Allergic Rhinitis in Preschoolers: A Systematic Review of Diagnostics
Allergic Rhinitis in Preschoolers: A Systematic Review of Diagnostics
复制标题
学龄前儿童过敏性鼻炎：诊断的系统回顾
DOI：
10.1177/19458924221149267
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发表时间：
2023
影响因子：
2.6
通讯作者：
E. Sarinho
中科院分区：
文献类型：
--
作者：
Alana F Diniz;Juliana Ap Ribeiro;Georgia Vag Lira;E. Sarinho
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.
