Prevalencia y perfil de sensibilización a aeroalérgenos en 1.199 niños asmáticos: serie consecutiva de casos
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Fecha
2014
Profesor/a Guía
Facultad/escuela
Idioma
es
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Editor
Sociedad Médica de Santiago
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Background: The prevalence of atopy in asthmatic children is widely variable
around the world as demonstrated by large multicentric international studies.
Aim: To determine the prevalence of atopy, defined as a positive reaction to
one or more allergens in the skin prick test (SPT), in children with persistent
asthma. Material and Methods: We studied 1,199 children (54% male), aged
between 4 and 16 years with confirmed diagnosis of asthma and followed at a
Department of Pediatric Respiratory Medicine, between 2006 and 2011. SPT
was performed according to international recommendations using standardized
aeroallergens, in the forearm. A positive reaction was defined as a wheal ≥ 3 mm
to one or more allergens. Results: The overall prevalence of atopy (positive SPT)
was 49.4% (95% confidence interval (CI) 46.5-52.2) and there was a significant
trend towards a higher prevalence with increasing age (p < 0.01). The main
allergens with positive reactions were Dermatophagoides with 24.9% (95% CI
26.7-31.9), grass 24.0% (95% CI 21.6-26.5), weeds 19.0% (95% CI 16.9-21.4),
cat 17.7% (95% CI 15.4-20.2), and Alternaria with 11.0% (95% CI 9.1-13.1).
Sixty five percent of positive children reacted to one or more allergens. There were
no adverse reactions. Conclusions: In the southern metropolitan area of Santiago
de Chile, half of children with asthma are sensitized to common aeroallergens.
(Rev Med Chile 2014; 142: 567-573)
Key words: Asthma; Child; Epidemiology; Hypersensitivity.
Notas
Indexación: Web of Science; Scielo.
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Citación
Rev Med Chile 2014; 142: 567-573