HealthDay News — Most pediatricians are aware of the 2017 Addendum Guidelines for the Prevention of Peanut Allergy in the US, but less than a third are fully implementing them, according to a study published online in JAMA Network Open.

Ruchi S. Gupta, MD, from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues surveyed 1781 practicing US pediatricians (67.4% women) to measure the rates of guideline awareness and implementation and identify barriers to implementation.

The researchers found that 93.4% of pediatricians reported being aware of the guidelines; 28.9% of pediatricians with knowledge of the guidelines reported full implementation, while 64.3% reported partial implementation. Parental concerns about allergic reactions (36.6%), uncertainty in understanding and correctly applying the guidelines (33.2%), and conducting in-office supervised feedings (32.4%) were cited as common barriers to implementation. More than 2 thirds of pediatricians (68.4%) reported a need for further training on the guidelines.

“These findings suggest that understanding implementation barriers and needs among pediatricians is necessary to increase adherence and reduce peanut allergy incidence in infants,” the authors write.


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