The clinical practice of allergen immunotherapy in Mexico according to 277 allergists who were surveyed during a three-year AIT course.

Bibliographic Details
Title: The clinical practice of allergen immunotherapy in Mexico according to 277 allergists who were surveyed during a three-year AIT course. (English)
Alternate Title: La práctica clínica de la inmunoterapia con alérgenos en México según 277 alergólogos encuestados durante un curso trianual. (Spanish)
Authors: Rangel-Garza, Lorena, Larenas-Linnemann, Desirée, Rodríguez-Pérez, Noel, Ortega-Martell, José Antonio, Oyoqui-Flores, José Joel
Source: Revista Alergia de Mexico; Jan-Mar2020, Vol. 67 Issue 1, p1-8, 8p
Abstract (English): Background: There are different guidelines for the diagnosis of allergic diseases and the application of allergen immunotherapy (AIT). Objective: To describe how Mexican allergists diagnose and treat respiratory and food allergies with AIT. Methods: 227 allergists who attended an immunotherapy symposium were surveyed; the topics investigated were the daily practices in the diagnosis of respiratory and food allergies, as well as ways to apply AIT. Results: The surveyed allergists use skin prick tests for the diagnosis of both respiratory and food allergies in 100 % and 87.7 % of their cases respectively; in vitro diagnosis through serum specific IgE in 55.5 % and 63 %, and molecular diagnostics in 14.1% and 13.2 %. For aeroallergens, 81 % prescribe subcutaneous AIT, 77.9 % use liquid sublingual AIT, and 1.8 % prefer SLIT in tablets; however, 45 % indicated that they would use tablets in the future. Regarding food allergens, most respondents did not prescribe AIT; however, 55% of them are interested in oral AIT and 59% of them are interested in sublingual AIT. Conclusions: Generally, the diagnosis and treatment of allergic diseases are carried out according to international guidelines; besides, the interviewed allergists expressed flexibility to adopt new schemes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: Existen lineamientos para el diagnóstico de las enfermedades alérgicas y la aplicación de inmunoterapia con alérgenos (ITA). Objetivo: Describir cómo los alergólogos mexicanos diagnostican y tratan con ITA las alergias alimentaria y respiratoria. Métodos: Se encuestó a 227 alergólogos que acudieron a un simposio de inmunoterapia; se indagaron prácticas cotidianas en el diagnóstico de las alergias respiratoria y alimentaria, así como en la forma de aplicar la ITA. Resultados: Los alergólogos utilizan las pruebas cutáneas por punción para el diagnóstico de las alergias respiratorias y alimentarias en 100 y 87.7 % de los casos de una y otra; diagnóstico in vitro mediante determinación de IgE alérgeno-específica en 55.5 y 63 %; y diagnóstico molecular por componentes en 14.1 y 13.2 %. Para los aeroalérgenos, 81 % emplea ITA subcutánea; 77.9 %, ITA sublingual líquida; 1.8 %, ITA sublingual en tabletas; 45 % indicó que estaba dispuesto a emplear tabletas en el futuro. Para los alérgenos de alimentos, la mayoría no utilizaba ITA, aunque 55 % se interesa en la ITA oral y 59 %, en la ITA sublingual. Conclusiones: En términos generales, el diagnóstico y tratamiento de las enfermedades alérgicas se realizan conforme los lineamientos internacionales, además, los alergólogos encuestados mostraron flexibilidad para adoptar nuevos esquemas. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:00025151
DOI:10.29262/ram.v67i1.644
Published in:Revista Alergia de Mexico
Language:Spanish