lcp
We have detected you are using Internet Explorer. To provide the best and most secure experience, please use a modern browser as we do not support Internet Explorer.

Food Allergies and Current Infant Feeding Guidelines in Australia

05 March 2021 - Crystal Smith

The rising rates of food allergies in Australia and other countries prompted a review of infant feeding guidelines, to review the evidence behind the increasing rates of allergies and anaphylaxis. Australia saw a five fold increase in hospitalisation with anaphylaxis between 1995 and 2005, which sadly also saw an increase in the number of fatalities from anaphylaxis. The Australasian Society for Clinical Immunology and Allergy (ASCIA) released new guidelines for the introduction of allergenic foods to infants in 2016, focusing on introducing potentially allergenic foods before the age of 12 months. This is in contrast to the previous recommendations of avoiding these types of foods until the age of 1-3 years. 

The new infant feeding guidelines have had very positive results, with many parents and healthcare professionals embracing the change. Recent studies into the prevalence of allergies in infants has explored the rates of peanut allergies in Victorian infants, called the ‘The EarlyNuts Study’. Researchers found that despite concerns parents would not introduce potentially allergenic foods to infants, 89% of infants had consumed peanuts before reaching 12 months. This has seen a 16% decrease in the rates of peanut allergies, which supports the latest guideline updates. Further research in the ongoing ‘Vitality Trial’ is exploring if the use of vitamin D supplements can further reduce the risk of peanut allergies, as infants with peanut allergies have been found to be vitamin D deficient in a number of studies. 

Summary of Infant Feeding Guidelines:

  • Breastfeeding is recommended for the first 6 months of life, and as long as the mother and child wish to continue.
  • Formula feeding with standard cow’s milk formula if breastfeeding is not possible.
  • No particular food groups should be excluded from the maternal diet during pregnancy and breastfeeding. Current guidelines on safe foods during pregnancy remain unchanged.
  • Introducing solids between the ages of 4-6 months whilst continuing to breastfeed/formula feed, once the infant is ready. This will depend on the interest and development of each individual infant.
  • All potentially allergenic foods should be given to the infant, unless they are already allergic to that particular food. This includes peanuts and tree nuts (as smooth pastes), cow’s milk, eggs, wheat, soy, sesame, fish and shellfish.
  • Introduction of one food at a time, so that any allergies can be quickly identified. If there are no allergies the food should remain as a regular part of the infant’s diet.
  • Do NOT smear foods onto the skin, especially for infants with eczema. This is more likely to result in food allergies.
  • Smoking is to be avoided, especially during pregnancy or in enclosed spaces with infants.

If you are interested in updating your knowledge on allergies and anaphylaxis, you may be interested in joining us in one of our following courses depending on your area of clinical practice.

For a full list of events and courses please visit https://medcast.com.au/critical-care

References:

Australian Parliamentary House, 2019. Inquiry into Allergies and Anaphylaxis. Standing Committee on Health, Aged Care and Sport, August. 

Australiasian Society for Clinical Immunology and Allergy (ASCIA), 2020. Infant Feeding and Allergy Prevention Clinical Update. ASCIA Position Papers/Guidelines, December. 


Murdoch Children’s Research Institute (MCRI), 2021. Decrease in peanut allergy among infants after guideline changes. Institute News, February 25.

Crystal Smith
Crystal Smith

Crystal Smith is a Senior Education Consultant for Critical Care Education Services (part of the Medcast Group). She has a clinical background in critical care, paediatrics and education.

Get Medcast Plus

Become a member and get unlimited access to 100s of hours of premium education.

Learn more
Related News
Managing pacing failure in post-operative cardiac surgery: causes and solutions

Grace Larson

Wayne is a 68-year-old post-CABG patient with third-degree heart block on temporary epicardial pacing who suddenly experiences a bradycardia and hypotension.

5 mins READ
Ling has left hemiparesis and is aphasic following stroke, what comes next?

Jenny Browne

67-year-old Ling, recently relocated from China, was admitted to the stroke unit post-thrombolysis for an ischaemic stroke. When should early stroke rehabilitation begin and what should this entail?

5 mins READ
Minimising risk of CLABSI - Standard or Surgical ANTT®?

Jenny Browne

Antiseptic Non-Touch Technique (ANTT®) plays a critical role in managing Central Venous Access Devices (CVADs) to prevent infections. While both standard and surgical ANTT approaches aim to maintain asepsis during procedures, they differ significantly in their application and outcomes. Understanding these distinctions ensures healthcare providers optimise infection control and patient safety in wound care and CVAD management.

5 mins READ