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Bilaver LA, Martusiewicz MN, Jiang J, Gupta RS. Effectiveness of Clinical Decision Support Tools on Pediatrician Adherence to Peanut Allergy Prevention Guidelines. JAMA Pediatr. 2019;173(12):1198–1199. doi:10.1001/jamapediatrics.2019.3360
Peanut allergy (PA) affects 2.2% of children in the United States.1 The Learning Early About Peanut Allergy (LEAP) study2 prompted the National Institute for Allergy and Infectious Disease to create the 2017 Addendum Guidelines for the Prevention of Peanut Allergy. The guidelines recommend that clinicians screen infants aged 4 to 6 months for PA risk. Infants at high risk (those with severe eczema and/or egg allergy) should receive a specific IgE (sIgE) or an allergy referral for assessment prior to peanut product introduction, while infants with low or moderate risk (with mild-moderate or no eczema) can have peanut products introduced and maintained in their diet.3 The possible prevention of PA in infants depends on pediatricians incorporating guidelines in well-child visits for infants aged 4 to 6 months. Clinical decision support (CDS) tools are an effective way to facilitate physician adherence to clinical guidelines.4 This study examines the effectiveness of a pediatrician-designed CDS tool and training on pediatrician adherence to the guidelines.
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