Future research recommendations for the management of PKU in children in the Egyptian context could include:
▪️ Documents for detailed available food allowed with Phe content.
▪️ An educational supplementary material to schools, teachers, and nurses
▪️ A guideline for management of PKU in adults and in pregnanacy
▪️Adding the new therapies once available in Egypt
These recommendations aim to address specific challenges and characteristics of the Egyptian context, potentially leading to more effective management strategies for PAH defeciency in children.
➡️Challenges
▪️ The small number of specialized physicians in relation to the large number of newly diagnosed PKU patients each year.
▪️ The maldistribution of specialized metabolic clinics being focused on the capital and large universities
▪️ The lack of specialized nurses and health workers in metabolic specialty
Strengthen the evidence base of the next update of this guideline by generating GRADE summary of finding tables, evidence profiles, and EtD frameworks.