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COVID-19 大流行期间的过敏性疾病管理。

Management of Allergic Diseases During COVID-19 Outbreak.

机构信息

Department of Allergology, Consorci Sanitari de Terrassa, Barcelona, Spain.

Unidad Alergo-Rino, Centro Médico Teknon, Barcelona, Spain.

出版信息

Curr Allergy Asthma Rep. 2021 Feb 9;21(2):8. doi: 10.1007/s11882-021-00989-x.

Abstract

PURPOSE OF REVIEW

The coronavirus disease 2019 (COVID-19) has challenged healthcare system capacities and safety for health care workers, reshaping doctor-patient interaction favoring e-Health or telemedicine. The pandemic situation may make difficult to prioritize patients with allergies diseases (AD), face-to-face evaluation, and moreover concern about the possible COVID-19 diagnosis, since COVID-19 shared many symptoms in common with AD. Being COVID-19 a novel disease, everyone is susceptible; there are some advances on vaccine and specific treatment. We evaluate existing literature on allergic diseases (AD): allergic rhinitis, asthma, food allergy, drug allergy, and skin allergy, and potential underlying mechanisms for any interrelationship between AD and COVID-19.

RECENT FINDINGS

There is inconclusive and controversial evidence of the association between AD and the risk of adverse clinical outcomes of COVID-19. AD patients should minimize hospital and face-to-face visits, and those who have used biologics and allergen immunotherapy should continue the treatment. It is essential to wear personal protective equipment for the protection of health care workers. Social distancing, rational use of facemasks, eye protection, and hand disinfection for health care workers and patients deserve further attention and promotion. Teleconsultation during COVID-19 times for AD patients is very encouraging and telemedicine platform can provide a reliable service in patient care.

摘要

目的综述

2019 年冠状病毒病(COVID-19)对医疗保健系统的能力和医护人员的安全构成了挑战,重塑了医患互动方式,有利于电子医疗或远程医疗。大流行情况可能使患有过敏疾病(AD)的患者难以优先获得面对面评估,此外还可能担心 COVID-19 的可能诊断,因为 COVID-19 与 AD 有许多共同症状。由于 COVID-19 是一种新型疾病,每个人都容易感染;在疫苗和特效治疗方面已经有了一些进展。我们评估了过敏疾病(AD)的现有文献:过敏性鼻炎、哮喘、食物过敏、药物过敏和皮肤过敏,以及 AD 与 COVID-19 之间任何相互关系的潜在潜在机制。

最近的发现

AD 与 COVID-19 不良临床结局风险之间的关联存在不确定和有争议的证据。AD 患者应尽量减少医院和面对面就诊,并且那些使用过生物制剂和过敏原免疫疗法的患者应继续治疗。医护人员必须佩戴个人防护设备进行保护。社交距离、合理使用口罩、眼部保护和医护人员及患者手部消毒值得进一步关注和推广。COVID-19 期间针对 AD 患者的远程咨询非常令人鼓舞,远程医疗平台可以为患者护理提供可靠的服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/417f/7871519/e4c353cc1bb5/11882_2021_989_Fig1_HTML.jpg

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