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[拉丁美洲用于免疫疗法的变应原提取物]

[Allergen extracts for immunotherapy in Latin America].

作者信息

Cardona Ricardo, Sánchez Andrés, Larenas-Linnemann Désirée, Járes Edgardo, Sánchez Jorge

机构信息

Universidad de Antioquia, Servicio Alergología Clínica. Grupo de Alergología Clínica y Experimental, Medellín, Antioquia, Colombia.

出版信息

Rev Alerg Mex. 2018 Jan-Mar;65(1):25-40. doi: 10.29262/ram.v65i1.287.

DOI:10.29262/ram.v65i1.287
PMID:29723939
Abstract

BACKGROUND

The Latin American Society of Allergy, Asthma, and Immunology (SLAAI) presents a document about the use of immunotherapy (IT) in Latin America, where administration patterns, indications and contraindications, effects on health, adverse events and socioeconomic impact are reviewed.

OBJECTIVE

To review publications analyzing the use of IT in Latin America.

METHODS

A literature review was carried out in order to identify works addressing IT in Latin America. This review was focused on practical scientific information available on IT in the region, and a parallel comparison was made with practices observed in the United States and European countries.

RESULTS

Of the 21 Latin American countries included, only 9 had original articles meeting the selection criteria; a total of 82 articles were selected, most of them from Brazil and Mexico. Most widely used allergenic extracts in Latin America tropical and subtropical regions were those of mites and pollen.

CONCLUSION

Although it is true that there are huge challenges for the future of IT in Latin America, studies on subcutaneous IT and sublingual IT are increasing, but most of them are retrospective and some have design bias, and more prospective studies are therefore required, using internationally validated scales for clinical evaluation.

摘要

背景

拉丁美洲过敏、哮喘与免疫学协会(SLAAI)发布了一份关于拉丁美洲免疫疗法(IT)使用情况的文件,其中回顾了给药模式、适应证与禁忌证、对健康的影响、不良事件及社会经济影响。

目的

回顾分析拉丁美洲免疫疗法使用情况的出版物。

方法

进行文献综述以确定涉及拉丁美洲免疫疗法的研究。该综述聚焦于该地区免疫疗法的实用科学信息,并与美国和欧洲国家观察到的实践进行平行比较。

结果

在所纳入的21个拉丁美洲国家中,只有9个国家有符合入选标准的原创文章;共筛选出82篇文章,其中大部分来自巴西和墨西哥。拉丁美洲热带和亚热带地区最常用的变应原提取物是螨和花粉的提取物。

结论

尽管拉丁美洲免疫疗法的未来确实面临巨大挑战,但皮下免疫疗法和舌下免疫疗法的研究正在增加,但其中大多数是回顾性的,有些存在设计偏差,因此需要更多前瞻性研究,并使用国际认可的临床评估量表。

相似文献

1
[Allergen extracts for immunotherapy in Latin America].[拉丁美洲用于免疫疗法的变应原提取物]
Rev Alerg Mex. 2018 Jan-Mar;65(1):25-40. doi: 10.29262/ram.v65i1.287.
2
Specific immunotherapy with allergen mixes: what is the evidence?特异性免疫治疗与变应原混合制剂:有何证据?
Curr Opin Allergy Clin Immunol. 2009 Dec;9(6):549-53. doi: 10.1097/ACI.0b013e328330ee69.
3
Allergy training and immunotherapy in Latin America: results of a regional overview.拉丁美洲的过敏培训和免疫疗法:区域概览结果。
Ann Allergy Asthma Immunol. 2013 Nov;111(5):415-419.e1. doi: 10.1016/j.anai.2013.08.011. Epub 2013 Sep 10.
4
[Immunotherapy in Latin America. From the past to the future].[拉丁美洲的免疫疗法。从过去到未来]
Rev Alerg Mex. 2008 Jan-Feb;55(1):33-7.
5
Current insights in allergen immunotherapy.过敏原免疫治疗的最新见解。
Ann Allergy Asthma Immunol. 2018 Feb;120(2):152-154. doi: 10.1016/j.anai.2017.11.001.
6
[New administration routes for immunotherapy].[免疫疗法的新给药途径]
Allergol Immunopathol (Madr). 2000 May-Jun;28(3):93-102.
7
A review of allergoid immunotherapy: is cat allergy a suitable target?变应原样免疫疗法综述:猫过敏是否为合适的治疗靶点?
Immunotherapy. 2016;8(3):331-49. doi: 10.2217/imt.15.121. Epub 2016 Feb 9.
8
[WHO position paper (summary)--allergen-immunotherapy: therapeutic vaccines for allergic diseases].[世界卫生组织立场文件(摘要)——变应原免疫疗法:过敏性疾病的治疗性疫苗]
Wien Med Wochenschr. 1999;149(14-15):410-4.
9
Understanding differences in allergen immunotherapy products and practices in North America and Europe.了解北美和欧洲变应原免疫治疗产品和实践的差异。
J Allergy Clin Immunol. 2019 Mar;143(3):813-828. doi: 10.1016/j.jaci.2019.01.024.
10
Impact of allergen immunotherapy in allergic asthma.变应原免疫疗法对过敏性哮喘的影响。
Immunotherapy. 2018 Jun;10(7):579-593. doi: 10.2217/imt-2017-0138. Epub 2018 Mar 23.

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