Introduction of Eggs to Infants

Timing Guidelines

The American Academy of Allergy, Asthma, and Immunology recommends introducing eggs to infants between 4-6 months of age, with around 6 months being the preferred target, but not before 4 months 1, 2, 3
Infants with severe eczema or existing egg allergy should introduce eggs between 4-6 months after evaluation by an allergist, which may include skin prick testing or specific IgE measurement before introduction 2, 4, 3
Infants with mild-to-moderate eczema can introduce eggs around 6 months at home without specialist evaluation, with no pre-introduction testing required 3

The American Academy of Pediatrics recommends starting with cooked egg rather than egg in baked goods, as this appears more protective against egg allergy 2

Routine maternal egg avoidance during pregnancy or breastfeeding is not recommended for allergy prevention, according to the American College of Allergy, Asthma, and Immunology 1, 5

Once eggs are successfully introduced, they should be consumed regularly, at least weekly, as part of the infant's usual diet, to reduce the risk of sensitization and allergy 2, 6

Before introducing any solid foods, including eggs, ensure the infant demonstrates good head control, ability to sit with support, and disappearance of tongue extrusion reflex 3, 7

Introduce one new food at a time and wait at least 4 days before introducing another food, starting with small amounts and gradually increasing, according to the American Academy of Pediatrics 3

The World Health Organization recommends introducing eggs daily or as frequently as possible beginning at 6 months corrected age in infants, aligning with the optimal window for allergenic food introduction. 8