日本福井市儿童因屋内尘螨引发过敏性鼻炎的最新发病率

IF 3.9 2区 医学 Q2 ALLERGY
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引用次数: 0

摘要

背景过敏性鼻炎(AR)是一种由 IgE 介导的 I 型过敏性慢性鼻病,在包括儿童在内的所有年龄段人群中都很常见。屋尘螨(HDM)在全球无处不在,是最重要的室内空气过敏原。本研究旨在调查小学生中 AR-HDM 的流行现状、临床特征和体检现状。方法 2021 年 7 月在日本福井县对 41,000 名小学生进行了调查。结果 共分析了 17974 名受试者。结果显示,目前 AR-HDM 在小学生中的发病率为 18.8%。我们发现,68.3%的受试者在进入小学之前就已经患上了 AR-HDM。在这些受试者中,82.3%的人接受过某种形式的治疗,如处方药,4.2%的人接受过过敏原免疫疗法。对 AR-HDM 发病的多重逻辑回归分析表明,男性、长子、合并支气管哮喘、特应性皮炎、食物过敏和过敏性结膜炎与 AR-HDM 的发病有关。结果强调了从婴儿期到幼儿期进行适当诊断和治疗的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recent prevalence of allergic rhinitis caused by house dust mites among the pediatric population in Fukui, Japan

Background

Allergic rhinitis (AR) is an IgE-mediated type I allergic chronic nasal disease common among all age groups, including the pediatric population. House dust mites (HDMs) are globally ubiquitous and the most important indoor aeroallergen. However, the recent prevalence of HDM-caused AR (AR-HDM) in Japan remains unknown, especially after the COVID-19 pandemic.

Objective

The objective of this study was to investigate the current prevalence of AR-HDM, its clinical features, and the current status of medical examinations in elementary school students.

Methods

A survey of 41,000 elementary school students was conducted during July 2021 in Fukui Prefecture, Japan. Parents were asked to complete a questionnaire that examined allergic disease history and clinical background.

Results

A total of 17,974 subjects were analyzed in the study. The results showed that the current prevalence of AR-HDM in elementary school children is 18.8%. We found that AR-HDM had already developed before entrance into elementary school in 68.3% of affected subjects. Among these subjects, 82.3% had received some form of treatment, such as prescription medications, whereas 4.2% were treated by allergen immunotherapy. Multiple logistic regression analysis of the onset of AR-HDM revealed that male sex, being the first-born child, comorbidity of bronchial asthma, atopic dermatitis, food allergy, and allergic conjunctivitis are associated with development of AR-HDM.

Conclusions

The present study revealed the prevalence of AR-HDM in elementary school children. The results emphasize the importance of appropriate diagnosis and treatment from infancy through early childhood.

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来源期刊
World Allergy Organization Journal
World Allergy Organization Journal Immunology and Microbiology-Immunology
CiteScore
9.10
自引率
5.90%
发文量
91
审稿时长
9 weeks
期刊介绍: The official pubication of the World Allergy Organization, the World Allergy Organization Journal (WAOjournal) publishes original mechanistic, translational, and clinical research on the topics of allergy, asthma, anaphylaxis, and clincial immunology, as well as reviews, guidelines, and position papers that contribute to the improvement of patient care. WAOjournal publishes research on the growth of allergy prevalence within the scope of single countries, country comparisons, and practical global issues and regulations, or threats to the allergy specialty. The Journal invites the submissions of all authors interested in publishing on current global problems in allergy, asthma, anaphylaxis, and immunology. Of particular interest are the immunological consequences of climate change and the subsequent systematic transformations in food habits and their consequences for the allergy/immunology discipline.
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