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Allergic rhinitis: a growing primary care challenge
1Virginia Adult and Pediatric Allergy and Asthma Center, University of Virginia, Richmond, Virginia, USA. mlhayden@vaallergy.com
Purpose:
To describe the growing problem of allergic rhinitis (AR) and the latest recommendations on its diagnosis and management for the nurse practitioner (NP) in primary care settings.
Data Sources:
Recent clinical research, review articles and consensus guidelines, and the author's clinical experience.
Conclusions:
The prevalence of AR is increasing, possibly due to increased airborne pollutants, poor ventilation, and rising levels of indoor allergens. Allergic disease is systemic and rarely involves a single symptom. Treatments include reducing exposure to allergens as well as pharmacotherapy.
Implications For Practice:
Patient education is crucial for successful management and includes understanding the allergic basis of symptoms, reducing allergen exposure, understanding proper use of medications, and reassessing the plan on a regular basis.