Effectiveness of Allergic Rhinitis Management Related to WHO Guideline on Allergic Rhinitis and Its Impact on Asthma (ARIA)
Abstract: The standard
procedure of Allergic Rhinitis (AR) Management in Indonesia is based on
Allergic Rhinitis and Its Impact on Asthma (ARIA) World Health Organization
(WHO) 2008 guideline; however, it needs some adjustment to get an effective use
locally in Indonesia. The data related to the problem however did not exist in
Indonesia. The study aimed to evaluate the effectiveness of AR patient
management based on the ARIA WHO guideline in the Department of
Otorhinolaryngology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital
Bandung.
Methods: The study was conducted from September to October 2015 using
quantitative descriptive design to observe the development of ARIA
classification, total nasal symptom score (TNSS), and quality of life (QoL)
during the first 6 months of therapy. The data were obtained from medical
records of AR patients who visited the Rhinology-Allergy clinic Department of
Otorhinolaryngology-Head and Neck Surgery Dr. Hasan Sadikin General Hospital
within one year. Thirty three patients were included in the study using total
sampling.
Results: There was significant improvement (p<0.001) in ARIA
classification, TNSS, and QoL between the initiation of therapy, the third, and
the sixth month. In contrary, there was no significant difference in ARIA
classification (p=0.109), TNSS (p=0.317), and QoL (p=1.000) between the third
and the sixth month of therapy.
Conclusions: Allergic rhinitis patient management based on the 2008 ARIA
WHO guideline is effective.
Keywords: Allergic rhinitis,
asthma, effectiveness, management
Author: Atika Aziza, Arif
Dermawan, Vycke Yunivita Kusumah Dewi
Journal Code: jpkedokterangg160226
