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COVID-19 与过敏:大流行期间如何照顾过敏患者?

COVID-19 and allergy: How to take care of allergic patients during a pandemic?

机构信息

Pediatrics Department, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Allergy and Immunology Division, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

出版信息

Pediatr Allergy Immunol. 2020 Nov;31 Suppl 26(Suppl 26):96-101. doi: 10.1111/pai.13367.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, is a new strain of coronavirus that has not been previously identified in humans. SARS-CoV-2 is recognized as a highly contagious respiratory virus with severe morbidity and mortality, especially in vulnerable populations. Being a novel disease, everyone is susceptible, there are no vaccine and no treatment. To contain the spread of the disease, health authorities throughout the world have restricted the social interactions of individuals in various degrees. Allergists, like other physicians, are faced with the challenge of providing care for their patients, while protecting themselves and patients from getting infected, with strategies that are in continuous evolution as states work through the different stages of social distance. Allergist provides care for patients with the most common non-communicable disease in the world: asthma, allergic rhinitis, food allergy, venom allergy, drug allergy atopic dermatitis, and urticarial syndromes. Some of these diseases are not only considered risk factors for severe reactions but also have symptoms such as cough and sneezing that are in differential diagnosis with COVID-19. As we move forward, allergy symptoms may prevent patients from working, go to school, or access medical services that increasingly are allowing only asymptomatic individuals. In this review, we will outline how to take care safety of different allergic patients during the pandemic.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2),也称为 COVID-19,是一种新型冠状病毒,以前从未在人类中发现过。SARS-CoV-2 被认为是一种具有严重发病率和死亡率的高传染性呼吸道病毒,特别是在脆弱人群中。由于这是一种新型疾病,每个人都容易感染,目前没有疫苗,也没有治疗方法。为了控制疾病的传播,世界各地的卫生当局都在不同程度上限制了个人的社会互动。过敏症专家与其他医生一样,面临着为患者提供护理的挑战,同时要保护自己和患者免受感染,随着各州逐步进入不同的社交距离阶段,策略也在不断演变。过敏症专家为世界上最常见的非传染性疾病患者提供护理:哮喘、过敏性鼻炎、食物过敏、毒液过敏、药物过敏、特应性皮炎和荨麻疹综合征。其中一些疾病不仅被认为是严重反应的危险因素,而且还具有咳嗽和打喷嚏等症状,这些症状与 COVID-19 的症状有所不同。随着我们的前进,过敏症状可能会使患者无法工作、上学或获得医疗服务,而这些服务越来越多地只允许无症状的个人获得。在这篇综述中,我们将概述在大流行期间如何照顾不同过敏患者的安全。

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