Effectiveness of allergen immunotherapy with house dust mite extract for pediatric bronchial asthma.

IF 2.7 4区 医学 Q3 IMMUNOLOGY Immunotherapy Pub Date : 2024-03-26 DOI:10.2217/imt-2024-0024
Masaaki Hamada, Keigo Saeki, Ichiro Tanaka
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Abstract

Aim: We compared the effectiveness of rush subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) using standardized house dust mite (HDM) extract for pediatric bronchial asthma (BA). Methods: We followed the pediatric BA treatment score during 3 years of treatment. We assessed the median time to no longer requiring long-term control pharmacotherapy (LTCP) for BA (LTCP-free). We compared the outcomes after adjustment for confounding factors and propensity score matching. Results: Patients in the HDM SCIT group achieved the LTCP-free status significantly earlier than those in the HDM SLIT group after adjustment for confounding factors and propensity score matching. Conclusion: Patients treated for pediatric BA with rush HDM SCIT had earlier onset of therapeutic effects than those with HDM SLIT.

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使用屋尘螨提取物的过敏原免疫疗法对小儿支气管哮喘的疗效。
目的:我们比较了急速皮下免疫疗法(SCIT)和使用标准化屋尘螨(HDM)提取物的舌下免疫疗法(SLIT)治疗小儿支气管哮喘(BA)的效果。方法我们对小儿支气管哮喘治疗 3 年的评分进行了跟踪。我们评估了不再需要长期控制药物治疗(LTCP)的中位时间(无LTCP)。我们比较了混杂因素调整和倾向得分匹配后的结果。结果在对混杂因素和倾向得分匹配进行调整后,HDM SCIT 组患者达到无 LTCP 状态的时间明显早于 HDM SLIT 组患者。结论与使用 HDM SLIT 的患者相比,使用急诊 HDM SCIT 治疗小儿 BA 的患者起效更早。
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来源期刊
Immunotherapy
Immunotherapy 医学-免疫学
CiteScore
5.00
自引率
3.60%
发文量
113
审稿时长
6-12 weeks
期刊介绍: Many aspects of the immune system and mechanisms of immunomodulatory therapies remain to be elucidated in order to exploit fully the emerging opportunities. Those involved in the research and clinical applications of immunotherapy are challenged by the huge and intricate volumes of knowledge arising from this fast-evolving field. The journal Immunotherapy offers the scientific community an interdisciplinary forum, providing them with information on the most recent advances of various aspects of immunotherapies, in a concise format to aid navigation of this complex field. Immunotherapy delivers essential information in concise, at-a-glance article formats. Key advances in the field are reported and analyzed by international experts, providing an authoritative but accessible forum for this vitally important area of research. Unsolicited article proposals are welcomed and authors are required to comply fully with the journal''s Disclosure & Conflict of Interest Policy as well as major publishing guidelines, including ICMJE and GPP3.
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