New research has shown early introduction of peanuts into
the diet of infants at high risk of peanut allergy can play a role in the
prevention of peanut allergies. Based on this new research, European and U.S.
physicians are developing formal guidelines regarding early-life complementary
feeding practices. Until those guidelines are available, 10 medical
organizations have joined in publishing a consensus statement to serve as
interim guidance. The American Academy of Pediatrics (AAP) endorsed the
consensus statement in June 2015 and is publishing the document, “Consensus communication on early peanut introduction and the prevention of peanut allergyin high-risk infants
,” in the September 2015 issue of Pediatrics (published
online Aug. 31). The interim guidance summarizes the evidence that finds early
peanut introduction is safe and effective in infants at high risk of peanut
allergy. Health care providers should recommend introducing peanut-containing
products into the diets of high-risk infants between ages 4 and 11 months.
Because there is a risk that such infants could already be peanut-allergic, the
guidance suggests that infants with early onset allergic disease, such as
severe eczema or egg allergy, may benefit from an evaluation by an allergist,
which could include allergy testing, and possibly an observed peanut ingestion.
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American Academy of Pediatrics is an organization of 64,000 primary
care pediatricians, pediatric medical subspecialists and pediatric
surgical specialists dedicated to the health, safety and well-being of
infants, children, adolescents and young adults. (www.aap.org