Evidence map›Paper›PMID 41554514›Full record

GuidelineClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2026

ASCIA Guideline: Infant Feeding for Food Allergy Prevention.

S L Vale, M J Netting, C J Hornung, J Smith, I Roche, V McWilliam, K Hollinshead, C South, A Young, K Rueter and 6 more

Abstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

S L ValeNational Allergy Council, Sydney, New South Wales, Australia.
M J NettingNational Allergy Council, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-0642-9145
C J HornungCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.ORCID https://orcid.org/0009-0001-7045-2040
J SmithAustralasian Society of Clinical Immunology and Allergy, Sydney, New South Wales, Australia.
I RocheNational Allergy Council, Sydney, New South Wales, Australia.
V McWilliamNational Allergy Council, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5000-2181
K HollinsheadAllergy & Anaphylaxis Australia, Castle Hill, New South Wales, Australia.
C SouthMurdoch Children's Research Institute, Parkville, Victoria, Australia.
A YoungCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.
K RueterAustralasian Society of Clinical Immunology and Allergy, Sydney, New South Wales, Australia.ORCID https://orcid.org/0009-0006-7043-7699
K P PerrettCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.
D J PalmerCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.
P JoshiNational Allergy Council, Sydney, New South Wales, Australia.
D E CampbellCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.
J J KoplinCentre for Food Allergy Research (CFAR), Parkville, Victoria, Australia.
L S FordAustralasian Society of Clinical Immunology and Allergy, Sydney, New South Wales, Australia.

Funding

Australian Government Department of Health, Disability and Ageing
6 · The paper itself

Abstract

backgroundThe Australasian Society of Clinical Immunology and Allergy (ASCIA) Guideline: Infant Feeding for Food Allergy Prevention is an update of the 2016 ASCIA guideline. This updated guideline provides recommendations specifically in relation to infant feeding for food allergy prevention.

methodsA review of the guideline began in 2024, informed by a systematic evidence review process and using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) framework. Where evidence was lacking, a formal Delphi process was used to develop recommendations based on expert consensus. An Expert Writing Group comprising representation from ASCIA, the National Allergy Council, Allergy & Anaphylaxis Australia the National Allergy Centre of Excellence and the Centre for Food Allergy Research was established. Key stakeholder meetings were held.

resultsA systematic review of evidence resulted in 16 recommendations: eight based on published evidence; eight based on expert consensus. ASCIA recommends: In Australia and New Zealand, infants should be introduced to solid foods when they are showing signs of developmental readiness. This is usually around 6 months and not before 4 months of age. Soon after infants have started solid foods, well cooked egg and appropriate forms of peanut are included in the infant's diet. Other common food allergens included in the family diet should be offered to the infant. Once introduced, common food allergens should be offered around once a week. Breastfeeding is encouraged, with no maternal dietary modifications. Breastmilk substitutes based on hydrolysed milk protein, soy or other proteins are not recommended for allergy prevention. Mild perioral rashes which appear around food consumption (redness or contact urticaria with no other symptoms of allergy) may not be a sign of an allergic reaction, and the food should be offered again.

conclusionKey changes from the 2016 ASCIA guideline include specific recommendations regarding the timing of peanut and egg introduction, alongside a recommendation regarding perioral rashes to support primary healthcare providers. These guidelines require ongoing review and updating as new evidence emerges.

Indexed as

Food HypersensitivityInfant FoodAllergensAustraliaBreast FeedingHumansInfantAllergens

Identifiers

PMID41554514
PMCPMC13065373

What OpenQuestion holds

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.