DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20183694

Prevalence of allergic rhinitis in school going children in Kashmir

Shahnaz Sheikh, Anushree Bajaj, Farooq Ahmad Dar, Rauf Ahmad, Showkat Ahmad Dar

Abstract


Background: Allergic rhinitis is a common chronic paediatric disorder affecting about 40% of children affected. Allergic rhinitis results in day time fatigue, impairment of cognition and memory which significantly affect the learning process and impact on the school performance of children. The aim of the study was to determine the prevalence of allergic rhinitis in school going children in Kashmir.

Methods: Cross sectional questionnaire based observational study. Study group included the school going children chosen randomly from various schools of urban and rural areas of Kashmir valley aged 6-18 years.  

Results: Out of the 402 children prevalence of allergic rhinitis was 28.85%. Prevalance in urban and rural area school going children was 55.2% and 44.8% respectively. The most common symptom was nasal obstruction 79.31%. The most common allergen was dust mite 77.58% and the most common comorbidity was asthma.

Conclusions: The prevalence of allergic rhinitis shows a significant rise in last few years, more common in rural areas, and existing as co-morbidity in a significant proportion of children demanding a comprehensive strategic approach to deal with them.

 


Keywords


Prevalence, Allergic rhinitis, Asthma, Comorbidity

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References


Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA2LEN and Aller Gen) Allergy. 2008;63(Suppl 86):8–160.

Jáuregui I, Mullol J, Dávila I, Ferrer M, Bartra J, del Cuvillo A, et al. Allergic rhinitis and school performance. J Investig Allergol Clin Immunol. 2009;19(Suppl 1):32–9.

Shah A, Pawankar R. Allergic rhinitis and co-morbid asthma:perspective from India - ARIA Asia-Pacific Workshop report. Asian Pac J Allergy Immunol. 2009;27:71–77.

Von Parquet. Allergic Munc Med Wochenshr 1906;53()5):1457.

Gel Philip, Combi RRA. Clinical aspects of immunology London: Blackwell. 1967.

Ciprandi G, Cirillo I, Pistorio A. Impact of allergic rhinitis on asthma effects on spirometric parameters. J Allergy. 2008;63:255-60.

Sayın İ, Cingi C, San T, Ulusoy S, Acar M. An important social problem: allergic rhinitis. J Med Updates. 2013;3(2):91-5.

Soto MTS, Patiño A, Nowak D, Radon K. Prevalence of asthma, rhinitis and eczema symptoms in rural and urban school-aged children from Oropeza Province - Bolivia:a cross-sectional study. BMC Pulmonary Med. 2014;14:40.

Jáuregui I, Mullol J, Dávila I, Ferrer M, Bartra J, del Cuvillo A, et al. Allergic rhinitis and school performance. J Investig Allergol Clin Immunol. 2009;19 Suppl 1:32-9.

Magnan A, Meunier JP, Saugnac C, Gasteau J, Neukirch F. Frequency and impact of allergic rhinitis in asthma patients in everyday general medical practice:a French observational cross-sectional study. Allergy. 2008;63(3):292-8.

Dykewicz MS, Fineman S, Skoner DP, Nicklas R, Lee R, Blessing-Moore J, et al. Diagnosis and management of rhinitis: complete guidelines of the joint task force on practice in Allergy, Asthma and Immunology American Academy of Allergy, Asthma Land Immunology. Ann Allergy Asthma Immunol. 1998;81:478-518.

Cruz AA, Popov T, Pawankar R, Annesi-Maesano I, Fokkens W, Kemp J, et al. Common characteristics of upper and lower airways in rhinitis and asthma. Allergy. 2007;84:1-41.

Wright Al, Holberg CJ, Martinez FD, Halonen M, Morgan W, Taussig LM. Epidemiology of physician diagnosed Allergic rhinitis in childhood. Pediatrics. 1994;94:895-9014.

Demoly P, Bousquet PJ. Links between allergic rhinitis and asthma still reinforced. Allergy. 2008;63:251-4.

Braun-Fahrlander et al. Prevalence of hay fever and allergic sensitization in farmers children and their peers living in the same rural community (Swiss study). Clin Experimental Allergy. 1999;29:28-34.

Bousquet J, Schünemann HJ, Samolinski B, Demoly P, Baena-Cagnani CE, Bachert C, et al. Allergic rhinitis and its impact on asthma comorbidity and complications. J Allergic Clin Immunol. 2000:1.

Demoly P, Allaert FA, Lecasble M, Bousquet J; PRAGMA. Validation of classification of ARIA (Allergic rhinitis and its impact on asthma). Allergy. 2003;58:672-5.

Rusconi F Galassi C, Corbo GM, Forastiere F, Biggeri A, Ciccone G, et al. Risk factors for early, persistent and late onset wheezing in young children. Am J Respir Crit Care. 1999;160:1617-22.

Camargos P, Ibiapina C, Lasmar L, Cruz AA. Obtaining concomitant control of allergic and asthma with a nasally inhaled corticosteroid. Allergy. 2007;62:310-6.

Taramarcaz P, Gibson PG. Intranasal corticosteroids for asthma control in people with coexisting asthma and rhinitis. Cochrane Database Sys Rev. 2003(4):CD003570.