Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases (NIAID)‑sponsored expert panel

Year Published: 2017

Allergy, Asthma, and Clinical Immunology

Alkis Togias, Susan F. Cooper, Maria L. Acebal, Amal Assa’ad, James R. Baker, Lisa A. Beck, Julie Block, Carol Byrd‑Bredbenner, Edmond S. Chan, Lawrence F. Eichenfield, David M. Fleischer, George J. Fuchs III, Glenn T. Furuta, Matthew J. Greenhawt, Ruchi S. Gupta, Michele Habich, Stacie M. Jones, Kari Keaton, Antonella Muraro, Marshall Plaut, Lanny J. Rosenwasser, Daniel Rotrosen, Hugh A. Sampson, Lynda C. Schneider, Scott H. Sicherer, Robert Sidbury, Jonathan Spergel, David R. Stukus, Carina Venter and Joshua A. Boyce

An expert Panel from the National Institute of Allergy and Infectious Diseases (NIAID) made nation-wide recommendations for early introduction of peanuts based on the body of evidence, primarily from the LEAP study.

Key Findings: The following are the main recommendations: 1. "The Expert Panel (EP) recommends that infants with severe eczema, egg allergy, or both have introduction of age-appropriate peanut-containing food as early as 4–6 months of age to reduce the risk of peanut allergy." Total amount of peanut protein given should be 6-7g per week over 3 or more feedings. 2. "The EP suggests that infants with mild-to-moderate eczema should have introduction of age-appropriate peanut-containing food around 6 months of age, in accordance with family preferences and cultural practices, to reduce the risk of peanut allergy." 3. "The EP suggests that infants without eczema or any food allergy have age-appropriate peanut-containing foods freely introduced in the diet together with other solid foods and in accordance with family preferences and cultural practices."