The Detection of Allergic Rhinitis in Schoolchilden with Bronchial Asthma in Engels: Results of Retrospective Analysis

The research goal of the study was to assess frequency of allergic rhinitis diagnostics in schoolchildren with bronchial asthma and to evaluate treatment approaches to combined allergic pathology of respiratory tract in clinical practice. Materials: Retrospective analysis of medical records of all asthmatic schoolchildren in-patients admitted in 2003-2010 has been performed. 240 patients have been included in the study. Results: 61.7% schoolchildren had symptoms suspicious of allergic rhinitis. Nevertheless, the diagnosis of allergic rhinitis was established only in 56 patients (23.3%). Obviously, children with allergic rhinitis or nasal symptoms had more severe clinical course of asthma. The latter required significantly more frequent and intensive use of prolonged broncholytics in order to enhance the anti-inflammatory treatment (inhalation corticosteroids) (p < 0.05). Conclusion: in schoolchildren with bronchial asthma allergic rhinitis is diagnosed inadequately (insufficiently). This fact does not allow to start treatment intime and ipso facto to improve the clinical course of bronchial asthma.