Dubai Final-v20.indd - World Allergy Organization
Dubai Final-v20.indd - World Allergy Organization
Dubai Final-v20.indd - World Allergy Organization
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ABstrACts<br />
nasal Olopatadine led to more significant resolution of the postnasal-drip syndrome due to the possible synergistic effect of the<br />
combination drug regimen.<br />
1411<br />
USEFUlnESS oF PEaK EXPiraTorY FloW raTE aSSESSmEnT in THE SCrEEning For BronCHial HYPEr rESPonSiVEnESS<br />
in CHilDrEn WiTH allErgiC rHiniTiS<br />
nagaraju, m. K. , r, iii, m. , n, s. and r, g.<br />
Pediatric allergy and immunology, Kanchi Kamakoti CHilDs trust Hospital, Chennai, india.<br />
Background: the unified airway hypothesis explains the sequence in onset of atopic march from Allergic rhinitis(Ar) to bronchial<br />
hyper responsiveness (BHr) and subsequently to asthma in most of the children with Ar. BHr better identified with Peak expiratory<br />
flow rate (PEFr) assessment .<br />
aim identifying BHr in children with Ar with PEFr and to determine the effect of treatment of Ar on BHr.<br />
methodology :<br />
study design :Prospective observational study<br />
study Period : October 2007 – september 2008<br />
setting : <strong>Allergy</strong> clinic Kanchi Kamakoti CHilDs trust Hospital<br />
inclusion criteria : children > 5 yrs fulfilling Allergic rhinitis and its<br />
impact on Asthma (AriA) criteria were included in the study and classified as<br />
A.mild intermittent<br />
B.mild Persistant<br />
C.severe intermittent<br />
D.severe persistant.<br />
Exclusion Ceriteria :<br />
Children aged < 5 yrs and Unable to perform PEFr<br />
sample size : 82 was arrived with confidence interval of 95%<br />
Prevalence of 10% based on previous studies<br />
method: same Postgraduate will confirm the inclusion ,exclusion<br />
Criteria. Detailed history ,complete examination and investigations (ig E levels ,Absolute eosinophil count and PEFr will be done<br />
after obtaining informed consent. treatment (oral Antihistamines and or inhaled nasal steroids ) as per AriA CritEriA for various<br />
subgroups . Follow up done.<br />
results: total 85 children were included and 58.8% were males and majority were in 6-9 yrs age group. mild intermittent ,mild<br />
Persistant ,severe intermittent, severe persistant Allergic rhinitis were observed in 48,28,5,4 children respectively.As severity<br />
increases PEFr declined (P