Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants

The purpose of this brief communication is to highlight emerging evidence to existing guidelines regarding potential benefits of supporting early, rather than delayed, peanut introduction during the period of complementary food introduction in infants. This document should be considered as interim g...

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Veröffentlicht in:Journal of allergy and clinical immunology 2015-08, Vol.136 (2), p.258-261
Hauptverfasser: Fleischer, David M., MD, Sicherer, Scott, MD, Greenhawt, Matthew, MD, Campbell, Dianne, MB BS, FRACP, PhD, Chan, Edmond, MD, Muraro, Antonella, MD, PhD, Halken, Susanne, MD, Katz, Yitzhak, MD, Ebisawa, Motohiro, MD, PhD, Eichenfield, Lawrence, MD, Sampson, Hugh, MD, Lack, Gideon, MB, BCh, Du Toit, George, MB, BCh, Roberts, Graham, DM, Bahnson, Henry, MPH, Feeney, Mary, MSc, RD, Hourihane, Jonathan, MD, Spergel, Jonathan, MD, PhD, Young, Michael, MD, As'aad, Amal, MD, Allen, Katrina, BMedSc, MB BS, FRACP, PhD, Prescott, Susan, BMedSc, MB BS, FRACP, PhD, Kapur, Sandeep, MD, Saito, Hirohisa, MD, PhD, Agache, Ioana, MD, Akdis, Cezmi A., MD, PhD, Arshad, Hasan, MD, Beyer, Kirsten, MD, Dubois, Anthony, MD, Eigenmann, Philippe, MD, Fernandez-Rivas, Monserrat, MD, Grimshaw, Kate, PhD, RD, RNutr, Hoffman-Sommergruber, Karin, PhD, Host, Arne, MD, Lau, Susanne, MD, O'Mahony, Liam, MD, Mills, Clare, PhD, Papadopoulos, Nikolaus, MD, Venter, Carina, BSc, PhD, Agmon-Levin, Nancy, MD, Kessel, Aaron, MD, Antaya, Richard, MD, Drolet, Beth, MD, Rosenwasser, Lanny, MD
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container_end_page 261
container_issue 2
container_start_page 258
container_title Journal of allergy and clinical immunology
container_volume 136
creator Fleischer, David M., MD
Sicherer, Scott, MD
Greenhawt, Matthew, MD
Campbell, Dianne, MB BS, FRACP, PhD
Chan, Edmond, MD
Muraro, Antonella, MD, PhD
Halken, Susanne, MD
Katz, Yitzhak, MD
Ebisawa, Motohiro, MD, PhD
Eichenfield, Lawrence, MD
Sampson, Hugh, MD
Lack, Gideon, MB, BCh
Du Toit, George, MB, BCh
Roberts, Graham, DM
Bahnson, Henry, MPH
Feeney, Mary, MSc, RD
Hourihane, Jonathan, MD
Spergel, Jonathan, MD, PhD
Young, Michael, MD
As'aad, Amal, MD
Allen, Katrina, BMedSc, MB BS, FRACP, PhD
Prescott, Susan, BMedSc, MB BS, FRACP, PhD
Kapur, Sandeep, MD
Saito, Hirohisa, MD, PhD
Agache, Ioana, MD
Akdis, Cezmi A., MD, PhD
Arshad, Hasan, MD
Beyer, Kirsten, MD
Dubois, Anthony, MD
Eigenmann, Philippe, MD
Fernandez-Rivas, Monserrat, MD
Grimshaw, Kate, PhD, RD, RNutr
Hoffman-Sommergruber, Karin, PhD
Host, Arne, MD
Lau, Susanne, MD
O'Mahony, Liam, MD
Mills, Clare, PhD
Papadopoulos, Nikolaus, MD
Venter, Carina, BSc, PhD
Agmon-Levin, Nancy, MD
Kessel, Aaron, MD
Antaya, Richard, MD
Drolet, Beth, MD
Rosenwasser, Lanny, MD
description The purpose of this brief communication is to highlight emerging evidence to existing guidelines regarding potential benefits of supporting early, rather than delayed, peanut introduction during the period of complementary food introduction in infants. This document should be considered as interim guidance based on consensus among the following organizations: American Academy of Allergy, Asthma & Immunology, American Academy of Pediatrics, American College of Allergy, Asthma & Immunology, Australasian Society of Clinical Immunology and Allergy, Canadian Society of Allergy and Clinical Immunology, European Academy of Allergy and Clinical Immunology, Israel Association of Allergy and Clinical Immunology, Japanese Society for Allergology, Society for Pediatric Dermatology, and World Allergy Organization. More formal guidelines regarding early-life, complementary feeding practices and the risk of allergy development will follow in the next year from the National Institute of Allergy and Infectious Diseases-sponsored Working Group and the European Academy of Allergy and Clinical Immunology.
