Diagnosis and management of allergic conjunctivitis in pediatric patients
Diagnosis and management of allergic conjunctivitis in pediatric patients
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DOI：
10.2500/aap.2017.38.4003
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发表时间：
2017-01-01
影响因子：
2.8
通讯作者：
Kabat, Alan G.
中科院分区：
文献类型：
--
作者：
Berger, William E.;Granet, David B.;Kabat, Alan G.
背景资料：过敏性结膜炎（AC）是儿童最常见的眼部疾病之一，但在儿童中经常被忽视、误诊和治疗不足。目的：指导儿科医疗保健专业人员对儿童AC进行最佳诊断和治疗。确定儿科患者AC诊断和治疗的任何现有最佳实践指南，对2004年至2015年1月期间发表的文献进行了综述。诊断和治疗的算法和儿科患者转介的准则，然后developed.Results：文献检索，以确定最佳实践指南治疗AC在儿科患者未能返回任何相关的文章，这突出了最佳实践的建议。基于成人AC和临床经验的出版物，本综述为儿科医疗保健专业人员提供了分步指导，包括识别AC的临床特征，建立全面的病史，并进行全面的体格检查，以确保正确的诊断和最佳治疗或必要时转诊至眼科护理专家或过敏专科医生。除了既定的药物治疗，皮下和舌下免疫治疗的作用进行了讨论，告知儿科医疗保健专业人员的替代治疗方案的患者谁不耐受药物治疗或谁不充分响应。结论：本综述中提供的诊断和治疗算法和指南有助于解决目前的文献和教育差距，并可能导致诊断和治疗方面的改进。儿科AC的管理。
Background: Allergic conjunctivitis (AC), although one of the most common ocular disorders in pediatric patients, is frequently overlooked, misdiagnosed, and undertreated in children.Objective: To guide pediatric health care professionals in the optimal diagnosis and management of AC in pediatric patients.Methods: To identify any existing best practice guidelines for the diagnosis and treatment of AC in pediatric patients, a review of the literature published between 2004 and January 2015 was conducted. Diagnosis and treatment algorithms and guidelines for pediatric patient referrals were then developed.Results: A literature search to identify best practice guidelines for the treatment of AC in pediatric patients failed to return any relevant articles, which highlighted the need for best practice recommendations. Based on publications on adult AC and clinical experience, this review provides step-by-step guidance for pediatric health care professionals, including recognizing clinical features of AC, establishing a comprehensive medical history, and performing a thorough physical examination to ensure a correct diagnosis and the optimal treatment or referral to an eye care specialist or allergist when required. In addition to established drug treatments, the role of subcutaneous and sublingual immunotherapy is discussed to inform pediatric health care professionals about alternative treatment options for patients who do not tolerate pharmacotherapy or who do not respond sufficiently.Conclusion: The diagnostic and treatment algorithms and guidelines provided in this review help address the current literature and educational gap and may lead to improvements in diagnosis and management of pediatric AC.