Efficacy of allergen-blocker mechanical barrier gel on symptoms and quality of life in patients with allergic rhinitis.


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 29 10 2018
accepted: 12 12 2018
pubmed: 17 12 2018
medline: 26 4 2019
entrez: 17 12 2018
Statut: ppublish

Résumé

Allergic rhinitis (AR) is a very common, chronic and global health problem. In the last two decades, the efficiency of barrier-enforcing measures in AR has been investigated. In this study, we aimed to evaluate the effect of allergen-blocker mechanical barrier gel (MBG) (AlerjiSTOP A single-center, prospective study was conducted between January 2017 and May 2018. Patients diagnosed with allergic rhinitis with a visual analogue scale (VAS) of 5 or higher (moderate/severe) were enrolled in the study. Patients were evaluated in terms of VAS, nasal symptom score (NSS), ocular symptom score (OSS), total symptom score (TSS) and QoLS at baseline, 1 week and 1 month of MBG treatment. A total of 83 patients with AR were enrolled in the study. Clinical and laboratory examinations showed that 50 (60.2%) patients were mono-sensitized. Allergen-blocker mechanical barrier gel treatment was performed as monotherapy in 22 (26.5%) patients. Median VAS, NSS, OSS and TSS decreased from 7 to 4, 8 to 3, 4 to 0 and 12 to 4, respectively (p < 0.0001). Correlation analysis revealed positive correlations between lower pediatric rhinoconjunctivitis quality of life questionnaire scores for patients under 12 years of age and decrease in VAS, NSS and TSS (r = 0.380, p = 0.008; r = 0.544, p < 0.0001; r = 0.543, p < 0.0001). Positive correlations were detected between lower rhinoconjunctivitis quality of life questionnaire (self-administered) scores for patients ≥ 12 years of age and decrease in VAS, NSS, OSS and TSS (r = 0.703, p < 0.0001; r = 0.465, p = 0.005; r = 0.526, p = 0.001; r = 0.624, p < 0.0001). In conclusion, we found significant decrease in all symptom scores and improvement in QoLS of patients treated with MBG as monotherapy and combination therapy.

Identifiants

pubmed: 30554359
doi: 10.1007/s00405-018-5251-6
pii: 10.1007/s00405-018-5251-6
doi:

Substances chimiques

Allergens 0
Gels 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

729-734

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Auteurs

Seda Sirin Kose (S)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey. sedasirin85@yahoo.com.

Gizem Atakul (G)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey.

Suna Asilsoy (S)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey.

Ozkan Karaman (O)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey.

Nevin Uzuner (N)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey.

Ozden Anal (O)

Division of Pediatric Immunology and Allergy, Dokuz Eylul University, Izmir, Turkey.

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Classifications MeSH