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The acceptability and tolerability of nasal douching in children with allergic rhinitis: A systematic review

The acceptability and tolerability of nasal douching in children with allergic rhinitis: A systematic review
The acceptability and tolerability of nasal douching in children with allergic rhinitis: A systematic review
BACKGROUND:

Allergic rhinitis (AR) is a significant issue in children. Treatment options include allergen avoidance, pharmacotherapy and immunotherapy. The use of nasal saline douching (NSD) in children has recently gained acceptability. However, there is limited data regarding the acceptability and tolerability of NSD in children with AR.
METHODS:

A search was conducted using Medline and Embase databases from January 1946 until June 2015 on the use of NSD in children aged 4-12 years with AR. All publications identified that assessed the beneficial effects, acceptability and tolerability were included.
RESULTS:

40 studies were analyzed. Data varied considerably in terms of saline solutions used, modality of application, participant numbers, study design, follow up and outcomes. Factors that appear to influence the acceptability and tolerability of NSD include parental and health professionals' preconceptions, and characteristics of the solution.
CONCLUSIONS:

Nasal saline douching appears to be effective, being accepted and tolerated in the majority of children (78-100%). NSD has a significant positive impact on the quality of life in children with allergic rhinitis. When used as an adjunctive treatment having mainly a cleansing property, NSD potentiates the effects and may reduce the dose required of AR medications. Among the principal factors that influence the acceptability and tolerability of NSD are the child's age, delivery system and method, and tonicity. Nasal saline douching provides an accessible, low cost, low morbidity, easy to use treatment in children with allergic rhinitis.
0165-5876
126-135
Gutierrez-Cardona, Nelson
97d8d970-ee85-48b1-84c1-109fc0b9f78a
Sands, Paula
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Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Lucas, Jane S.
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Walker, Woolf
0758e514-9212-4388-8879-e5a2dca3dbaa
Salib, Rami
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Burgess, Andrea
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Ismail-Koch, Hasnaa
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Gutierrez-Cardona, Nelson
97d8d970-ee85-48b1-84c1-109fc0b9f78a
Sands, Paula
a0cff5c9-3d81-4fd4-8dad-cf4196bb6f46
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Lucas, Jane S.
5cb3546c-87b2-4e59-af48-402076e25313
Walker, Woolf
0758e514-9212-4388-8879-e5a2dca3dbaa
Salib, Rami
d6fde1c1-5b5e-43f7-ae1c-42cce6a0c9fc
Burgess, Andrea
5f0c861d-1a20-4afa-b1e2-156c175dcadd
Ismail-Koch, Hasnaa
0c563edc-2338-4367-a880-284b47fda04a

Gutierrez-Cardona, Nelson, Sands, Paula, Roberts, Graham, Lucas, Jane S., Walker, Woolf, Salib, Rami, Burgess, Andrea and Ismail-Koch, Hasnaa (2017) The acceptability and tolerability of nasal douching in children with allergic rhinitis: A systematic review. International Journal of Pediatric Otorhinolaryngology, 98, 126-135. (doi:10.1016/j.ijporl.2017.04.040).

Record type: Article

Abstract

BACKGROUND:

Allergic rhinitis (AR) is a significant issue in children. Treatment options include allergen avoidance, pharmacotherapy and immunotherapy. The use of nasal saline douching (NSD) in children has recently gained acceptability. However, there is limited data regarding the acceptability and tolerability of NSD in children with AR.
METHODS:

A search was conducted using Medline and Embase databases from January 1946 until June 2015 on the use of NSD in children aged 4-12 years with AR. All publications identified that assessed the beneficial effects, acceptability and tolerability were included.
RESULTS:

40 studies were analyzed. Data varied considerably in terms of saline solutions used, modality of application, participant numbers, study design, follow up and outcomes. Factors that appear to influence the acceptability and tolerability of NSD include parental and health professionals' preconceptions, and characteristics of the solution.
CONCLUSIONS:

Nasal saline douching appears to be effective, being accepted and tolerated in the majority of children (78-100%). NSD has a significant positive impact on the quality of life in children with allergic rhinitis. When used as an adjunctive treatment having mainly a cleansing property, NSD potentiates the effects and may reduce the dose required of AR medications. Among the principal factors that influence the acceptability and tolerability of NSD are the child's age, delivery system and method, and tonicity. Nasal saline douching provides an accessible, low cost, low morbidity, easy to use treatment in children with allergic rhinitis.

Text
Gutierrez-Cardona N Nasal douche SR Iny J Ped Or 2017
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More information

Accepted/In Press date: 25 April 2017
e-pub ahead of print date: 29 April 2017
Published date: 1 July 2017

Identifiers

Local EPrints ID: 413403
URI: https://eprints.soton.ac.uk/id/eprint/413403
ISSN: 0165-5876
PURE UUID: 8f8ff9cc-a51e-4061-9f42-49812293587d
ORCID for Paula Sands: ORCID iD orcid.org/0000-0001-8247-029X
ORCID for Rami Salib: ORCID iD orcid.org/0000-0002-6753-7844

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Date deposited: 23 Aug 2017 16:32
Last modified: 03 Dec 2019 01:51

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Contributors

Author: Nelson Gutierrez-Cardona
Author: Paula Sands ORCID iD
Author: Graham Roberts
Author: Jane S. Lucas
Author: Woolf Walker
Author: Rami Salib ORCID iD
Author: Andrea Burgess
Author: Hasnaa Ismail-Koch

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