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过敏原免疫治疗在儿童中的安全性
Kristin A Schmidlin1, David I Bernstein
1University of Cincinnati College of Medicine, Division of Rheumatology, Allergy, and Immunology, Cincinnati, Ohio, USA.
Current opinion in allergy and clinical immunology
|October 17, 2023
概括
过敏原免疫疗法 (AIT) 对儿童来说是安全有效的. 虽然皮下免疫疗法 (SCIT) 可能会发生罕见的严重反应,但舌下免疫疗法 (SLIT) 具有较少的系统风险,使得AIT成为可行的治疗选择.
科学领域:
- 儿科过敏和免疫学
- 免疫治疗的安全性
- 临床儿科 临床儿科
背景情况:
- 过敏原免疫疗法 (AIT) 是儿科过敏疾病的关键治疗方法.
- 了解AIT安全概况对于有效的临床应用至关重要.
- 本次审查重点关注AIT在儿科患者中的安全性.
研究的目的:
- 审查过敏原免疫疗法 (AIT) 对儿童的安全性.
- 分析儿科患者与AIT相关的不良反应的发生率和类型.
- 确定减轻风险和改善AIT安全的策略.
主要方法:
- 系统审查关于AIT儿童安全的当前文献.
- 分析报告的不良事件,包括局部和全身反应.
- 对严重反应的风险因素和预防措施的评估.
主要成果:
- 皮下免疫疗法 (SCIT) 的严重反应发生率很低 (每16万次诊断中就有1次).
- 语言下免疫疗法 (SLIT) 主要与轻微的局部副作用有关.
- 严重的全身反应,包括过敏反应,是罕见的SLIT.
- 在接受SCIT的儿童中,AIT的安全性与混合成人和儿科患者的安全性相当.
结论:
- 过敏原免疫疗法 (AIT) 对于儿科过敏情况通常是耐受良好且有效的.
- 知情同意和风险因素的识别 (例如,不受控制的喘) 对于安全的AIT管理至关重要.
- 与SCIT相比,SLIT对全身反应的风险概况较低.
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