BSACI guidelines for the management of allergic and non-allergic rhinitis

Authors: Scadding, G. K.¹; Durham, S. R.²; Mirakian, R.³; Jones, N. S.⁴; Leech, S. C.⁵; Farooque, S.⁶; Ryan, D.⁷; Walker, S. M.⁸; Clark, A. T.³; Dixon, T. A.⁹; Jolles, S. R. A.¹⁰; Siddique, N.¹¹; Cullinan, P.¹²; Howarth, P. H.¹³; Nasser, S. M.³

Source: Clinical & Experimental Allergy, Volume 38, Number 1, January 2008 , pp. 19-42(24)

Publisher: Blackwell Publishing

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Abstract:

Summary

This guidance for the management of patients with allergic and non-allergic rhinitis has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and paediatricians practicing in allergy. The recommendations are evidence graded. During the development of these guidelines, all BSACI members were included in the consultation process using a web-based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are clinical classification of rhinitis, aetiology, diagnosis, investigations and management including subcutaneous and sublingual immunotherapy. There are also special sections for children, co-morbid associations and pregnancy. Finally, we have made recommendations for potential areas of future research.

Keywords: allergen; allergy; antihistamine; anti-leukotriene; aspirin; asthma; BSACI; cat allergen; child; corticosteroid; cromoglicate; decongestant; guideline; house dust mite; IgE; immunotherapy; ipratropium bromide; lactation; nitric oxide; occupational; pregnancy; rhinitis; rhinosinusitis; sinusitis; skin prick test; sublingual immunotherapy; surgery

Document Type: Research article

DOI: 10.1111/j.1365-2222.2007.02888.x

Affiliations: 1: The Royal National Throat Nose & Ear Hospital, Gray's Inn Road, London, UK, 2: Department of Upper Respiratory Medicine, Imperial College NHLI, Guy Scadding Building, Royal Brompton Campus, London, UK, 3: Cambridge University NHS Foundation Trust, Allergy Clinic, Cambridge, UK, 4: Department of Otorhinolaryngology-Head & Neck Surgery, Queens Medical Centre, Nottingham, UK, 5: Department of Child Health, Kings College Hospital, Denmark Hill, London, UK, 6: Department of Asthma, Allergy & Respiratory Medicine, Guy's Hospital, London, UK, 7: Department of General Practice and Primary Care, University of Aberdeen, Aberdeen, UK, 8: Education For Health, The Athenaeum, Warwick, UK, 9: Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, UK, 10: Medical Biochemistry and Immunology, University Hospital of Wales, Cardiff, UK, 11: Department of respiratory medicine, Southampton General Hospital, Southampton, UK, 12: Department of Occupational and Environmental Medicine, Imperial College, London, UK and 13: Southampton General Hospital, Southampton UK

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