doi_str_mv 10.1016/j.jaci.2015.06.001
format Article
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All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c652t-cbc01ca068cf3e99a5f03e6e825803ce9955b18896792b6da01666ad9fd4c2ce3</citedby><cites>FETCH-LOGICAL-c652t-cbc01ca068cf3e99a5f03e6e825803ce9955b18896792b6da01666ad9fd4c2ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S009167491500785X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26100082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fleischer, David M., MD</creatorcontrib><creatorcontrib>Sicherer, Scott, MD</creatorcontrib><creatorcontrib>Greenhawt, Matthew, MD</creatorcontrib><creatorcontrib>Campbell, Dianne, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Chan, Edmond, MD</creatorcontrib><creatorcontrib>Muraro, Antonella, MD, PhD</creatorcontrib><creatorcontrib>Halken, Susanne, MD</creatorcontrib><creatorcontrib>Katz, Yitzhak, MD</creatorcontrib><creatorcontrib>Ebisawa, Motohiro, MD, PhD</creatorcontrib><creatorcontrib>Eichenfield, Lawrence, MD</creatorcontrib><creatorcontrib>Sampson, Hugh, MD</creatorcontrib><creatorcontrib>Lack, Gideon, MB, BCh</creatorcontrib><creatorcontrib>Du Toit, George, MB, BCh</creatorcontrib><creatorcontrib>Roberts, Graham, DM</creatorcontrib><creatorcontrib>Bahnson, Henry, MPH</creatorcontrib><creatorcontrib>Feeney, Mary, MSc, RD</creatorcontrib><creatorcontrib>Hourihane, Jonathan, MD</creatorcontrib><creatorcontrib>Spergel, Jonathan, MD, PhD</creatorcontrib><creatorcontrib>Young, Michael, MD</creatorcontrib><creatorcontrib>As'aad, Amal, MD</creatorcontrib><creatorcontrib>Allen, Katrina, BMedSc, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Prescott, Susan, BMedSc, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Kapur, Sandeep, MD</creatorcontrib><creatorcontrib>Saito, Hirohisa, MD, PhD</creatorcontrib><creatorcontrib>Agache, Ioana, MD</creatorcontrib><creatorcontrib>Akdis, Cezmi A., MD, PhD</creatorcontrib><creatorcontrib>Arshad, Hasan, MD</creatorcontrib><creatorcontrib>Beyer, Kirsten, MD</creatorcontrib><creatorcontrib>Dubois, Anthony, MD</creatorcontrib><creatorcontrib>Eigenmann, Philippe, MD</creatorcontrib><creatorcontrib>Fernandez-Rivas, Monserrat, MD</creatorcontrib><creatorcontrib>Grimshaw, Kate, PhD, RD, RNutr</creatorcontrib><creatorcontrib>Hoffman-Sommergruber, Karin, PhD</creatorcontrib><creatorcontrib>Host, Arne, MD</creatorcontrib><creatorcontrib>Lau, Susanne, MD</creatorcontrib><creatorcontrib>O'Mahony, Liam, MD</creatorcontrib><creatorcontrib>Mills, Clare, PhD</creatorcontrib><creatorcontrib>Papadopoulos, Nikolaus, MD</creatorcontrib><creatorcontrib>Venter, Carina, BSc, PhD</creatorcontrib><creatorcontrib>Agmon-Levin, Nancy, MD</creatorcontrib><creatorcontrib>Kessel, Aaron, MD</creatorcontrib><creatorcontrib>Antaya, Richard, MD</creatorcontrib><creatorcontrib>Drolet, Beth, MD</creatorcontrib><creatorcontrib>Rosenwasser, Lanny, MD</creatorcontrib><creatorcontrib>World Allergy Organization</creatorcontrib><creatorcontrib>Canadian Society of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>American Academy of Allergy, Asthma &amp; Immunology</creatorcontrib><creatorcontrib>Israel Association of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>Asthma &amp; Immunology, Australasian Society of Clinical Immunology and Allergy</creatorcontrib><creatorcontrib>Society for Pediatric Dermatology</creatorcontrib><creatorcontrib>European Academy of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>American Academy of Pediatrics, American College of Allergy</creatorcontrib><creatorcontrib>Japanese Society for Allergology</creatorcontrib><title>Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>The purpose of this brief communication is to highlight emerging evidence to existing