ACAAI: doctors not adhering to new peanut guidelines

(HealthDay)—Many pediatricians are not adhering to revised guidelines for peanut allergies that recommend early introduction to high-risk infants, according to a study presented at the American College of Allergy, Asthma and Immunology Annual Scientific Meeting, being held Oct. 26 to 30 in Boston.

Bryce Hoffman, M.D., from New York-Presbyterian Hospital in New York City, and colleagues administered a survey instrument to general pediatricians affiliated with a single academic medical center to examine demographic and practice characteristics, counseling practices, and knowledge of revised guidelines. Physician adherence to guideline recommendations was rated on a 0-to-4 scoring system.

Responses were received from 42 percent of 188 pediatricians; 56 percent were community-based. The researchers found that 38 percent of pediatricians scored 1 or less on guideline adherence, and 11 percent scored 4. In high-risk patients, most pediatricians (77 percent) recommended introducing peanuts later than 4 to 6 months. Significantly more guideline adherence was seen for pediatricians who treat patients with food allergies; there was no difference between academic and community-based providers.

"Our studies reveal that although pediatricians have been introduced to the new guidelines, they're not yet putting them into practice," Hoffman said in a statement.

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