Food allergic reactions in restaurant settings are regularly reported, including fatalities. The risk of dining out with food allergies is well documented, and is in part attributed to insufficient regulatory oversight. The objectives of this review were to (i) present scientific evidence characterizing the risk of dining out with food allergies, (ii) describe advances in proposed management mechanisms to mitigate this risk, and (iii) outline gaps in existing practices and regulations related to food allergen management in foodservice operations. Scientific publications (n=60) and laws/regulations from different jurisdictions (n=20) related to food allergy and food allergens management in foodservice operations were systematically retrieved and reviewed. Although the inherent nature of these operations poses challenges to the implementation of allergen control measures, evidence suggests that food-allergic consumers will continue to be at risk unless more stringent regulatory requirements, particularly related to communication with diners and between staff members, are adopted.

中文翻译：

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外出就餐时出现食物过敏：二十年的证据呼吁加强消费者保护


餐厅环境中的食物过敏反应经常被报道，包括死亡事件。外出就餐时食物过敏的风险是有据可查的，部分原因是监管力度不够。本次审查的目的是（i）提供科学证据来描述外出就餐时食物过敏的风险，（ii）描述为减轻这种风险而提出的管理机制的进展，以及（iii）概述与食物过敏相关的现有实践和法规中的差距餐饮服务运营中的食品过敏原管理。系统地检索和审查了与食品过敏和食品服务运营中的食品过敏原管理相关的科学出版物（n = 60）和来自不同司法管辖区（n = 20）的法律/法规。尽管这些操作的固有性质对实施过敏原控制措施提出了挑战，但有证据表明，除非采取更严格的监管要求，特别是与食客和工作人员之间的沟通相关的监管要求，否则食物过敏的消费者将继续面临风险。