Guideline for the treatment of infants with allergy to cow milk proteins: comparative data sheet of the specific formulae available on the Spanish market

Abstract

Allergy to cow milk proteins (ACMP) is a disease having high incidence and prevalence. Its treatment consists in the elimination of cow milk proteins, using maternal breastfeeding exclusively and, in the case of adapted formulae, with the use of special formulae such as highly hydrolyzed lactic protein derived formulae, vegetables protein derived formulae or formulae elaborated from biosynthetic aminoacids (Elemental formulae). These formulae entail a considerable financial cost and provide an important commercial field for the food and drug industry. Given the continuous scientific and technical advance, there are many modifications that occur in the elaboration of these formulae and on the guidelines for their correct handling and there are many publications on the different aspects of them. In the present work, we have aimed to review the recent modifications due to the newer knowledge and clinical experience accumulated on prevention and treatment of ACMP. In addition, the importance of the nutritional aspects in all infants and small children who receive special feeding formulae and diets of exclusion and that have the principle