Nationwide Children's Hospital, Division of Allergy and Immunology, The Ohio State University College of Medicine, 700 Children's Drive, ED - 6022, Columbus, OH, 43205, USA.
Curr Allergy Asthma Rep. 2019 Nov 9;19(11):51. doi: 10.1007/s11882-019-0884-0.
This review summarizes the evidence leading towards the development of new guidelines that recommend early introduction of peanut to prevent the development of peanut allergy. It also reviews the current understanding of challenges faced with implementation of these recommendations on a widespread basis.
Prior recommendations to avoid feeding allergenic foods to infants have been updated and reversed. This paradigm shift in advice has created an opportunity on a population level to try and halt the recent increase in prevalence of peanut allergy. However, challenges with implementation of these new guidelines exist in many areas. While evidence supports the early introduction of peanut to prevent allergy development, the application and challenges faced with these recommendations are not fully understood. Persistent efforts from pediatricians and allergists, as well as acceptance from parents, will be necessary in order to make a significant impact on the prevalence of peanut allergy.
本文总结了推荐早期引入花生以预防花生过敏新指南发展的证据。本文还综述了在广泛基础上实施这些建议所面临的挑战的现有理解。
避免给婴儿食用致敏食物的先前建议已经被更新和推翻。这种建议的转变为尝试阻止近期花生过敏流行率的上升提供了一个机会。然而，在许多领域实施这些新指南存在挑战。虽然有证据支持早期引入花生以预防过敏发展，但这些建议的应用和面临的挑战尚未完全理解。为了对花生过敏的流行率产生重大影响，儿科医生和过敏学家需要持续努力，同时也需要家长的认可。
