Baena-Cagnani Carlos E
División de inmunología y medicina respiratoria, Departamento de pediatría, Hospital Infantil de Córdoba, Argentina.
Rev Alerg Mex. 2002 Nov-Dec;49(6):181-8.
Allergic rhinitis is the commonest chronic respiratory disorder in children and young adults having an important impact for those suffering this condition, as well as for the public health. Allergic rhinitis is frequently associated to other co-morbidities, particularly asthma and conjunctivitis but, also, sinusitis and otitis media. Most of patients suffering rhinitis are cared by GPs and pediatricians and there are evidences that allergic rhinitis is undertreated, particularly the moderate/severe persistent forms. Clinical guidelines have become an important tool providing recommendations for diagnosis and treatment of different medical conditions. They help the process of decision making for GPs and pediatricians, and many of them, contain an update on basic science and epidemiology. In respiratory medicine, guidelines on asthma and rhinitis are available; however, they do not look at the patients globally and focus the disorder on an organ-specific basis without recommendations on co-morbidities. ARIA, Allergic rhinitis and its impact on asthma, has not been developed only to update specialists in allergy/immunology, otorhinolaryngology and neumology on rhinitis and its comorbidities but, also, to provide recommendations for non-specialists. A new classification and severity of allergic rhinitis is proposed replacing the classic perennial and seasonal forms for persistent and intermittent, mild to moderate/severe. ARIA is an initiative in collaboration with the World Health Organization and the master document has been endorsed by many national and international scientific societies and organizations. ARIA is an evidence-based document also stressing on pediatric aspects and providing recommendations for low-income countries.
变应性鼻炎是儿童和青年中最常见的慢性呼吸道疾病,对患者个体以及公共卫生都有重要影响。变应性鼻炎常与其他合并症相关,特别是哮喘和结膜炎,也包括鼻窦炎和中耳炎。大多数鼻炎患者由全科医生和儿科医生诊治,有证据表明变应性鼻炎治疗不足,尤其是中重度持续性鼻炎。临床指南已成为为不同疾病的诊断和治疗提供建议的重要工具。它们有助于全科医生和儿科医生的决策过程,其中许多还包含基础科学和流行病学的最新信息。在呼吸医学领域,有关于哮喘和鼻炎的指南;然而,这些指南没有全面考虑患者情况,而是将疾病局限于特定器官,且未对合并症提出建议。变应性鼻炎及其对哮喘的影响(ARIA)不仅是为了让过敏/免疫学、耳鼻喉科和呼吸内科专家了解鼻炎及其合并症的最新情况,也是为非专科医生提供建议。提出了一种新的变应性鼻炎分类和严重程度分级,用持续性和间歇性、轻度至中重度取代了经典的常年性和季节性类型。ARIA是与世界卫生组织合作开展的一项倡议,其主要文件已得到许多国家和国际科学协会及组织的认可。ARIA是一份基于证据的文件,也强调了儿科方面的内容,并为低收入国家提供了建议。