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Chronic rhinitis in children.

E Yaniv1, D Oppenheim, C Fuchs

  • 1Department of Otolaryngology, Soroka Medical Centre, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

International Journal of Pediatric Otorhinolaryngology
|January 1, 1992
PubMed
Summary
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Antibiotics effectively treated chronic rhinitis in preschool children, while antihistamines were more successful in older children. Bacterial infections are a key cause of chronic rhinitis in young children.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Infectious Diseases

Background:

  • Chronic rhinitis affects children, with varying causes and treatment responses.
  • Age-related differences in rhinitis etiology and management are observed.

Purpose of the Study:

  • To compare the efficacy of antihistamines (AH) and antibiotics (AB) in treating chronic rhinitis in children aged 2-6 years.
  • To investigate age-specific differences in treatment response between preschool and school-aged children.

Main Methods:

  • A cohort of 151 children (aged 2-6 years) with chronic rhinitis was studied.
  • Treatment involved either antihistamines (75 children) or antibiotics (76 children) for 3-6 months.
  • Outcomes were compared between preschool and school-aged children.

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Main Results:

  • Antihistamines were more effective in school children (49% recovery) than preschool children (14% recovery).
  • Antibiotics showed higher recovery rates in preschool children (58%) compared to older children (35%).
  • Bacterial infection was identified as the primary cause in preschool children and a significant factor in older children.

Conclusions:

  • Chronic rhinitis treatment in children requires age-specific approaches.
  • Antibiotics are crucial for treating bacterial-induced chronic rhinitis, especially in preschool-aged children.
  • Secondary bacterial infections can impact the effectiveness of antiallergic treatments in certain age groups.