Allergic Rhinitis in Preschoolers: A Systematic Review of Diagnostics.

IF 2.5 3区医学 Q1 OTORHINOLARYNGOLOGY American Journal of Rhinology & Allergy Pub Date : 2023-05-01 DOI:10.1177/19458924221149267

Alana F Diniz, Juliana Ap Ribeiro, Georgia Vag Lira, Emanuel Sc Sarinho

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引用次数: 1

Abstract

Background: Most studies that seek to analyze the prevalence of allergic rhinitis do not include preschool children and the diagnosis in this age group is difficult.

Objective: Identify complementary tests to the diagnosis of allergic rhinitis in preschool children and verify if there is scientific robustness to propose a diagnostic algorithm for this condition in this age group.

Methods: Systematic review of the literature in four databases: SCIELO, PubMed/MEDLINE, LILACS and SCOPUS. Each article was initially chosen by title, abstract and by the keywords "allergic rhinitis," "diagnosis" and "preschool." Those articles selected entered the complete reading and data extraction phase. The study was registered in the International Prospective Register of Systematic Reviews under number CRD42020207053.

Results: Fourteen articles were suitable for analysis. In the assessment using Quality Assessment of Diagnostic Accuracy Studies - 2, all studies had at least one domain considered "high risk" or "undetermined risk." Seven reports of nasal cytology, seven of specific IgE, four of immediate hypersensitivity skin test, one of nasal nitric oxide, three of total IgE and one of urinary leukotriene E4 were found. Eight articles evaluated more than one diagnostic test.

Conclusion: There are no defined criteria for the diagnosis of allergic rhinitis in preschool children. Nasal cytology, serum specific IgE and immediate hypersensitivity skin test were the most used tests. A reliable diagnostic criterion in this age group is necessary so that in the future it is possible to propose a diagnostic algorithm for allergic rhinitis in preschool children.

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学龄前儿童变应性鼻炎:诊断的系统回顾。

背景:大多数试图分析过敏性鼻炎患病率的研究没有包括学龄前儿童，并且在这个年龄组的诊断是困难的。目的:确定学龄前儿童变应性鼻炎诊断的补充试验，验证提出该年龄段变应性鼻炎诊断算法是否具有科学稳健性。方法:系统检索SCIELO、PubMed/MEDLINE、LILACS和SCOPUS四个数据库的文献。每篇文章最初是通过标题、摘要和关键词“过敏性鼻炎”、“诊断”和“学龄前”来选择的。入选的文章进入完整的阅读和数据提取阶段。该研究已在国际前瞻性系统评论注册中注册，编号为CRD42020207053。结果:14篇文章适合分析。在使用诊断准确性研究质量评估- 2的评估中，所有研究至少有一个领域被认为是“高风险”或“不确定风险”。鼻细胞学检查报告7例，特异性IgE 7例，即刻过敏皮肤试验4例，鼻一氧化氮1例，总IgE 3例，尿白三烯E4 1例。8篇文章评估了一项以上的诊断测试。结论:学龄前儿童变应性鼻炎的诊断尚无明确的标准。鼻细胞学检查、血清特异性IgE检查和立即超敏皮肤试验是最常用的检查。有必要在这个年龄段制定一个可靠的诊断标准，以便将来有可能提出学龄前儿童变应性鼻炎的诊断算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Rhinology & Allergy 医学-耳鼻喉科学

CiteScore

5.60

自引率

11.50%

发文量

审稿时长

4-8 weeks

期刊介绍： The American Journal of Rhinology & Allergy is a peer-reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials, and review articles.