (18mb PDF)

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92<br />

Main Programme<br />

Saturday 11th June 2011<br />

Main Programme<br />

Dr Malcolm Giles<br />

Evidence based Treatment of OME<br />

Saturday, 11 June 2011 Start 8:55am Duration: 25mins Baytrust Forum<br />

Persistent otitis media with effusion (OME) is one of the most common disorders of childhood. The<br />

majority of cases settle spontaneously, yet some children will suffer sequelae if left untreated.<br />

This presentation will review the current evidence regarding the diagnosis and treatment of OME,<br />

especially as it relates to the primary care setting. Specific issues which will be discussed include<br />

1.<br />

2.<br />

3.<br />

Do antibiotics have a role in the management of OME?<br />

When is a policy of watching and waiting appropriate?<br />

When should children with persistent OME be referred for specialist review?<br />

This presentation is designed to complement a presentation given at a previous meeting entitled “the<br />

evidence based treatment of acute otitis media”.<br />

Notes<br />

Associate Professor Rohan Ameratunga<br />

Food Allergy and Eczema - Main Session (Breakout options scheduled)<br />

Saturday, 11 June 2011 Start 9:20am Duration: 25mins Baytrust Forum<br />

Adverse reactions to foods are a common clinical problem. In contrast, true food allergy, as documented<br />

by double blind placebo controlled food challenges, are less common. Food allergy can occur through<br />

a variety of immune mechanisms. Immediate reactions mediated by IgE antibodies are among the most<br />

severe and can be life-threatening.<br />

It is very important for an accurate diagnosis to be made in patients presenting with adverse reactions<br />

to food. Patients with allergic reactions to food will require allergy testing in the form of either skin or<br />

blood tests.<br />

Currently there is no specific treatment for food allergy apart from avoidance. Strict elimination diets<br />

carry nutritional risk and should be supervised by an experienced dietician. Novel forms of therapy such<br />

as anti-IgE treatment may prove effective in the future.<br />

Allergy prevention advice is controversial. The risk of sensitisation appears to be minimal during pregnancy.<br />

The delayed introduction of solid foods and avoidance of peanuts, tree nuts and seafood by lactating<br />

mothers is recommended.<br />

09-12 June 2011 | Energy Events Centre | Rotorua

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