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- W2931852308 abstract "Peanut allergy prevalence has increased. 1 Sicherer S.H. Muñoz-Furlong A. Godbold J.H. Sampson H.A. US prevalence of self-reported peanut, tree nut, and sesame allergy: 11-year follow-up. J Allergy Clin Immunol. 2010; 125: 1322-1326 Abstract Full Text Full Text PDF PubMed Scopus (745) Google Scholar The Learning Early About Peanut (LEAP) study found that early peanut introduction to high-risk infants reduced the risk of peanut allergy. 2 Du Toit G. Roberts G. Sayre P.H. et al. LEAP Study TeamRandomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med. 2015; 372: 803-813 Crossref PubMed Scopus (1329) Google Scholar In response, the National Institute of Allergy and Infectious Diseases (NIAID) convened an Expert Panel that published guidelines for early peanut introduction. 3 Togias A. Cooper S.F. Acebal M.L. et al. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–sponsored expert panel. J Allergy Clin Immunol. 2017; 139: 29-44 Abstract Full Text Full Text PDF PubMed Scopus (268) Google Scholar Potential barriers to guideline implementation exist. The recommendations are quite different from those espoused 20 years ago. 4 American Academy of Pediatrics Committee on NutritionHypoallergenic infant formulas. Pediatrics. 2000; 106: 346-349 Crossref PubMed Scopus (273) Google Scholar Furthermore, peanut is not a common weaning food, and the medicalization of peanut introduction could be problematic. Although instructions for home preparation are provided (ie, Togias et al 3 Togias A. Cooper S.F. Acebal M.L. et al. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–sponsored expert panel. J Allergy Clin Immunol. 2017; 139: 29-44 Abstract Full Text Full Text PDF PubMed Scopus (268) Google Scholar describe target peanut doses for high-risk infants and infant-safe forms of peanut and guidance for home or office introduction), barriers such as feasibility, screening recommendations, and allergist access have been identified. 5 Turner P.J. Campbell D.E. Implementing primary prevention for peanut allergy at a population level. JAMA. 2017; 317: 1111 Crossref PubMed Scopus (34) Google Scholar , 6 Greenhawt M.J. Fleischer D.M. Atkins D. Chan E.S. The complexities of early peanut introduction for the practicing allergist. J Allergy Clin Immunol Pract. 2016; 4: 221-225 Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar , 7 Fisher H.R. Keet C.A. Lack G. du Toit G. Preventing peanut allergy: where are we now?. J Allergy Clin Immunol Pract. 2019; 7: 367-373 Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar" @default.
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- W2931852308 date "2019-06-01" @default.
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- W2931852308 title "Pediatricians underestimate parent receptiveness to early peanut introduction" @default.
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- W2931852308 doi "https://doi.org/10.1016/j.anai.2019.03.034" @default.
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