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过敏性疾病规范诊疗
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对话WAO主席:过敏性疾病发病率居高不下,规范诊疗需寻新路径
Group 1: Current Situation of Allergic Diseases - The global prevalence of allergic diseases, particularly allergic rhinitis, is on the rise, affecting over 500 million people worldwide, which is about 10% to 40% of the population [1][2] - In China, the number of individuals reporting allergic rhinitis has increased by nearly 100 million from 2005 to 2011, with a significant rise in prevalence among children from 4.81% (2001-2011) to 19.75% (2012-2021) [1][2] Group 2: Causes and Challenges - The high incidence of allergic diseases is attributed to multiple factors, including environmental pollution, lifestyle changes, and urbanization, which have collectively contributed to the increasing prevalence [2][3] - Allergic rhinitis is a common chronic condition across all age groups, often coexisting with other allergic conditions such as asthma and atopic dermatitis, leading to a significant burden on healthcare systems [3][4] Group 3: Awareness and Education - There is a lack of awareness among the general public regarding the symptoms and diagnosis of allergic diseases, leading to misdiagnosis and inadequate treatment [5][6] - Medical professionals also face challenges due to insufficient education on allergic diseases, resulting in difficulties in recognizing symptoms and assessing their impact on patients' quality of life [6] Group 4: Treatment Recommendations - Education is crucial for managing allergic rhinitis, emphasizing the importance of recognizing chronic symptoms and avoiding allergens [7][8] - For mild to moderate cases in children, second-generation antihistamines are recommended, while intranasal corticosteroids may be used for more severe cases [7][8] Group 5: Global Initiatives and Collaboration - The World Allergy Organization (WAO) is actively working to improve the diagnosis and treatment of allergic rhinitis through educational programs and the establishment of "Excellence Centers" worldwide, including four in China [12][14] - WAO aims to enhance collaboration with local medical communities to improve healthcare services and raise awareness about allergic diseases [14][16] Group 6: Future Directions - There is a focus on expanding the network of certified allergy centers in China to improve treatment standards and address the public health impact of allergic diseases [16] - The use of digital tools in China for diagnosis, patient follow-up, and education is recognized as a significant advantage that can be leveraged for better management of allergic conditions [17]