5歲以下禁止餵食整顆堅果

預防兒童噎食:堅果、花生醬與高風險食物的年齡限制

重點摘要 (TL;DR)

  • 5歲以下絕對不要餵食整顆堅果(3歲以下為極高風險)。
  • 4歲以下避免用湯匙單吃塊狀花生醬,塗抹於吐司上則可接受,但需隨時留意吞食狀況。
  • 進食軟糖、葡萄、爆米花等食物時,皆需要非常小心以防噎食。

兒童高風險食物與年齡限制總表

年齡限制 食物種類 餵食注意事項
5歲以下
(3歲以下為高風險)
整顆堅果 不要餵食。
4歲以下 塊狀花生醬
(顆粒狀)
不要用湯匙直接吃。塗抹在吐司上是可以接受的,但仍要留意孩子吞食狀況。
全幼兒階段 軟糖、葡萄、爆米花 需要非常小心,隨時觀察吞嚥狀況。
兒童飲食安全:留意堅果、花生醬、葡萄與軟糖的吞食狀況
進食高風險食物(如堅果、顆粒花生醬、葡萄等)時,務必留意孩子的吞食狀況。

參考資料

  1. Addendum Guidelines for the Prevention of Peanut Allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-Sponsored Expert Panel. Togias A, Cooper SF, Acebal ML, et al. The Journal of Allergy and Clinical Immunology. 2017;139(1):29-44. https://doi.org/10.1016/j.jaci.2016.10.010
  2. Pros and Cons of Pre-Emptive Screening Programmes Before Peanut Introduction in Infancy. Abrams EM, Brough HA, Keet C, et al. The Lancet. Child & Adolescent Health. 2020;4(7):526-535. https://doi.org/10.1016/S2352-4642(20)30029-8
  3. Nuts and Seed: A Natural Yet Dangerous Foreign Body. Sih T, Bunnag C, Ballali S, Lauriello M, Bellussi L. International Journal of Pediatric Otorhinolaryngology. 2012;76 Suppl 1:S49-52. https://doi.org/10.1016/j.ijporl.2012.02.012
  4. The Ingestion Question: Public Knowledge of Safe Food Introduction in Children. Treble A, Siu JM, Madan Y, et al. The Laryngoscope. 2025;135(1):445-451. https://doi.org/10.1002/lary.31755
  5. Food Choking Hazards in Children. Sidell DR, Kim IA, Coker TR, Moreno C, Shapiro NL. International Journal of Pediatric Otorhinolaryngology. 2013;77(12):1940-6. https://doi.org/10.1016/j.ijporl.2013.09.005
  6. Prevention of Choking Among Children. Pediatrics. 2010;125(3):601-7. https://doi.org/10.1542/peds.2009-2862
  7. Fatal and Non-Fatal Food Injuries Among Children (Aged 0-14 Years). Altkorn R, Chen X, Milkovich S, et al. International Journal of Pediatric Otorhinolaryngology. 2008;72(7):1041-6. https://doi.org/10.1016/j.ijporl.2008.03.010
  8. Regulatory and Educational Initiatives to Prevent Food Choking Injuries in Children: An Overview of the Current Approaches. Lorenzoni G, Hochdorn A, Beltrame Vriz G, et al. Frontiers in Public Health. 2022;10:830876. https://doi.org/10.3389/fpubh.2022.830876
  9. Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001-2009. Chapin MM, Rochette LM, Annest JL, et al. Pediatrics. 2013;132(2):275-81. https://doi.org/10.1542/peds.2013-0260
  10. Pediatric Exposure to Choking Hazards Is Associated With Parental Knowledge of Choking Hazards. Nichols BG, Visotcky A, Aberger M, et al. International Journal of Pediatric Otorhinolaryngology. 2012;76(2):169-73. https://doi.org/10.1016/j.ijporl.2011.10.018

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