Factors associated with allergic rhinitis and combined allergic rhinitis and asthma syndrome (CARAS) in adults undergoing immunotherapy in a tropical country: Is ISAAC-III questionnaire useful in adult populations?

Autor:	Peñaranda A; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Departmen of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.; Allergy and Otolaryngology Research Groups, UNIMEQ-ORL, Bogotá, Colombia., Pérez-Herrera LC; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Departmen of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia., Gantiva M; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Departmen of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.; Section of Otolaryngology, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia., Moreno-López S; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Departmen of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia., Manrique J; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Allergy section, Department of Pediatrics, Fundación Santa Fe de Bogotá, Bogotá, Colombia., Peñaranda D; Allergy and Otolaryngology Research Groups, UNIMEQ-ORL, Bogotá, Colombia.; Section of Otolaryngology, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia., García E; School of Medicine, Universidad de Los Andes, Bogotá, Colombia.; Departmen of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia.; Section of Otolaryngology, Fundación Universitaria de Ciencias de la Salud - Hospital de San José, Bogotá, Colombia; eligarcia.gomez@unimeqorl.co.
Jazyk:	angličtina
Zdroj:	Allergologia et immunopathologia [Allergol Immunopathol (Madr)] 2023 Jul 01; Vol. 51 (4), pp. 78-86. Date of Electronic Publication: 2023 Jul 01 (Print Publication: 2023).
DOI:	10.15586/aei.v51i4.833
Abstrakt:	Background: Allergic diseases affect about 10-30% of the population in low- or middle-income tropical countries. Few studies describe the factors associated with allergic diseases in adult patients undergoing immunotherapy in Latin American countries. Objective: This study aimed to determine the factors associated with allergic rhinitis (AR) and AR in comorbidity with asthma (CARAS) in adults treated with immunotherapy in two allergy referral centers in Bogotá (Colombia). Material and Methods: Observational, cross-sectional study conducted between January 2018 and January 2019. ISAAC-III and sociodemographic questionnaires were applied to determine the factors associated with AR and CARAS in adults treated with immunotherapy who attended the allergy consult at the Fundación Santa Fe de Bogotá and Unimeq-Orl. Results: Among 416 adults aged 18-68 years, 71.4% (n = 297) were women. Regarding the sensitization results obtained by skin prick test, the most frequent allergens were house dust mites (64.18%): 49.03% were positive for both Dermatophagoides pteronyssinus and Dermatophagoides farinae , while 28.61% were positive for Blomia tropicalis . Excluding house dust mites, the most frequent allergens were dog hair (31.01%), cat hair (15.1%), grasses (15.9%), and food (15.9%). The main factor associated with exclusive AR was regular acetaminophen use more than four times a year: Prevalence ratio (PR) = 1.77 (95% CI: 1.12-2.25). The main factor associated with CARAS was cesarean delivery PR: 1.44 (95% CI: 1.09-1.78). Conclusion: The main factor associated with AR was regular acetaminophen use, while that associated with CARAS was cesarean delivery. The ISAAC-III questionnaire can be a useful low-cost tool to assess the factors associated with allergic diseases in adults in tropical countries.
Databáze:	MEDLINE
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