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COVID-19 大流行期间乳胶过敏患者的临床和生活质量评估:持续乳胶免疫治疗的可能保护作用。

Clinical and quality of life assessment in patients with latex allergy during COVID-19 pandemic: Possible protective role of continuous latex immunotherapy.

机构信息

18654Allergy Unit of Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy.

出版信息

Int J Immunopathol Pharmacol. 2022 Jan-Dec;36:3946320221100367. doi: 10.1177/03946320221100367.

Abstract

During COVID-19 pandemic, the massive use of Personal Protective Equipment could provoke severe adverse reactions in latex allergy patients and could negatively affect their quality of life. Trough a survey the study aimed: (a) to evaluate the incidence of allergic reactions in patients with latex allergy during the SARS-CoV-2 pandemic; (b) to evaluate the protective role of continuous latex sublingual immunotherapy (SLIT) during this period; and (c) to evaluate quality of life of natural rubber latex allergy (NRLA) patients during the pandemic. 67 patients (9 males and 58 females, mean age of 45.9 ± 11.4 years) suffering from latex allergy were included in the present study. We recorded among our patients 13 cases (34.2%) of urticarial/angioedema (U/A), 9 cases (23.6%) of respiratory symptoms (dyspnoea, shortness of breath and wheezing) and 7 cases (18.4%) of anaphylaxis. In patients who underwent continuous SLIT, we observed less cases of U/A ( < 0.001), respiratory symptoms ( < 0.001), anaphylaxis ( = 0.003), hospitalizations ( = 0.014) and a lower therapy administration. We compared the results of SF-36 questionnaire in patients who underwent continuous and not-continuous SLIT with a significance differences score between these two groups. Our study is the first that investigated the clinical and quality of life effects of COVID-19 pandemic in NRLA patients.

摘要

在 COVID-19 大流行期间,大量使用个人防护设备可能会在乳胶过敏患者中引发严重的不良反应,并可能对他们的生活质量产生负面影响。通过一项调查,本研究旨在:(a)评估 SARS-CoV-2 大流行期间乳胶过敏患者的过敏反应发生率;(b)评估在此期间连续乳胶舌下免疫疗法(SLIT)的保护作用;(c)评估天然橡胶乳胶过敏(NRLA)患者在大流行期间的生活质量。本研究纳入了 67 名(9 名男性和 58 名女性,平均年龄 45.9±11.4 岁)乳胶过敏患者。我们记录了我们患者中的 13 例(34.2%)荨麻疹/血管性水肿(U/A)、9 例(23.6%)呼吸道症状(呼吸困难、呼吸急促和喘息)和 7 例(18.4%)过敏反应。在接受连续 SLIT 的患者中,我们观察到较少的 U/A(<0.001)、呼吸道症状(<0.001)、过敏反应(=0.003)、住院(=0.014)和较低的治疗管理。我们比较了接受连续和非连续 SLIT 的患者的 SF-36 问卷结果,两组之间存在显著差异分数。本研究是第一项调查 NRLA 患者在 COVID-19 大流行期间的临床和生活质量影响的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fe8/9112681/69bd72978803/10.1177_03946320221100367-fig1.jpg

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