IV Brazilian Consensus on Rhinitis - an update on allergic rhinitis,

Abstract Introduction The guidelines on allergic rhinitis aim to update knowledge about the disease and care for affected patients. The initiative called "Allergic Rhinitis and its Impact on Asthma", initially published in 2001 and updated in 2008 and 2010, has been very successful in disseminating information and evidence, as well as providing a classification of severity and proposing a systemized treatment protocol. In order to include the participation of other medical professionals in the treatment of allergic rhinitis, it is important to develop algorithms that accurately indicate what should and can be done regionally. Objective To update the III Brazilian Consensus on Rhinitis - 2012, with the creation of an algorithm for allergic rhinitis management. Methods We invited 24 experts nominated by the Brazilian Association of Allergy and Immunology, Brazilian Association of Otorhinolaryngology and Head and Neck Surgery and Brazilian Society of Pediatrics to update the 2012 document. Results The update of the last Brazilian Consensus on Rhinitis incorporated and adapted the relevant information published in all "Allergic Rhinitis and its Impact on Asthma" Initiative documents to the Brazilian scenario, bringing new concepts such as local allergic rhinitis, new drugs and treatment evaluation methods. Conclusion A flowchart for allergic rhinitis treatment has been proposed.

摘要与引言
变应性鼻炎（Allergic Rhinitis）诊疗指南旨在更新该疾病的相关认知，并为受累患者提供规范化诊疗照护。2001年首次发布、并于2008年和2010年更新的“变应性鼻炎及其对哮喘的影响（Allergic Rhinitis and its Impact on Asthma，ARIA）”倡议，在传播相关知识与研究证据、制定病情严重程度分类标准以及提出系统化诊疗方案方面取得了显著成效。为吸纳更多医学专业人员参与变应性鼻炎的临床诊疗工作，亟需开发能够精准指导区域内临床实践的诊疗算法。
研究目标
对2012年版《巴西鼻炎共识（第三版）》进行更新，构建适用于变应性鼻炎管理的诊疗算法。
研究方法
邀请由巴西变态反应与免疫学协会（Brazilian Association of Allergy and Immunology）、巴西耳鼻咽喉头颈外科学会（Brazilian Association of Otorhinolaryngology and Head and Neck Surgery）以及巴西儿科学会（Brazilian Society of Pediatrics）提名的24位专家，对2012年版共识文件开展更新修订工作。
研究结果
本次对《巴西鼻炎共识（第三版）》的更新，将“变应性鼻炎及其对哮喘的影响”倡议发布的全部相关最新研究成果进行整合，并适配巴西本土临床场景，新增了局部变应性鼻炎（local allergic rhinitis）等核心概念，同时纳入新型治疗药物及疗效评估方法。
研究结论
本研究提出了一套变应性鼻炎治疗流程图（flowchart）。