Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group.
Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of...
| Publicado en: | Professional Nursing Today Vol. 28; no. 1; pp. 6 - 18 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | algorithm consumer/patient teaching materials review tables/charts Journal Article |
| Publicado: |
Medpharm Publications (Pty) Ltd.
2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179301108&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179301108 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16076672 ATNS jtl: Professional Nursing Today issn: 16076672 maglogo: N pubinfo: dt: 2024 vid: 28 iid: 1 pid: 51596 pub: Medpharm Publications (Pty) Ltd. place: , <Blank> artinfo: ui: 179301108 179301108 179301108 179301108 ppf: 6 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group. aug: au: Richards, G. A. McDonald, M. Gray, C. L. de Waal, P. Friedman, R. Hockman, M. Karabus, S. J. Lodder, C. M. Mabelane, T. Mosito, S. M. Nanan, A. Peter, J. G. Quitter, T. H. C. Seedat, R. den Berg, Svan van Niekerk, A. Vardas, E. Feldman, C. affil: Department of Pulmonology, Faculty of Health Sciences, University of the Witwatersrand, South Africa sug: subj: Rhinitis, Allergic, Seasonal Diagnosis Rhinitis, Allergic, Perennial Diagnosis Rhinitis, Allergic, Seasonal Therapy Rhinitis, Allergic, Perennial Therapy Disease Management South Africa Rhinitis, Allergic, Seasonal Epidemiology Rhinitis, Allergic, Seasonal Drug Therapy Rhinitis, Allergic, Seasonal Pathology Rhinitis, Allergic, Seasonal Education Rhinitis, Allergic, Perennial Epidemiology Rhinitis, Allergic, Perennial Drug Therapy Rhinitis, Allergic, Perennial Pathology Rhinitis, Allergic, Perennial Education Allergens Immunotherapy Normal Saline Therapeutic Use Adrenal Cortex Hormones Therapeutic Use Histamine Antagonists Therapeutic Use Quality of Life Asthma Comorbidity Rhinosinusitis Otitis Media Disease Susceptibility Diagnosis, Differential ab: Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AR is often overlooked, and appropriate therapy is neglected. The availability of effective medications and knowledge as to management are often lacking in both public and private health systems. Methods: This review is based on a comprehensive literature search and detailed discussions by the South African Allergic Rhinitis Working Group (SAARWG). Results: The working group provided up-to-date recommendations on the epidemiology, pathology, diagnosis and management of AR, appropriate to the South African setting. Conclusion: Allergic rhinitis causes significant, often unappreciated, morbidity. It is a complex disease related to an inflammatory response to environmental allergens. Therapy involves education, evaluation of allergen sensitisation, pharmacological treatment, allergen immunotherapy (AIT) and evaluation of the success of interventions. Regular use of saline; the important role of intranasal corticosteroids, including those combined with topical antihistamines and reduction in the use of systemic steroids are key. Practitioners should have a thorough knowledge of associated morbidities and the need for specialist referral. Contribution: This review summarises the latest developments in the diagnosis and management of AR such that it is a resource that allows easy access for family practitioners and specialists alike. pubtype: Academic Journal doctype: algorithm consumer/patient teaching materials review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|