一个基于感知的调查,关于在印度诊断和管理过敏性鼻炎的实践模式
Vaishali Gupte1, Gurmeet Thakur1, Ashish Upadhyaya1
1Medical Affairs, Cipla Ltd, Mumbai, IND.
Cureus
|March 29, 2024
概括
印度医生报告过敏性鼻炎 (AR) 影响21-40%的患者,经常有喘. 费克索芬纳丁和酸是首选的治疗方法,组合疗法显示出高疗效. 免疫治疗的使用仍然很低.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 肺部病理学 肺部病理学
- 临床实践 临床实践
背景情况:
- 印度过敏性鼻炎 (AR) 患病率正在上升,严重影响患者的生活质量.
- 肺炎常常与喘共存,这构成了复杂的临床挑战.
- 了解医生对AR管理的看法对于改善患者的治疗结果至关重要.
研究的目的:
- 调查印度医生关于他们对AR流行率和常见症状的看法.
- 调查目前对AR诊断和治疗策略的临床偏好.
- 评估在AR治疗中使用各种治疗方案,包括免疫疗法.
主要方法:
- 进行了基于数字问卷的横截面,观察性调查.
- 这项调查涉及印度1608名医生.
- 数据收集发生在2022年9月至2023年3月之间.
主要成果:
- 医生估计,在常规实践中,AR的患病率在21-40%之间,约40%的病例与喘有关.
- 费克索芬纳丁 (口服抗胰岛素) 和酸 (鼻内皮质类固醇) 是对分别轻度和中度至重度的AR最喜欢的药物.
- 大多数医生喜欢用蒙特卢卡斯特和fexofenadine进行组合治疗,用于轻度至中度的AR,报告的疗效为60-90%. 不到一半的医生报告使用免疫疗法.
结论:
- 医生的看法表明,印度的过敏性鼻炎负担很高,通常与喘有关.
- 目前的临床实践倾向于使用已建立的药理疗法,如fexofenadine和fluticasone furoate.
- 该调查强调了治疗策略,并确定了在AR治疗中免疫治疗的采用率较低.
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