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儿童变应性哮喘患者在流感季节进行变应原免疫治疗期间的呼吸道感染。

Respiratory tract infections in children with allergic asthma on allergen immunotherapy during influenza season.

机构信息

Zibo Central Hospital, No. 54, Gongqingtuan West Road, Zibo, 255036, Shandong Province, People's Republic of China.

People's Hospital of Huantai County, No. 2198, Huantai Street, Zibo City, 256400, Shandong Province, China.

出版信息

Sci Rep. 2021 Jan 22;11(1):2083. doi: 10.1038/s41598-021-81558-0.

Abstract

To describle how respiratory tract infections (RTIs) that occurred in children with allergic asthma (AA) on allergen immunotherapy (AIT) during an influenza season. Data including clinical symptoms and treatment history of children (those with AA on AIT and their siblings under 14 years old), who suffered from RTIs during an influenza season (Dec 1st, 2019-Dec 31st, 2019), were collected (by face to face interview and medical records) and analyzed. Children on AIT were divided into 2 groups: stage 1 (dose increasing stage) and stage 2 (dose maintenance stage). Their siblings were enrolled as control. During the study period, 49 children with AA on AIT (33 patients in stage 1 and 16 patients in stage 2) as well as 49 children without AA ( their siblings ) were included. There were no significant differences in occurrences of RTIs among the three groups (p > 0.05). Compared with children in the other two groups, patients with RTIs in stage 2 had less duration of coughing and needed less medicine. Children on AIT with maintenance doses had fewer symptoms and recovered quickly when they were attacked by RTIs, which suggested that AIT with dose maintenance may enhance disease resistance of the body.

摘要

描述变应性哮喘(AA)患儿在接受过敏原免疫治疗(AIT)期间,在流感季节发生呼吸道感染(RTIs)的情况。收集(通过面对面访谈和病历)并分析了在流感季节(2019 年 12 月 1 日-2019 年 12 月 31 日)发生 RTIs 的儿童(接受 AIT 的 AA 患儿及其 14 岁以下的兄弟姐妹)的临床症状和治疗史等数据。接受 AIT 的儿童分为 2 组:第 1 阶段(剂量递增阶段)和第 2 阶段(剂量维持阶段)。他们的兄弟姐妹被纳入对照组。在研究期间,共纳入 49 名接受 AIT 的 AA 患儿(第 1 阶段 33 例,第 2 阶段 16 例)和 49 名无 AA 患儿(其兄弟姐妹)。三组间 RTIs 的发生无显著差异(p>0.05)。与其他两组患儿相比,第 2 阶段发生 RTIs 的患儿咳嗽持续时间更短,用药更少。维持剂量接受 AIT 的患儿在遭受 RTIs 侵袭时症状较少,恢复较快,这表明维持剂量的 AIT 可能增强了机体的抵抗力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f1/7822879/e55cc9e3a3e6/41598_2021_81558_Fig1_HTML.jpg

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