Turki Senda, Jbali Souheil, Hachicha Amani, Chouchane Hamdi, Sifaoui Aymen, Charfi Mohamed Ridha
Department of Otorhinolaryngology and cervico-facial surgery. Security Forces Hospital, La Marsa,Tunis, Tunisia.
Department of Pneumology, Security Forces Hospital, La Marsa, Tunis, Tunisia.
Tunis Med. 2024 May 5;102(5):303-309. doi: 10.62438/tunismed.v102i5.4463.
Allergic rhinitis (AR) in children is a common condition that is a public health problem. Despite a well-codified treatment, clinical improvement is not the rule.
To identify factors affecting the improvement of allergic rhinitis in children under symptomatic treatment.
A 12-year retrospective descriptive study that included children aged 3 to 15 years, followed for allergic rhinitis. The search for explanatory factors for improvement under treatment was done using a binary logistic regression model.
52 children were included, with a mean age of 7 years (±3). A familial atopy history was present in 37 patients (71%). The presence of factors aggravating allergy was noted, including antibiotic consumption: 31 patients (60%) and overweight: 15 patients (29%). Associated asthma was noted in 42 patients (81%). The allergenic profile has regained a predominance of dust mite allergy (71%) and a significant frequency of multiallergies (79%). Management included therapeutic education and drug treatment. There was improvement in rhinitis in 27 patients (52%) and improvement in asthma in 26 patients (50%). Overweight and high consumption of antibiotics had a negative impact on the therapeutic outcome. A good therapeutic education had a favorable impact.
AR is a debilitating condition requiring prolonged therapeutic education and drug treatment. The prescription of antibiotics in children with allergic rhinitis should be sparing and weight monitored.
儿童过敏性鼻炎（AR）是一种常见疾病，属于公共卫生问题。尽管有规范的治疗方法，但临床症状改善并非必然。
确定对症治疗下影响儿童过敏性鼻炎改善的因素。
一项为期12年的回顾性描述性研究，纳入3至15岁患有过敏性鼻炎的儿童。使用二元逻辑回归模型寻找治疗后改善的解释因素。
纳入52名儿童，平均年龄7岁（±3岁）。37名患者（71%）有家族性特应性病史。发现存在加重过敏的因素，包括使用抗生素：31名患者（60%）和超重：15名患者（29%）。42名患者（81%）伴有哮喘。变应原谱中尘螨过敏再度占主导（71%），多种过敏的发生率也较高（79%）。治疗包括治疗教育和药物治疗。27名患者（52%）的鼻炎症状得到改善，26名患者（50%）的哮喘症状得到改善。超重和大量使用抗生素对治疗结果有负面影响。良好的治疗教育有积极影响。
AR是一种使人虚弱的疾病，需要长期的治疗教育和药物治疗。过敏性鼻炎患儿使用抗生素应谨慎，并监测体重。
