Allergy Therapy and Allergy Immunotherapy in Childhood

被引:4
作者
Klimek, Ludger [1 ,2 ,3 ,4 ,5 ,6 ]
Chaker, Adam M. [7 ,8 ]
Casper, Ingrid [9 ]
Sperl, Annette [9 ,10 ]
Strieth, Sebastian [11 ,12 ]
Moesges, Ralph [13 ,14 ,15 ,16 ,17 ]
机构
[1] Zentrums Rhinol & Allergol Wiesbaden, Quellen 10, D-65183 Wiesbaden, Germany
[2] ADA, Dreieich, Germany
[3] Deutsch AllergieLiga, Kronberg, Germany
[4] EAACI, ENT Sect, Zurich, Switzerland
[5] ExCom EAACI, Zurich, Switzerland
[6] Deutsch Akad Allergol & Umweltmed, Dreieich, Germany
[7] Tech Univ Munich, TUM Med Sch, Klinikum Rechts Isar, HNO Klin, Munich, Germany
[8] Tech Univ Munich, TUM Med Sch, Klinikum Rechts Isar, Zentrum Allergie & Umwelt, Munich, Germany
[9] Zentrum Rhinol & Allergol, Wiesbaden, Germany
[10] LMU Munchen, HNO Klin, Munich, Germany
[11] Goethe Univ, HNO Klin, Frankfurt, Germany
[12] Univ HNO Klin Mainz, Mainz, Germany
[13] Allergol & Med Informat Koln, Hals Nasen Ohrenheilkunde, Cologne, Germany
[14] Univ Klinikum Koln, Inst Med Stat Informat & Epidemiol, Cologne, Germany
[15] Univ Cologne, Ethikkommiss, Cologne, Germany
[16] EAACI, Exekutiv Komitees, Zurich, Switzerland
[17] GAA, INTERASMA, Berlin, Germany
关键词
HOUSE-DUST MITE; GRASS-POLLEN IMMUNOTHERAPY; SUBLINGUAL IMMUNOTHERAPY; FOLLOW-UP; LONG-TERM; CHILDREN; ASTHMA; PREVENTION; SENSITIZATIONS; ATOPY;
D O I
10.1055/a-0899-1202
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Adequate diagnostical workup for respiratory allergies and consequent therapy in children determine the individual course of disease. Therapy consists first of symptomatic treatment and includes in the next step the important option of allergy immunotherapy (AIT) as a causative treatment of disease. Children are an important target group for AIT, since AIT offers a proven longterm effect including secondary preventive properties with not only transiently reduced symptoms but moreover longstanding and beneficial disease modification. New strategies with AIT as primary and secondary preventive interventions are being evaluated with the aim to reduce clinical appearance and the amount and extent of sensitizations to allergens in high-risk children. Until implementation of such potentially preventive strategies the currently more attractive early intervention is the early adoption of AIT within the first 12 to 24 months of onset of symptoms as a first-line treatment of allergic rhinitis. Simplified treatment protocols can improve the willingness to perform an AIT and the adherence and compliance of children and their parents. The overall goal is to make AIT as the most important treatment modality available to more affected children. © 2020 Inderscience Enterprises Ltd.. All rights reserved.
引用
收藏
页码:56 / 64
页数:9
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