scholarly journals Influence of allergen immunotherapy on the quality of life in patients with asthma, allergic rhinitis and insect venom allergy

2018 ◽  
Vol 5 (3) ◽  
pp. 148-156
Author(s):  
Ewa Cichocka-Jarosz
Author(s):  
Jens-Oliver Steiß ◽  
Conrad Weber ◽  
Max Becker

Summary Background Specific immunotherapy with insect venom (hymenoptera venom (HG)-AIT) is an effective and the only causal treatment for patients with systemic reactions due to IgE-mediated insect venom allergy. The present study investigated the quality of care after bee and wasp venom allergy, the tolerability of modified ultra-rush immunotherapy and the course after the conclusion of maintenance therapy in children and adolescents. Studies on the quality of life of children with insect venom allergy are scarce. Methods The efficacy, safety and tolerability of an ultra-rush protocol was analysed in 114 patients aged 4–17 years with insect venom allergy. After the end of HG-AIT, patients were contacted by questionnaire and asked to report on the quality of care as well as the course of insect venom allergy, including accidental stinging events. Quality of life was validated using the established questionnaire VQLQ‑d (Vespid Quality of Life Questionnaire), which is also used for bee venom allergy patients. Results Discontinuation of the initial therapy was not necessary in any patient. Side effects were mostly mild and did not require treatment. In 16 patients, a new sting reaction occurred during maintenance therapy, in another 15 patients a sting event was documented after cessation of HG-AIT. The intensity of the reaction to the accidental insect bite according to the severity classification after Ring and Messmer decreased from an average of 2.3 to 0.9 in these patients. This corresponds to a decrease of 61%. An emergency kit was carried by 70% of the patients, the expiry date of which, however, had already passed in almost 40% of the respondents. After the end of the therapy, most patients were not under any medical care or had never been to a check-up (92%). The evaluation of the VQLQ‑d showed a medium to low level of stress during or after therapy. Discussion Ultra-rush AIT in childhood and adolescence is safe, tolerable and effective. HG-AIT has a lasting positive effect on the health-related quality of life of patients. However, after the end of HG-AIT, there are deficits in the follow-up and care of the patients.


2002 ◽  
Vol 109 (1) ◽  
pp. S121-S121
Author(s):  
S Echechipia ◽  
BE Garcia ◽  
MT Lizaso ◽  
MT Aldunate ◽  
JM Olaguibel ◽  
...  

Author(s):  
Sangeeta Dhami ◽  
Ulugbek Nurmatov ◽  
Eva-Maria Varga ◽  
Gunter Sturm ◽  
Antonella Muraro ◽  
...  

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Sangeeta Dhami ◽  
Ulugbek Nurmatov ◽  
Eva-Maria Varga ◽  
Gunter Sturm ◽  
Antonella Muraro ◽  
...  

2020 ◽  
Vol 41 (4) ◽  
pp. 271-277
Author(s):  
Andrzej Bozek ◽  
Anna Cudak ◽  
Giorgio Walter Canonica

Background: The effect of prolonged allergen immunotherapy is still insufficiently known, especially in elderly patients. Objective: The effect after a 3-year course of injected allergen-specific immunotherapy (AIT) for grass pollen allergy in elderly patients with allergic rhinitis was observed. Methods: Thirty-eight elderly patients (mean ± standard deviation, 66.2 ± 2.7 years old) who received preseasonal injected AIT or placebo for grass pollen allergy were monitored for 3 years and compared with a placebo group. The combined symptom medication score (CSMS), serum level of immunoglobulin G4 (IgG4) to phleum pratense 5 (Phl p5) and quality of life were assessed immediately after AIT and 3 years later. Results: After AIT, the CSMS was significantly decreased from 2.15 (range, 1.27‐3.00) to 1.13 (range, 0.79‐1.36) (p = 0.03) and remained lower (1.41 ± 0.72 versus 2.41 ± 1.11) than that in the placebo group during the 3 years after AIT. Serum-specific IgG4 against increased during the course of AIT and remained at a high level during further observation. Quality of life, based on the Rhinoconjunctivitis Quality of Life Questionnaire, was significantly decreased in the patients who received AIT from 1.51 (95% confidence interval [CI], 1.21‐1.84) to 1.01 (95% CI, 0.93‐1.87) (p < 0.05) and was decreased to 0.97‐1.26 (95% CI, 0.88‐1.82) during the 3 years after discontinuation of AIT. Conclusion: A prolonged positive effect after AIT for grass pollen allergy was observed in elderly patients with allergic rhinitis. Further trials are needed to confirm this effect.Clinical trial MC56871/12, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">www.clinicaltrials.gov</ext-link>.


Allergy ◽  
2017 ◽  
Vol 72 (3) ◽  
pp. 342-365 ◽  
Author(s):  
S. Dhami ◽  
H. Zaman ◽  
E.-M. Varga ◽  
G. J. Sturm ◽  
A. Muraro ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document