Efficacy and perceived satisfaction of 3-year SLIT in children with allergic rhinitis and asthma: a pilot study.

IF 2.5 4区 医学 Q3 ALLERGY
Allergologia et immunopathologia Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.15586/aei.v52i6.1073
Sara Manti, Giulia Diletta Tropea, Caterina Ledda, Giuseppe Fabio Parisi, Maria Papale, Enrico Compalati, Franco Frati, Salvatore Leonardi
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引用次数: 0

Abstract

Background: Despite the presence of robust evidence, there is very limited data on the efficacy of allergen immunotherapy (AIT) for selected patients. Accordingly, we aimed to evaluate the efficacy and perceived satisfaction of a 3-year course of sublingual immunotherapy (SLIT) in a paediatric population with allergic rhinitis and/or asthma.

Methods: A pilot, monocentre, retrospective cohort study was performed. One hundred fifty-three children who fulfilled the criteria for allergic rhinitis and asthma and were either mono- or poly-sensitized were enrolled. A standardized questionnaire assessing perceived efficacy, use of rescue medication, disease control, number of exacerbations, quality of life, and perceived satisfaction was administered to each patient.

Results: Seventy patients (49 males, 21 females; mean age, 14.3±1.9 years) were included in the final analysis. All 70 patients received SLIT for up to 3 years, with 100% adherence to the treatment throughout the study. Significant improvements in symptoms and quality of life were reported (p<0.01). There was also a significant decrease in disease severity, use of rescue medication, and sleep disturbances (p<0.01). Additionally, a significant improvement in school performance was also recorded (p<0.01). Of the enrolled patients, 60 out of 70 (85.7%) reported being very satisfied, 6 out of 70 (8.57%) were much satisfied, and 4 out of 60 (5.71%) were satisfied.

Conclusions: We were the first to demonstrate the efficacy and perceived satisfaction of a 3-year SLIT in a paediatric population, with 100% treatment adherence throughout the study.

过敏性鼻炎和哮喘患儿 3 年 SLIT 的疗效和满意度:一项试点研究。
背景:尽管证据确凿,但有关过敏原免疫疗法(AIT)对特定患者疗效的数据却非常有限。因此,我们旨在对过敏性鼻炎和/或哮喘儿科患者进行为期 3 年的舌下免疫疗法(SLIT)疗程的疗效和满意度评估:进行了一项试点、单中心、回顾性队列研究。共有 153 名符合过敏性鼻炎和哮喘标准的单敏或多敏儿童参加了研究。研究人员对每位患者进行了标准化问卷调查,评估其疗效、抢救药物使用情况、疾病控制情况、病情恶化次数、生活质量和满意度:70 名患者(49 名男性,21 名女性;平均年龄为 14.3±1.9 岁)被纳入最终分析。所有 70 名患者均接受了长达 3 年的 SLIT 治疗,在整个研究过程中坚持治疗的比例为 100%。据报道,患者的症状和生活质量均有显著改善(P结论:我们首次在儿科人群中证明了为期 3 年的 SLIT 的疗效和患者的满意度,而且在整个研究过程中患者 100%坚持治疗。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: Founded in 1972 by Professor A. Oehling, Allergologia et Immunopathologia is a forum for those working in the field of pediatric asthma, allergy and immunology. Manuscripts related to clinical, epidemiological and experimental allergy and immunopathology related to childhood will be considered for publication. Allergologia et Immunopathologia is the official journal of the Spanish Society of Pediatric Allergy and Clinical Immunology (SEICAP) and also of the Latin American Society of Immunodeficiencies (LASID). It has and independent international Editorial Committee which submits received papers for peer-reviewing by international experts. The journal accepts original and review articles from all over the world, together with consensus statements from the aforementioned societies. Occasionally, the opinion of an expert on a burning topic is published in the "Point of View" section. Letters to the Editor on previously published papers are welcomed. Allergologia et Immunopathologia publishes 6 issues per year and is included in the major databases such as Pubmed, Scopus, Web of Knowledge, etc.
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