过敏性鼻炎管理:对意大利初级保健儿科医生的调查
M Miraglia Del Giudice1, C Indolfi1, G L Marseglia2,3
1Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli," Naples, Italy.
European annals of allergy and clinical immunology
|October 11, 2024
概括
意大利儿科医生有效地管理儿童的过敏性鼻炎 (AR),与ARIA指南保持一致,并根据症状严重程度量身定制治疗方法. 鼻腔内皮质类固醇和口服抗胰岛素是治疗儿科过敏性鼻炎的最常见的药物.
科学领域:
- 儿科过敏和免疫学
- 主要护理 儿科 儿科
- 临床实践管理的管理.
背景情况:
- 过敏性鼻炎 (AR) 是一种影响儿童和青少年的普遍疾病.
- 意大利儿科过敏学和免疫学学会 (SIAIP) 发起了一项调查,以评估当前的AR管理实践.
- 这项研究专注于初级保健儿科医生,以反映现实世界的临床场景.
研究的目的:
- 调查初级保健儿科医生在治疗过敏性鼻炎儿童方面所采用的常见做法.
- 评估儿童AR护理中遵守既定指南的情况.
主要方法:
- 一个专家小组制定了一份关于儿童AR实际管理的问卷.
- 调查问卷分发给了意大利864名初级保健儿科医生的大量样本.
- 数据分析的重点是治疗方法,指导方针的遵守和药物使用.
主要成果:
- 超过70%的受访儿科医生表示遵循ARIA (过敏性鼻炎及其对喘的影响) 的指导方针.
- 大多数接受治疗的儿童有中度/严重的AR (58%),喘,结膜炎和腺增大是常见的并发症.
- 鼻内皮质类固醇是最常见的治疗方法,其次是口服抗胰岛素和鼻洗;治疗强度与症状严重程度相关.
结论:
- 意大利的初级保健儿科医生表现出遵守ARIA指南的儿科患者过敏性鼻炎管理.
- 治疗策略根据症状严重程度进行调整,皮质类固醇和抗组胺药物是首选的药物治疗方法.
- 鼻腔洗也经常被使用,这表明了对儿科AR护理的综合方法.
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