Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group

South African Family Practice

Field Value
Title Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group
Creator Richards, Guy A. McDonald, Marinda Gray, Claudia L. de Waal, Pieter Friedman, Ray Hockman, Maurice Karabus, Sarah J. Lodder, Cornelia M. Mabelane, Tshegofatso Mosito, Sylvia M. Nanan, Ashen Peter, Jonny G. Quitter, Traugott H.C. Seedat, Riaz van den Berg, Sylvia van Niekerk, Andre Vardas, Eftyhia Feldman, Charles
Subject General Practice; family practice; primary care; education allergic rhinitis; intranasal corticosteroids; antihistamines; immunotherapy; saline rinse
Description Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AR is often overlooked, and appropriate therapy is neglected. The availability of effective medications and knowledge as to management are often lacking in both public and private health systems.Methods: This review is based on a comprehensive literature search and detailed discussions by the South African Allergic Rhinitis Working Group (SAARWG).Results: The working group provided up-to-date recommendations on the epidemiology, pathology, diagnosis and management of AR, appropriate to the South African setting.Conclusion: Allergic rhinitis causes significant, often unappreciated, morbidity. It is a complex disease related to an inflammatory response to environmental allergens. Therapy involves education, evaluation of allergen sensitisation, pharmacological treatment, allergen immunotherapy (AIT) and evaluation of the success of interventions. Regular use of saline; the important role of intranasal corticosteroids, including those combined with topical antihistamines and reduction in the use of systemic steroids are key. Practitioners should have a thorough knowledge of associated morbidities and the need for specialist referral.Contribution: This review summarises the latest developments in the diagnosis and management of AR such that it is a resource that allows easy access for family practitioners and specialists alike.
Publisher AOSIS
Contributor Funding of the SAARWG discussion meeting via unrestricted grants from Organon, Glenmark and Aspen
Date 2023-10-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5806
Source South African Family Practice; Vol 65, No 1 (2023): Part 4; 11 pages 2078-6204 2078-6190
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
Coverage South africa 2023 people treating allergic rhinitis
Rights Copyright (c) 2023 Guy A Richards, Marinda McDonald, Claudia Liesel Gray, Pieter de waal, Ray Friedman, Maurice Hockman, Sarah Jane Karabus, Cornelia Magdelena Lodder, Tshegofatso Mabelane, Sylvia Motlalepule Mosito, Ashen Nanan, Jonny G Peter, Traugott Herman Christian Quitter, Riaz Seedat, Sylvia van den Berg, Andre van Niekerk, Eftyhia Vardas, Charles Feldman