title: Primum non nocere-first do no harm. And then feed peanut.
abstract: TheAddendum Guidelines for the Prevention of Peanut Allergy in the United States-Report of the NIAID-Sponsored Expert Panelwere developed to build on previous food allergy guidelines after several key studies demonstrated the benefit of early introduction of allergenic foods. These landmark studies including the Learning Early about Peanut (LEAP), LEAP-On and Enquiring about Tolerance trials created a paradigm shift in food allergy prevention. The "take home" messages of this guideline include that peanut should be introduced early in the first year of life, and for the majority of infants, peanut can be introduced at home. The only group of infants for which medical assessment is recommended is those with severe eczema, egg allergy or both. Here we summarize the Guideline recommendations, endorsed by the Canadian Society of Allergy and Clinical Immunology, and highlight important aspects relevant to Canadian practitioners.
authors.affiliation: Program Director Clinical Immunology & Allergy Training Program, Faculty of Medicine, Department of Pediatrics, University of British Columbia, British Columbia Children's Hospital, 4480 Oak Street, Room 1C31B, Vancouver, BC V6H 3V4 Canada.
authors.forename: Kyla Jade
authors.initials: KJ
authors.lastname: Hildebrand
authors.affiliation: University of Manitoba, FE125-685 William Ave, Winnipeg, MB R3E 1B2 Canada.
authors.forename: Elissa Michele
authors.initials: EM
authors.lastname: Abrams
authors.affiliation: University of Alberta, 207-10430 61 Ave NW, Edmonton, AB T6H 2J3 Canada.
authors.forename: Timothy K
authors.initials: TK
authors.lastname: Vander Leek
authors.affiliation: University of Toronto, the Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8 Canada.
authors.forename: Julia Elizabeth Mainwaring
authors.initials: JEM
authors.lastname: Upton
authors.affiliation: McMaster University, Joseph Brant Hospital, 1230 North Shore Blvd, Burlington, ON L7S 1W7 Canada.
authors.forename: Douglas P
authors.initials: DP
authors.lastname: Mack
authors.affiliation: Government of British Columbia, Dietitian & Physical Activity Services, HealthLink BC, Burnaby, Canada.
authors.forename: Linda
authors.initials: L
authors.lastname: Kirste
authors.affiliation: McGill University, Meakins-Christie Laboratories RI-MUHC, Block E, Office EM3.2230,2155 Decarie Blvd, Montreal, QC H4A 3J1 Canada.
authors.forename: Christine
authors.initials: C
authors.lastname: McCusker
authors.affiliation: Dalhousie University, 503-5657 Spring Garden Road, Halifax, NS B3J 3R4 Canada.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kapur
keywords: High-risk; Infant; Peanut allergy; Prevention