guidelines regarding potential benefits of supporting early, rather than delayed, peanut introduction during the period of complementary food introduction in infants. This document should be considered as interim guidance based on consensus among the following organizations: American Academy of Allergy, Asthma &amp; Immunology, American Academy of Pediatrics, American College of Allergy, Asthma &amp; Immunology, Australasian Society of Clinical Immunology and Allergy, Canadian Society of Allergy and Clinical Immunology, European Academy of Allergy and Clinical Immunology, Israel Association of Allergy and Clinical Immunology, Japanese Society for Allergology, Society for Pediatric Dermatology, and World Allergy Organization. More formal guidelines regarding early-life, complementary feeding practices and the risk of allergy development will follow in the next year from the National Institute of Allergy and Infectious Diseases-sponsored Working Group and the European Academy of Allergy and Clinical Immunology.</description><subject>Allergens - administration &amp; dosage</subject><subject>Allergens - immunology</subject><subject>Allergies</subject><subject>Allergy and Immunology</subject><subject>Allergy prevention</subject><subject>Arachis - immunology</subject><subject>Arachis hypogaea</subject><subject>complementary feeding</subject><subject>Decision making</subject><subject>Female</subject><subject>Food allergies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena - immunology</subject><subject>Male</subject><subject>peanut allergy</subject><subject>Peanut Hypersensitivity - etiology</subject><subject>Peanut Hypersensitivity - immunology</subject><subject>Peanut Hypersensitivity - pathology</subject><subject>Peanut Hypersensitivity - prevention &amp; 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Sicherer, Scott, MD ; Greenhawt, Matthew, MD ; Campbell, Dianne, MB BS, FRACP, PhD ; Chan, Edmond, MD ; Muraro, Antonella, MD, PhD ; Halken, Susanne, MD ; Katz, Yitzhak, MD ; Ebisawa, Motohiro, MD, PhD ; Eichenfield, Lawrence, MD ; Sampson, Hugh, MD ; Lack, Gideon, MB, BCh ; Du Toit, George, MB, BCh ; Roberts, Graham, DM ; Bahnson, Henry, MPH ; Feeney, Mary, MSc, RD ; Hourihane, Jonathan, MD ; Spergel, Jonathan, MD, PhD ; Young, Michael, MD ; As'aad, Amal, MD ; Allen, Katrina, BMedSc, MB BS, FRACP, PhD ; Prescott, Susan, BMedSc, MB BS, FRACP, PhD ; Kapur, Sandeep, MD ; Saito, Hirohisa, MD, PhD ; Agache, Ioana, MD ; Akdis, Cezmi A., MD, PhD ; Arshad, Hasan, MD ; Beyer, Kirsten, MD ; Dubois, Anthony, MD ; Eigenmann, Philippe, MD ; Fernandez-Rivas, Monserrat, MD ; Grimshaw, Kate, PhD, RD, RNutr ; Hoffman-Sommergruber, Karin, PhD ; Host, Arne, MD ; Lau, Susanne, MD ; O'Mahony, Liam, MD ; Mills, Clare, PhD ; Papadopoulos, Nikolaus, MD ; Venter, Carina, BSc, PhD ; Agmon-Levin, Nancy, MD ; Kessel, Aaron, MD ; Antaya, Richard, MD ; Drolet, Beth, MD ; Rosenwasser, Lanny, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c652t-cbc01ca068cf3e99a5f03e6e825803ce9955b18896792b6da01666ad9fd4c2ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Allergens - administration &amp; dosage</topic><topic>Allergens - immunology</topic><topic>Allergies</topic><topic>Allergy and Immunology</topic><topic>Allergy prevention</topic><topic>Arachis - immunology</topic><topic>Arachis hypogaea</topic><topic>complementary feeding</topic><topic>Decision making</topic><topic>Female</topic><topic>Food allergies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Nutritional Physiological Phenomena - immunology</topic><topic>Male</topic><topic>peanut allergy</topic><topic>Peanut Hypersensitivity - etiology</topic><topic>Peanut Hypersensitivity - immunology</topic><topic>Peanut Hypersensitivity - pathology</topic><topic>Peanut Hypersensitivity - prevention &amp; control</topic><topic>Peanuts</topic><topic>Randomized Controlled Trials as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fleischer, David M., MD</creatorcontrib><creatorcontrib>Sicherer, Scott, MD</creatorcontrib><creatorcontrib>Greenhawt, Matthew, MD</creatorcontrib><creatorcontrib>Campbell, Dianne, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Chan, Edmond, MD</creatorcontrib><creatorcontrib>Muraro, Antonella, MD, PhD</creatorcontrib><creatorcontrib>Halken, Susanne, MD</creatorcontrib><creatorcontrib>Katz, Yitzhak, MD</creatorcontrib><creatorcontrib>Ebisawa, Motohiro, MD, PhD</creatorcontrib><creatorcontrib>Eichenfield, Lawrence, MD</creatorcontrib><creatorcontrib>Sampson, Hugh, MD</creatorcontrib><creatorcontrib>Lack, Gideon, MB, BCh</creatorcontrib><creatorcontrib>Du Toit, George, MB, BCh</creatorcontrib><creatorcontrib>Roberts, Graham, DM</creatorcontrib><creatorcontrib>Bahnson, Henry, MPH</creatorcontrib><creatorcontrib>Feeney, Mary, MSc, RD</creatorcontrib><creatorcontrib>Hourihane, Jonathan, MD</creatorcontrib><creatorcontrib>Spergel, Jonathan, MD, PhD</creatorcontrib><creatorcontrib>Young, Michael, MD</creatorcontrib><creatorcontrib>As'aad, Amal, MD</creatorcontrib><creatorcontrib>Allen, Katrina, BMedSc, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Prescott, Susan, BMedSc, MB BS, FRACP, PhD</creatorcontrib><creatorcontrib>Kapur, Sandeep, MD</creatorcontrib><creatorcontrib>Saito, Hirohisa, MD, PhD</creatorcontrib><creatorcontrib>Agache, Ioana, MD</creatorcontrib><creatorcontrib>Akdis, Cezmi A., MD, PhD</creatorcontrib><creatorcontrib>Arshad, Hasan, MD</creatorcontrib><creatorcontrib>Beyer, Kirsten, MD</creatorcontrib><creatorcontrib>Dubois, Anthony, MD</creatorcontrib><creatorcontrib>Eigenmann, Philippe, MD</creatorcontrib><creatorcontrib>Fernandez-Rivas, Monserrat, MD</creatorcontrib><creatorcontrib>Grimshaw, Kate, PhD, RD, RNutr</creatorcontrib><creatorcontrib>Hoffman-Sommergruber, Karin, PhD</creatorcontrib><creatorcontrib>Host, Arne, MD</creatorcontrib><creatorcontrib>Lau, Susanne, MD</creatorcontrib><creatorcontrib>O'Mahony, Liam, MD</creatorcontrib><creatorcontrib>Mills, Clare, PhD</creatorcontrib><creatorcontrib>Papadopoulos, Nikolaus, MD</creatorcontrib><creatorcontrib>Venter, Carina, BSc, PhD</creatorcontrib><creatorcontrib>Agmon-Levin, Nancy, MD</creatorcontrib><creatorcontrib>Kessel, Aaron, MD</creatorcontrib><creatorcontrib>Antaya, Richard, MD</creatorcontrib><creatorcontrib>Drolet, Beth, MD</creatorcontrib><creatorcontrib>Rosenwasser, Lanny, MD</creatorcontrib><creatorcontrib>World Allergy Organization</creatorcontrib><creatorcontrib>Canadian Society of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>American Academy of Allergy, Asthma &amp; Immunology</creatorcontrib><creatorcontrib>Israel Association of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>Asthma &amp; Immunology, Australasian Society of Clinical Immunology and Allergy</creatorcontrib><creatorcontrib>Society for Pediatric Dermatology</creatorcontrib><creatorcontrib>European Academy of Allergy and Clinical Immunology</creatorcontrib><creatorcontrib>American Academy of Pediatrics, American College of Allergy</creatorcontrib><creatorcontrib>Japanese Society for Allergology</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of allergy and clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fleischer, David M., MD</au><au>Sicherer, Scott, MD</au><au>Greenhawt, Matthew, MD</au><au>Campbell, Dianne, MB BS, FRACP, PhD</au><au>Chan, Edmond, MD</au><au>Muraro, Antonella, MD, PhD</au><au>Halken, Susanne, MD</au><au>Katz, Yitzhak, MD</au><au>Ebisawa, Motohiro, MD, PhD</au><au>Eichenfield, Lawrence, MD</au><au>Sampson, Hugh, MD</au><au>Lack, Gideon, MB, BCh</au><au>Du