COMPARISON OF COMBINED ALLERGEN AVOIDANCE COUNSELING WITH STANDARD TREATMENT VERSUS STANDARD TREATMENT ALONE IN PATIENTS WITH ALLERGIC RHINITIS SENSITIZED TO AIRBORNE ALLERGENS

Tài Trần Thiên, Lâm Hoàng Thị, Tùng Lê Đình, Viện Nguyễn Thị Mỹ, Huỳnh Nguyễn Thị Như, Thu Lê Thị Minh

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Abstract

Objective: To evaluate the efficacy of allergen avoidance counseling combined with standard treatment versus standard treatment alone in mono-sensitized allergic rhinitis patients. Methods: A prospective interventional study was conducted on 71 mono-sensitized allergic rhinitis patients divided into an intervention group (n=30) receiving treatment plus allergen avoidance counseling and a control group (n=41) receiving only standard treatment. Efficacy was assessed through clinical symptoms, ARIA classification, and EQ-VAS scores at three timepoints. Results: The intervention group showed superior improvement in nasal congestion (100% decreased to 20%, p<0.001), sneezing (90% to 13.33%, p<0.001), rhinorrhea (93.33% to 46.67%, p<0.001), and nasal itching (93.33% to 26.67%, p<0.001). The proportion of "mild intermittent" cases increased from 16.67% to 60.00% (p=0.001), while "moderate-severe persistent" cases decreased from 46.67% to 16.67% (p=0.001). Conclusion: Combining allergen avoidance counseling with standard treatment provides superior and more sustainable clinical improvement compared to treatment alone in mono-sensitized allergic rhinitis patients.

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References

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