Where should parents begin? In some cases, perhaps with a trip to an allergist. Dr. Amal Assa’ad, co-author of the guidelines, explains that parents should first determine whether or not their child is at high-risk for peanut allergy.
Around 4- to 6-months
The guidelines state that severe eczema and/or an egg allergy are among conditions that may put infants into the “high-risk” category. After a doctor has determined that it is safe, high-risk infants can be introduced to peanut-containing foods when they are around 4- to 6-months old.
While severe eczema may be a red flag, the guidelines note that children with mild to moderate eczema do not need an evaluation. These children can be introduced to peanut-containing foods at home at around 6 months of age (provided they have already started solid foods). If no egg allergies or eczema are of concern, peanut pastes and proteins can be introduced at a time of the family’s choosing.
Previous studies have found that feeding high-risk babies peanut products during infancy can help prevent peanut allergy, but safety should always be considered during the introduction.
Important tips
- Never give whole peanuts to an infant. Whole peanuts can pose a choking hazard.
- To create a peanut puree, mix two teaspoons of peanut butter with hot water.
- After giving your child a small taste of peanut butter, observe your child. Watch closely for any skin or behavior changes.
- Only introduce peanut-containing foods when your child is otherwise healthy. If your child has a cold or other illness, it’s best to wait until they are well before introducing the new food.