Monday, 9 January 2012

Hay fever

Evidence Based Reports

Sublingual immunotherapy for allergic rhinitis (2010)[Cochrane]

Inferior turbinate surgery for nasal obstruction in allergic rhinitis after failed medical treatment (2010)[Cochrane]

Antihistamines used in addition to topical nasal steroids for intermittent and persistent allergic rhinitis in children (2010)[Cochrane]

Capsaicin for allergic rhinitis in adults (2010)[Cochrane]

Economic evaluation of quality-of-life improvement with second-generation antihistamines and montelukast in patients with allergic rhinitis (2009)[NHS Economic Evaluation Database]

Hay fever in adolescents and adults (2008)[Clinical Evidence]

Clinical Guidelines

Seasonal allergic rhinoconjunctivitis - suspected (2011) [Map of medicine] updated

Allergic rhinitis (2008) [Prodigy]

BSACI guidelines for the management of allergic and non-allergic rhinitis (2008)[National Library of Guidelines (UK)]

Recent articles in core journals

Oxymetazoline adds to the effectiveness of fluticasone furoate in the treatment of perennial allergic rhinitis. (2011) [Evidence Updates] NEW

Combination therapy with azelastine hydrochloride nasal spray and fluticasone propionate nasal spray in the treatment of patients with seasonal allergic rhinitis. (2008)[EvidenceUpdates]

Intranasal noninhaled carbon dioxide for the symptomatic treatment of seasonal allergic rhinitis (2008)[EvidenceUpdates]

Acupuncture in patients with allergic rhinitis: a pragmatic randomized trial (2008)[EvidenceUpdates]

Effect of once-daily fluticasone furoate nasal spray on nasal symptoms in adults and adolescents with perennial allergic rhinitis (2008)[EvidenceUpdates]

Herbal medicines for the treatment of allergic rhinitis: a systematic review. (2008)[EvidenceUpdates]

eTextbooks

Allergic rhinitis (2011)[eMedicine] updated

Pediatric Allergic Rhinitis (2011)[eMedicine] updated

Allergic rhinitis (2008)[Mentor]

Clinical Queries

Which medicines can be used to treat intermittent allergic rhinitis during pregnancy? (2010)[Nelm]

Is there any evidence that phototherapy nasal devices work in allergic rhinitis/ hay fever? (2009)[ATTRACT]

I have a 39 year old patient in the second trimester of her pregnancy. She has terrible hayfever and wants to use a non sedating antihistamine. Is loratadine safe? (2009)[ATTRACT]

How effective is butterbur for hayfever? What dose is recomended? Are there any interactions or side effects? (2009)[TRIPAnswers]

What is the current thinking on the use of the depot Kenalog in moderately severe hay fever not controlled by oral antihistamines and topical therapies? (2008)[ATTRACT]

What is the current clinical guidelines on the use of steroid injections for management of seasonal allergic rhinitis in UK? (2008)[TRIPAnswers]

What evidence is there of immunotherapy in patients with uncontrolled allergic rhinitis? (2008)[TRIPAnswers]

Patient Information

Hay fever (seasonal allergic rhinitis) (2011) [BUPA] updated

Hayfever (2011) [PatientUK] updated

Seasonal allergic rhinits (2009)[NHS Choices]


Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

0 comments: