How to help pediatricians apply peanutallergy guidelines AAAAI23
, switched from"'don't introduce peanuts until age 3' to 'introduce peanuts now,'" said Gupta.
The study enrolled 290 pediatric clinicians at 30 local practices, examining 18,460 babies from diverse backgrounds, about one quarter of whom were from families on public insurance. About half of the clinicians received the intervention, whereas the other half served as the control arm. For low-risk infants, the training and EHR-embedded support tool greatly improved clinician adherence. Eighty percent of clinicians in the intervention arm followed the guidelines compared with 26% in the control group.In high-risk infants, the impact was much weaker. Even after the video-based training, only 17% of pediatric clinicians followed the guidelines — ie, ordered a peanut IgE test or referred to an allergist — compared with 8% in the control group. Pediatricians are time-pressed.
Curiously, even though the AI analysis found that less than one fifth of pediatricians put the guidelines into action for high-risk infants, 69% of them recommended peanut introduction.
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