Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Guidelines that discuss influenza vaccination in egg-allergic individuals are provided separately. (See "Society guideline links: Seasonal influenza vaccination".)
Other links to related guidelines are provided separately. (See "Society guideline links: Food protein-induced enterocolitis syndrome (FPIES)".)
International
●World Allergy Organization (WAO): Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) – Guideline: Recommendations on CMA immunotherapy, update (2022)
•WAO: Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) – Guidelines (2010)
●Practice guidelines for prevention and management of allergic reactions to food in child care centers and schools (2021)
●American Academy of Allergy, Asthma, and Immunology (AAAAI), American Academy of Pediatrics (AAP), American College of Allergy, Asthma, and Immunology (ACAAI), Australasian Society of Clinical Immunology and Allergy (ASCIA), Canadian Society of Allergy and Clinical Immunology (CSACI), European Academy of Allergy and Clinical Immunology (EAACI), Israel Association of Allergy and Clinical Immunology (IAACI), Japanese Society for Allergology (JSA), Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
●International Consensus (ICON): Food allergy (2012)
Canada
●American Academy of Allergy, Asthma, and Immunology (AAAAI), American College of Allergy, Asthma, and Immunology (ACAAI), and Canadian Society for Allergy and Clinical Immunology (CSACI): A consensus approach to the primary prevention of food allergy through nutrition (2021)
●Canadian Paediatric Society (CPS): Position statement on dietary exposures and allergy prevention in high-risk infants (2021)
●CPS: Practice point on non-IgE-mediated food allergy – Evaluation and management (2021)
●Choosing Wisely Canada: Don't perform screening panels (IgE tests) for food allergies without previous consideration of the pertinent medical history (2021)
●CPS: Practice point on timing of introduction of allergenic solids for infants at high risk (2019, updated 2020)
●AAAAI, American Academy of Pediatrics (AAP), ACAAI, Australasian Society of Clinical Immunology and Allergy (ASCIA), Canadian Society of Allergy and Clinical Immunology (CSACI), European Academy of Allergy and Clinical Immunology (EAACI), Israel Association of Allergy and Clinical Immunology (IAACI), Japanese Society for Allergology (JSA), Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
United States
●American Academy of Allergy, Asthma, and Immunology (AAAAI): Work group report on atopic dermatitis and food allergy – Best practices and knowledge gaps (2022)
●AAAAI: Work group report on food insecurity in the food allergic population (2022)
●AAAAI, American College of Allergy, Asthma, and Immunology (ACAAI), and Canadian Society for Allergy and Clinical Immunology (CSACI): A consensus approach to the primary prevention of food allergy through nutrition (2021)
●AAAAI: Work group report on conducting an oral food challenge, update (2020)
●AAAAI: Work group report on food allergy in restaurants (2020)
●AAAAI: Work group report on trends in oral food challenge practices among allergists in the United States (2020)
●American Academy of Pediatrics (AAP): Clinical report for the management of food allergy in the school setting (2010, reaffirmed 2020)
●Joint Task Force on Practice Parameters (JTFPP): Peanut allergy diagnosis – A practice parameter, systematic review, and GRADE analysis, update (2020)
●AAAAI: Work group report on food allergy guidance in the United States military (2018)
●AAAAI: Work group report on the allergist's role in anaphylaxis and food allergy management in the school and childcare setting (2017)
●European Academy of Allergy and Clinical Immunology (EAACI) and AAAAI: PRACTALL document on precision medicine in allergic disease – Food allergy, drug allergy, and anaphylaxis (2017)
●National Institute of Allergy and Infectious Diseases (NIAID): Addendum guidelines for the prevention of peanut allergy in the United States (2017)
•NIAID: Guidelines for the diagnosis and management of food allergy in the United States (2010)
●AAAAI, AAP, ACAAI, Australasian Society of Clinical Immunology and Allergy (ASCIA), CSACI, EAACI, Israel Association of Allergy and Clinical Immunology (IAACI), Japanese Society for Allergology (JSA), Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
●JTFPP: Food allergy – A practice parameter, update (2014)
●Centers for Disease Control and Prevention (CDC): Voluntary guidelines for managing food allergies in schools and early care and education programs (2013)
Europe
●European Academy of Allergy and Clinical Immunology (EAACI): Molecular allergology user's guide 2.0 (2023)
●EAACI: Position paper for diagnosis and management of non-IgE gastrointestinal allergies in breastfed infants (2019)
