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Review

Nonpharmacological measures to prevent allergic symptoms in pollen allergy: A critical review

Karl-Christian Bergmann, Markus Berger, Ludger Klimek, Oliver Pfaar, Barbora Werchan, Matthias Werchan, and Torsten Zuberbier

Volume 5 (2021) p. 349 - 360

Abstract

Allergologie select, Vol. 5/2021 (349-360)

Nonpharmacological measures to prevent allergic symptoms in pollen allergy: A critical review

Karl-Christian Bergmann¹, Markus Berger², Ludger Klimek³, Oliver Pfaar⁴, Barbora Werchan⁵, Matthias Werchan⁵, and Torsten Zuberbier¹

¹Charité, Universitätsmedizin Berlin, Clinic for Dermatology, Venereology and Allergy, Berlin, Germany, ²Institut für Pathophysiologie und Allergieforschung, Zentrum für Pathophysiologie, Infektiologie und Immunologie, Medizinische Universität Wien, Vienna, Austria, ³Center for Rhinology and Allergology, Wiesbaden, ⁴Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, ⁵German Pollen Information Service Foundation (PID), Berlin, Germany
Allergic rhinoconjunctivitis (hay fever) is the most common chronic disease in all industrialized nations. Therapy consists essentially in the use of anti-allergic and anti-inflammatory drugs, which mostly show a good and quick effect. With allergenspecific immunotherapy, there is also a causal possibility of tolerance induction. There is currently a considerable undersupply, as those affected trivialize the symptoms and often have concerns about long-term drug therapy. There is also great interest in using non-medicinal measures to prevent and/or relieve allergic symptoms on the assumption that these are free from side effects. In this publication, we present non-drug methods for which clinical studies are available in the literature. The methods have varying degrees of effectiveness. An evidence-based comparative assessment between the methods is not possible. There are also hardly any studies in comparison to standard drug therapy. A large number of the interventions consist of allergen reduction, e.g., with air filters, or cleaning of the mucous membranes with nasal irrigation, etc., none of which should be seen as a substitute but as a supplement to drug therapy.Correspondence to:
Prof. Dr. Karl-Christian Bergmann, Charité, Universitätsmedizin Berlin, Klinik für Dermatologie, Venerologie und Allergie, Luisenstraße 2, 10117 Berlin, Germany
Email: [email protected]

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