Analysis of allergic conditions in children with bronchial asthma in Quanzhou
Objective To investigate allergic conditions in children with bronchial asthma in Quanzhou.Methods Three hundred and twenty children with bronchial asthma admitted to Quanzhou Children's Hospital from January 2012 to June 2023 were enrolled.The distribution of allergens and the involvement of other systems were assessed.Results The positive rate of detected allergens in 320 children with bronchial asthma was 89.38%.The main inhalation allergens were dust mites,house dust,and cockroaches,accounting for 74.38%,20.94%and 14.69%,respectively.The main food allergens are chicken pro-tein,milk,and crab,accounting for 19.69%,19.02%and 12.81%,respectively.There were differences in the positive distri-bution of dust mites,house dust,dog fur and chicken protein in different age groups.The positive rate of dust mites in the in-fant group was lower than that in the preschool and school-age groups(x2=29.24,33.87,P<0.05);Compared with the school-age group,the positive rate of dog fur in the preschool group was significantly higher(x2=10.07,P=0.002);Com-pared with school-age group,the positive rate of chicken protein in preschool group was significantly higher(X2=10.54,P=0.001).Among the 320 patients,221(69.06%)developed other allergic disorders,75(23.44%)had three or more allergic disorders related to other systems.165 cases required diagnosis and treatment for otolaryngologic conditions,including 162 cases of rhinitis;118 cases required diagnosis and treatment for dermatological conditions;11 cases for nutrition conditions;6 cases for ophthalmic conditions;4 cases for digestive conditions;and 4 cases for drug conditions.Conclusion The main allergen of children with bronchial asthma in Quanzhou is dust mites.There are differences in the positive allergen distribution of dust mites,house dust,dog fur and egg protein in children of different ages.Bronchial asthma is likely to coexist with allergic mani-festations in multiple systems.Attention should be paid to multidisciplinary evaluation and management.