Penatalaksanaan Pollen Allergy

Oleh :

dr. Pepi Nurapipah

Penatalaksanaan alergi serbuk sari diawali dengan mengidentifikasi alergen serbuk sari, kontrol lingkungan dan pencegahan paparan terhadap alergen, terapi farmakologi untuk mengontrol gejala alergi yang timbul, serta imunoterapi.[11]

Berobat Jalan

Terapi berobat jalan pada pasien dengan alergi serbuk sari adalah mengidentifikasi alergen penyebab, dalam hal ini, jenis serbuk sari; dan mengurangi kontak dengan alergen. Menurut European Academy of Allergy and Clinical Immunology (EAACI), menghindari paparan alergen adalah cara paling aman dan paling efektif sebagai terapi untuk gejala rhinitis yang muncul karena alergi.[5]

Referensi

5. Min Y. The Pathophysiology, Diagnosis and Treatment of Allergic Rhinitis. Allergy, Asthma, and Immunology Research. 2010. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846743/
11. Jean T. Allergic Rhinitis. Medscape. 2022. https://emedicine.medscape.com/article/134825-overview
12. Smaull P, Keith PK, Kim H. Allergic rhinitis. Practical guide for allergy and immunology in Canada 2018. Allergy, Asthma, and Clinical Immunology. 2018. https://aacijournal.biomedcentral.com/articles/10.1186/s13223-018-0280-7#citeas
13. Akhouri S, House SA. Allergic Rhinitis. Statpearls Publishing. 2022. https://www.ncbi.nlm.nih.gov/books/NBK538186/
20. deShazo RD, Kemp SF, Corren J. Patient education: Trigger avoidance in allergic rhinitis (Beyond the Basics). Apr 2022. https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms
21. Rxlist. Flonase. Rxlist. 2020. https://www.rxlist.com/flonase-drug.htm#indications
22. Mims. Chlorphenamine. Mims. 2022. https://www.mims.com/indonesia/drug/info/chlorphenamine
23. Mims. Phenylephrine. Mims. 2022. https://www.mims.com/indonesia/drug/info/phenylephrine?mtype=generic
24. Minutello K, Gupta V. Cromolyn Sodium. StatPearls Publishing. 2022. https://www.ncbi.nlm.nih.gov/books/NBK557473/
25. Pawankar R, Wang J, Wang I, Thien F, Chang Y, et al. Asia Pacific Association of Allergy Asthma and Clinical Immunology White Paper 2020 on climate change, air pollution, and biodiversity in Asia-Pacific and impact on allergic diseases. Asia Pac Allergy 2020;10(1):e11.
26. Wahid NWB, Shermetaro C. Rhinitis Medicamentosa. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK538318/
27. Lee CC, Tam YY, Chang YH, Hsieh ML, Shao IH. The impact of pseudoephedrine and antihistamine on lower urinary tract symptoms in male patients with rhinitis: A prospective randomized study. Urol Sci 2020;31:108-13. https://www.e-urol-sci.com/text.asp?2020/31/3/108/287982
28. Choi J, Azmat CE. Leukotriene Receptor Antagonists. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK554445/
29. Tsabouri S, Mavroudi A, Feketea G, Guibas GV. Subcutaneous and Sublingual Immunotherapy in Allergic Asthma in Children. Front. Pediatr., 21 April 2017. Sec.Pediatric Pulmonology. https://doi.org/10.3389/fped.2017.00082
30. Fein MN, Fischer DA, O'Keefe AW, Sussman GL. CSACI position statement: Newer generation H1-antihistamines are safer than first-generation H1-antihistamines and should be the first-line antihistamines for the treatment of allergic rhinitis and urticaria. Allergy Asthma Clin Immunol. 2019;15:61. Published 2019 Oct 1. doi:10.1186/s13223-019-0375-9

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Referensi

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