Toit, George, MB, BCh</au><au>Roberts, Graham, DM</au><au>Bahnson, Henry, MPH</au><au>Feeney, Mary, MSc, RD</au><au>Hourihane, Jonathan, MD</au><au>Spergel, Jonathan, MD, PhD</au><au>Young, Michael, MD</au><au>As'aad, Amal, MD</au><au>Allen, Katrina, BMedSc, MB BS, FRACP, PhD</au><au>Prescott, Susan, BMedSc, MB BS, FRACP, PhD</au><au>Kapur, Sandeep, MD</au><au>Saito, Hirohisa, MD, PhD</au><au>Agache, Ioana, MD</au><au>Akdis, Cezmi A., MD, PhD</au><au>Arshad, Hasan, MD</au><au>Beyer, Kirsten, MD</au><au>Dubois, Anthony, MD</au><au>Eigenmann, Philippe, MD</au><au>Fernandez-Rivas, Monserrat, MD</au><au>Grimshaw, Kate, PhD, RD, RNutr</au><au>Hoffman-Sommergruber, Karin, PhD</au><au>Host, Arne, MD</au><au>Lau, Susanne, MD</au><au>O'Mahony, Liam, MD</au><au>Mills, Clare, PhD</au><au>Papadopoulos, Nikolaus, MD</au><au>Venter, Carina, BSc, PhD</au><au>Agmon-Levin, Nancy, MD</au><au>Kessel, Aaron, MD</au><au>Antaya, Richard, MD</au><au>Drolet, Beth, MD</au><au>Rosenwasser, Lanny, MD</au><aucorp>World Allergy Organization</aucorp><aucorp>Canadian Society of Allergy and Clinical Immunology</aucorp><aucorp>American Academy of Allergy, Asthma &amp; Immunology</aucorp><aucorp>Israel Association of Allergy and Clinical Immunology</aucorp><aucorp>Asthma &amp; Immunology, Australasian Society of Clinical Immunology and Allergy</aucorp><aucorp>Society for Pediatric Dermatology</aucorp><aucorp>European Academy of Allergy and Clinical Immunology</aucorp><aucorp>American Academy of Pediatrics, American College of Allergy</aucorp><aucorp>Japanese Society for Allergology</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants</atitle><jtitle>Journal of allergy and clinical immunology</jtitle><addtitle>J Allergy Clin Immunol</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>136</volume><issue>2</issue><spage>258</spage><epage>261</epage><pages>258-261</pages><issn>0091-6749</issn><eissn>1097-6825</eissn><abstract>The purpose of this brief communication is to highlight emerging evidence to existing guidelines regarding potential benefits of supporting early, rather than delayed, peanut introduction during the period of complementary food introduction in infants. This document should be considered as interim guidance based on consensus among the following organizations: American Academy of Allergy, Asthma &amp; Immunology, American Academy of Pediatrics, American College of Allergy, Asthma &amp; Immunology, Australasian Society of Clinical Immunology and Allergy, Canadian Society of Allergy and Clinical Immunology, European Academy of Allergy and Clinical Immunology, Israel Association of Allergy and Clinical Immunology, Japanese Society for Allergology, Society for Pediatric Dermatology, and World Allergy Organization. More formal guidelines regarding early-life, complementary feeding practices and the risk of allergy development will follow in the next year from the National Institute of Allergy and Infectious Diseases-sponsored Working Group and the European Academy of Allergy and Clinical Immunology.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26100082</pmid><doi>10.1016/j.jaci.2015.06.001</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Allergens - administration & dosage
Allergens - immunology
Allergies
Allergy and Immunology
Allergy prevention
Arachis - immunology
Arachis hypogaea
complementary feeding
Decision making
Female
Food allergies
Humans
Infant
Infant Nutritional Physiological Phenomena - immunology
Male
peanut allergy
Peanut Hypersensitivity - etiology
Peanut Hypersensitivity - immunology
Peanut Hypersensitivity - pathology
Peanut Hypersensitivity - prevention & control
Peanuts
Randomized Controlled Trials as Topic
title Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants
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