Elliot and Roslyn Jaffe Food Allergy Institute, Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
Department of Pediatrics, Division of Allergy and Immunology, UT Southwestern Medical Center, Dallas, TX.
J Pediatr. 2024 Dec;275:114218. doi: 10.1016/j.jpeds.2024.114218. Epub 2024 Jul 27.
To characterize the awareness of, adherence to, and barriers to the 2017 National Institute of Allergy and Infectious Diseases (NIAID) peanut allergy prevention guidelines among the pediatrics health care workforce.
Pediatricians, family physicians, advanced practice providers (APPs), and dermatologists who provide care for infants were solicited for a population-based online survey, administered from June 6, 2022, through July 3, 2022. The survey collected information about NIAID guideline awareness, implementation, and barriers as well as concerns related to the guidelines.
A total of 250 pediatricians, 250 family physicians, 504 APPs, and 253 dermatologists met inclusion criteria. Self-reported guideline awareness was significantly higher for pediatricians (76%) compared with dermatologists (58%), family physicians (52%), and APPs (45%) (P < .05). Among participants who were aware of the guidelines, most reported using part or all of the guidelines in their clinical practices. Reported practice patterns for peanut introduction in 6-month-old infants were variable and did not always align with guidelines, particularly for infants with mild-to-moderate atopic dermatitis.
Although pediatricians have the highest self-reported level of NIAID guideline awareness, awareness was suboptimal irrespective of provider type. Education for all pediatric clinicians is urgently needed to promote evidence-based peanut allergy prevention practices.
描述儿科医护人员对 2017 年美国国立过敏和传染病研究所（NIAID）花生过敏预防指南的认知、遵循情况和障碍。
从 2022 年 6 月 6 日至 2022 年 7 月 3 日，向提供婴儿护理的儿科医生、家庭医生、高级实践提供者（APP）和皮肤科医生征求了一项基于人群的在线调查。该调查收集了有关 NIAID 指南认知、实施和障碍的信息，以及与指南相关的问题。
共有 250 名儿科医生、250 名家庭医生、504 名 APP 和 253 名皮肤科医生符合纳入标准。自我报告的指南认知率在儿科医生（76%）中明显高于皮肤科医生（58%）、家庭医生（52%）和 APP（45%）（P<.05）。在知晓指南的参与者中，大多数报告在临床实践中部分或全部使用了指南。在 6 个月大的婴儿中引入花生的报告实践模式各不相同，并不总是与指南一致，特别是对于患有轻度至中度特应性皮炎的婴儿。
尽管儿科医生自我报告的 NIAID 指南认知率最高，但无论提供者类型如何，认知率都不理想。所有儿科临床医生都迫切需要进行教育，以促进基于证据的花生过敏预防实践。
