Guidelines
Allergic rhinitis in South Africa: 2012 guidelines
Abstract
Recommendations. Clinicians should consider the possibility of AR in infants with recurrent nasal symptoms. Allergy testing should be used wisely and based on local allergens. Total IgE testing is not routinely required to prove allergy. Acute and chronic sinusitis should be considered in conjunction with AR; treatment of rhinitis will improve these conditions. Over-the-counter medications should be used sparingly and with caution. Concern for long-term use of topical decongestants must be noted. Asthma should always be considered in AR diagnosis. Immunotherapy is available in SA and may be extremely useful in selected AR patients.
Conclusion. The SAARWG proposed an algorithm for the diagnosis and management of rhinitis in South Africa. AR is common, important and troubling to patients; therefore, every effort should be made to target therapy correctly. Patient education is important in the management of AR.
Authors' affiliations
R J Green, South African Allergic Rhinitis Working Group (SAARWG)
M Hockman, South African Allergic Rhinitis Working Group (SAARWG)
R Friedman, South African Allergic Rhinitis Working Group (SAARWG)
E Vardas, South African Allergic Rhinitis Working Group (SAARWG)
P Cole, South African Allergic Rhinitis Working Group (SAARWG)
A Halkas, South African Allergic Rhinitis Working Group (SAARWG)
C Feldman, South African Allergic Rhinitis Working Group (SAARWG)
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Article History
Date published: 2012-06-07
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