University Hospital of Foggia; Department of Otolaryngology- Head and Neck Surgery; Foggia, Italy.
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Acta Biomed. 2021 May 12;92(2):e2021215. doi: 10.23750/abm.v92i2.10953.
The aim of this article was to study the course of seasonal allergic rhinitis during COVID-19 lockdown in order to understand if being quarantined at home for a long time can constitute a protective factor for allergic patients.
Telehealth consultations were performed by the departments of Otolaryngology of Foggia and Bari University Hospitals. Participants took part in a phone interview and were asked about their sinonasal symptoms during the COVID-19 lockdown, by answering the sinonasal outcome test (I-SNOT-22) questionnaire. Further data concerning the medications used to treat allergy and the number of days per month in which they were used were collected. The responses about the COVID-19 lockdown were compared to those obtained by the same patients in our clinics the previous year. The statistical analysis was executed by using the paired sample t-test and the Bartlett test considering as significant values with p values <0.05.
Forty patients affected by cypress pollen allergy visited at Foggia and Bari University Hospitals were enrolled in this study. All I-SNOT-22 scores concerning the COVID-19 lockdown were lower than those of the previous year; moreover, 18 (81.8%) clinical parameters were statistically significant (p<0.05). Also, in regard to the treatment, results about COVID-19 lockdown were overall better than those of 2019, with 50% (n=3) of the investigated drugs, reporting statistical significance (p<0.05).
The present study was able to evidence the fundamental role of primary prevention in Allergology. Paradoxically, the home quarantine ordered by the Italian Government appeared to be an effective measure not only in the fight against COVID-19 but also against pollen exposure.
本文旨在研究季节性变应性鼻炎在 COVID-19 封锁期间的病程,以了解长期居家隔离是否对过敏患者构成保护因素。
法诺和巴里大学医院耳鼻喉科通过远程医疗咨询开展工作。参与者通过电话采访参加了一项调查,回答了鼻-鼻窦结局测试(I-SNOT-22)问卷,询问了他们在 COVID-19 封锁期间的鼻-鼻窦症状。还收集了有关用于治疗过敏的药物以及每月使用这些药物的天数的数据。将对 COVID-19 封锁的回答与前一年同一患者在我们诊所获得的回答进行了比较。使用配对样本 t 检验和 Bartlett 检验对统计分析进行了执行,认为有意义的 p 值 <0.05。
本研究共纳入了 40 名受桧属花粉过敏影响的患者,他们分别在法诺和巴里大学医院就诊。所有与 COVID-19 封锁有关的 I-SNOT-22 评分均低于前一年的评分;此外,18 项(81.8%)临床参数具有统计学意义(p<0.05)。另外,在治疗方面,COVID-19 封锁期间的结果总体上优于 2019 年,所调查药物中的 50%(n=3)有统计学意义(p<0.05)。
本研究证明了初级预防在变态反应学中的重要作用。具有讽刺意味的是,意大利政府下令居家隔离不仅在抗击 COVID-19 方面而且在抵御花粉暴露方面似乎都是一项有效措施。