Table 1.

Recommendations for early peanut introduction in infants at high risk

Recommended Method of Introduction	Initial Peanut Testing
At home	sIgE level < 0.35 kUA/L, SPT wheal 0–2mm
Supervised feeding in the office	sIgE level < 0.35 kUA/L, SPT wheal 0–2mm (parent preference); SPT wheal 3–7 mm; and favorable sIgE level
Graded oral food challenge in the office	SPT wheal 3–7 mm, and favorable sIgE level
Avoidance	SPT wheal ≥8 mm, or highly predictive sIgE level

sIgE = Specific immunoglobulin E; SPT = skin-prick test.