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2019 ARIA Care pathways for allergen immunotherapy
J. Bousquet, O. Pfaar, A. Togias, HJ. Schünemann, I. Ansotegui, NG. Papadopoulos, I. Tsiligianni, I. Agache, JM. Anto, C. Bachert, A. Bedbrook, KC. Bergmann, S. Bosnic-Anticevich, I. Bosse, J. Brozek, MA. Calderon, GW. Canonica, L. Caraballo, V....
Jazyk angličtina Země Dánsko
Typ dokumentu časopisecké články, přehledy
Grantová podpora
G1000758
Medical Research Council - United Kingdom
PubMed
30955224
DOI
10.1111/all.13805
Knihovny.cz E-zdroje
- MeSH
- alergeny aplikace a dávkování imunologie MeSH
- alergická rýma epidemiologie imunologie terapie MeSH
- analýza nákladů a výnosů MeSH
- biologické markery MeSH
- bronchiální astma epidemiologie imunologie terapie MeSH
- desenzibilizace imunologická * škodlivé účinky metody MeSH
- individualizovaná medicína metody MeSH
- klinické rozhodování MeSH
- komorbidita MeSH
- kritické cesty * MeSH
- lidé MeSH
- management nemoci MeSH
- náchylnost k nemoci MeSH
- osobní újma zaviněná nemocí MeSH
- postoj zdravotnického personálu MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- výsledek terapie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Allergen immunotherapy (AIT) is a proven therapeutic option for the treatment of allergic rhinitis and/or asthma. Many guidelines or national practice guidelines have been produced but the evidence-based method varies, many are complex and none propose care pathways. This paper reviews care pathways for AIT using strict criteria and provides simple recommendations that can be used by all stakeholders including healthcare professionals. The decision to prescribe AIT for the patient should be individualized and based on the relevance of the allergens, the persistence of symptoms despite appropriate medications according to guidelines as well as the availability of good-quality and efficacious extracts. Allergen extracts cannot be regarded as generics. Immunotherapy is selected by specialists for stratified patients. There are no currently available validated biomarkers that can predict AIT success. In adolescents and adults, AIT should be reserved for patients with moderate/severe rhinitis or for those with moderate asthma who, despite appropriate pharmacotherapy and adherence, continue to exhibit exacerbations that appear to be related to allergen exposure, except in some specific cases. Immunotherapy may be even more advantageous in patients with multimorbidity. In children, AIT may prevent asthma onset in patients with rhinitis. mHealth tools are promising for the stratification and follow-up of patients.
Allergy and Asthma Center Westend Berlin Germany
Allergy and Clinical Immunology Department Centro Medico Docente La Trinidad Caracas Venezuela
Allergy and Respiratory Diseases Ospedale Policlino San Martino University of Genoa Genoa Italy
Allergy Department IdISSC Hospital Clinico San Carlos Madrid Spain
Allergy Department Pasteur Institute Paris France
Allergy Learning and Consulting Copenhagen Denmark
Association Asthme et Allergie Paris France
Center for Rhinology and Allergology Wiesbaden Germany
Centre for Research in Environmental Epidemiology Barcelona Spain
CIRFF Center of Pharmacoeconomics University of Naples Federico 2 Naples Italy
Clinical Research Center for Allergy and Rheumatology Sagamihara National Hospital Sagamihara Japan
Danish Allergy Centre University of Copenhagen Copenhagen Denmark
David Hide Centre St Mary's Hospital Isle of Wight and University of Southampton Southampton UK
Département de l'Information Médicale Unité Médico Economie University Hospital Montpellier France
Department of Allergy and Clinical Immunology Ajou University School of Medicine Suwon South Korea
Department of Clinical Immunology Wrocław Medical University Wrocław Poland
Department of Internal Medicine Section of Allergology Erasmus MC Rotterdam The Netherlands
Department of Medicine Clinical Immunology and Allergy McMaster University Hamilton Ontario
Department of Otorhinolaryngology Academic Medical Centres Amsterdam The Netherlands
Department of Otorhinolaryngology Chiba University Hospital Chiba Japan
Department of Pediatric Pneumology and Immunology Charité Universitätsmedizin Berlin Germany
Department of Pediatrics Allergy Unit University of Messina Messina Italy
Department of Pediatrics Nippon Medical School Tokyo Japan
Department of Pulmonary Diseases Faculty of Medicine Celal Bayar University Manisa Turkey
Division of Allergy Immunology University of South Florida Tampa Florida
ENT Department Upper Airways Research Laboratory Ghent University Hospital Ghent Belgium
Faculty of Medicine Transylvania University Brasov Romania
Guy's and st Thomas' NHS Trust Kings College London London UK
Hans Christian Andersen Children's Hospital Odense University Hospital Odense Denmark
Hospital de Clinicas University of Parana Parana Brazil
Hospital Quirónsalud Bizkaia Bilbao Spain
Imperial College London National Heart and Lung Institute Royal Brompton Hospital NHS London UK
Institute of Biomedicine and Molecular Immunology Palermo Italy
KYomed INNOV Montpellier France
MACVIA France Fondation partenariale FMC VIA LR Montpellier France
Medical Consulting Czarlewski Levallois France
Nova Southeastern University Fort Lauderdale Florida
Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey
Pediatric Department Charité Berlin Germany
Section of Allergy and Immunology Saint Louis University School of Medicine Saint Louis Missouri
Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina
Skin and Allergy Hospital Helsinki University Hospital University of Helsinki Helsinki Finland
SOS Allergology and Clinical Immunology USL Toscana Centro Prato Italy
The Royal National TNE Hospital University College London London UK
Ukrainian Medical Stomatological Academy Poltava Ukraine
Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy
Citace poskytuje Crossref.org
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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