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Titolo:
The role of patient training in the management of seasonal rhinitis and asthma: clinical implications
Autore:
Gani, F; Pozzi, E; Crivellaro, MA; Senna, G; Landi, M; Lombardi, C; Canonica, GW; Passalacqua, G;
Indirizzi:
Univ Turin, Allergy Serv, Turin, Italy Univ Turin Turin ItalyUniv Turin, Allergy Serv, Turin, Italy Gen Hosp, Allergy Serv, Verona, Italy Gen Hosp Verona ItalyGen Hosp, Allergy Serv, Verona, Italy Osped Koelliker, Turin, Italy Osped Koelliker Turin ItalyOsped Koelliker, Turin, Italy Sant Orsola Hosp, Pneumoallergol Unit, Brescia, Italy Sant Orsola Hosp Brescia Italy osp, Pneumoallergol Unit, Brescia, Italy Univ Genoa, Dept Internal Med, I-16126 Genoa, Italy Univ Genoa Genoa Italy I-16126 , Dept Internal Med, I-16126 Genoa, Italy
Titolo Testata:
ALLERGY
fascicolo: 1, volume: 56, anno: 2001,
pagine: 65 - 68
SICI:
0105-4538(200101)56:1<65:TROPTI>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALLERGIC RHINITIS; INTRANASAL CORTICOSTEROIDS; BRONCHIAL RESPONSIVENESS; INFLAMMATION; INCREASE; H-1;
Keywords:
asthma; intranasal corticosteroid; mometasone furoate; patient training; seasonal allergic rhinitis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Passalacqua, G DIMI, Allergy & Resp Dis, Pad Maragliano Lgo R Benzi 10, I-16132 Genoa, Italy DIMI Pad Maragliano Lgo R Benzi 10 Genoa Italy I-16132 aly
Citazione:
F. Gani et al., "The role of patient training in the management of seasonal rhinitis and asthma: clinical implications", ALLERGY, 56(1), 2001, pp. 65-68

Abstract

Background: Allergic rhinitis is an inflammatory disease often associated with bronchial asthma. Intranasal corticosteroids and oral antihistamines are the first-choice drugs. Patient training is relevant to asthma management, but little is known about its impact on rhinitis. We evaluated the role of patient training in the treatment of allergic rhinitis and its effects on nasal and bronchial symptoms. Methods: One hundred and one patients (M/F = 62/39, age range 12-62 years)with pollen-induced rhinitis (32 with concomitant mild asthma) were enrolled. They were randomized into three groups: A (n = 30) with drug therapy alone, B (n = 35) with drug; therapy plus training on the use of nasal spray,and C (n = 36) the same as B plus a lesson on rhinitis and asthma. All patients received mometasone furoate nasal spray for 8 weeks as regular therapy, plus rescue medications on demand. Symptoms and drug consumption were evaluated during the pollen season. Results: The rate of noncompliance/dropout was highest in the untrained patients (P = 0.001). No difference in nasal symptoms was seen among the three groups. On the other hand, group C had significantly fewer asthma symptoms (P = 0.02) and less albuterol use (P = 0.005) than group A. Moreover, thetrained group globally used less rescue medication than the other groups (P = 0.02). Conclusions: Detailed training of patients seems to improve compliance with treatment, reduce concomitant asthma symptoms, and reduce the use of symptomatic drugs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/02/20 alle ore 20:26:58