●EAACI: Position paper on food processing and occupational respiratory allergy (2019)
●EAACI: Position paper on influence of dietary fatty acids on asthma, food allergy, and atopic dermatitis (2019)
●EAACI: Guidelines on allergen immunotherapy − IgE-mediated food allergy (2018)
●EAACI: Position paper on comparing immediate-type food allergy in humans and companion animals – Revealing unmet needs (2017)
●EAACI and American Academy of Allergy, Asthma, and Immunology (AAAAI): PRACTALL document on precision medicine in allergic disease - Food allergy, drug allergy, and anaphylaxis (2017)
●AAAAI, American Academy of Pediatrics (AAP), American College of Allergy, Asthma, and Immunology (ACAAI), Australasian Society of Clinical Immunology and Allergy (ASCIA), Canadian Society of Allergy and Clinical Immunology (CSACI), EAACI, Israel Association of Allergy and Clinical Immunology (IAACI), Japanese Society for Allergology (JSA), Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
●EAACI: Position paper on food allergy due to immunological cross-reactions with common inhalant allergens (2015)
●EAACI: Food allergy and anaphylaxis guidelines – Diagnosis and management of food allergy (2014)
●EAACI: Food allergy and anaphylaxis guidelines – Food allergy health-related quality of life measures (2014)
●EAACI: Food allergy and anaphylaxis guidelines – Managing patients with food allergy in the community (2014)
●EAACI: Food allergy and anaphylaxis guidelines – Primary prevention of food allergy (2014)
●European Society of Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN): Practical guidelines for the diagnostic approach and management of cow's-milk protein allergy in infants and children (2012)
United Kingdom
●British Society for Allergy and Clinical Immunology (BSACI): Guideline for the management of egg allergy (2021)
●BSACI: Milk allergy guidelines – Points for primary care (2017, revised 2020)
●BSACI: Guideline for the diagnosis and management of peanut and tree nut allergy (2017)
●National Institute for Health and Care Excellence (NICE): Quality standard – Food allergy (2016)
●BSACI: Guideline for the diagnosis and management of cow's milk allergy (2014)
●NICE: Clinical guideline on food allergy in under 19s – Assessment and diagnosis (2011)
●Royal College of Paediatrics and Child Health (RCPCH): Allergy care pathways for children – Food allergy (2011)
Australia–New Zealand
●Australasian Society of Clinical Immunology (ASCIA): Guide for milk substitutes in cow's milk allergy (2022)
●ASCIA: Position paper on oral food allergen challenges (2022)
●ASCIA: Position paper on oral immunotherapy for food allergy (2021)
●ASCIA: Position statement on packaged foods for infants that contain most of the common food allergens (2021)
●ASCIA: Infant feeding and allergy prevention, clinical update (2020)
•ASCIA: Guidelines on infant feeding and allergy prevention (2020)
●Choosing Wisely Australia: Allergen immunotherapy should not yet be used for routine treatment of food allergy – research in this area is ongoing (2017)
●Choosing Wisely Australia: Don't delay introduction of solid foods to infants – ASCIA guidelines for infant feeding and allergy prevention recommend introduction of solid foods to infants, around 6 months of age (2017)
●ASCIA: Guide for introduction or peanut to infants with severe eczema and/or food allergy (2017)
●Choosing Wisely Australia: Food specific IgE testing should not be performed without a clinical history suggestive of IgE-mediated food allergy (2017)
●American Academy of Allergy, Asthma, and Immunology (AAAAI), American Academy of Pediatrics (AAP), American College of Allergy, Asthma, and Immunology (ACAAI), ASCIA, Canadian Society of Allergy and Clinical Immunology (CSACI), European Academy of Allergy and Clinical Immunology (EAACI), Israel Association of Allergy and Clinical Immunology (IAACI), Japanese Society for Allergology (JSA), Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
●ASCIA: Lupin allergy (2015)
Japan
●[In Japanese] Japanese Society of Allergology (JSA): Japanese guidelines for food allergy (2021)
●[In English] Japanese Society of Pediatric Allergy and Clinical Immunology (JSPACI) and JSA: Japanese guidelines for food allergy (2020)
●[In English] American Academy of Allergy, Asthma, and Immunology (AAAAI), American Academy of Pediatrics (AAP), American College of Allergy, Asthma, and Immunology (ACAAI), Australasian Society of Clinical Immunology and Allergy (ASCIA), Canadian Society of Allergy and Clinical Immunology (CSACI), European Academy of Allergy and Clinical Immunology (EAACI), Israel Association of Allergy and Clinical Immunology (IAACI), JSA, Society for Pediatric Dermatology (SPD), and World Allergy Organization (WAO): Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants (2015)
