Russian Journal of AllergyRussian Journal of AllergyРоссийский Аллергологический Журнал1810-88302686-682XPublishing House ABV Press134410.36691/RAJ.2020.17.1.001ArticlesСтатьиResearch Article2019 ARIA: care pathways for allergic rhinitis in RussiaARIA 2019: алгоритмы оказания помощи при аллергическом рините в РоссииKhaitovMusa RakhimovichХаитовМуса Рахимович

доктор медицинских наук, профессор, член-корр. РАН, директор

mr.khaitov@nrcii.ruNamazova-BaranovaL SeymurovnaНамазова-БарановаЛейла Сеймуровна

доктор медицинских наук, профессор, академик РАН, руководитель; Зав. кафедрой факультета педиатрии педиатрического факультета

Isnamazova@yandex.ruIlyinaN IvanovnaИльинаНаталья Ивановна

доктор медицинских наук, профессор, главный врач

instimmun@yandex.ruKurbachevaO MikhaylovnaКурбачёваОксана Михайловна

доктор медицинских наук, профессор, зав. отделением бронхиальной астмы

kurbacheva@gmail.comBachertClausBachertC

Upper Airways Research Laboratory and Department of Oto-Rhino-Laryngology, Ghent University and Ghent University Hospital, Ghent, Belgium Division of ENT Diseases, CLINTEC, Karolinska Institute

HellingsPeter WHellingsP W

Department of Otorhinolaryngology

PfaarOliverPfaarO

Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy

SchunemannHolger JSchunemannH J

Department of Health Research Methods, Evidence and Impact, Division of Immunology and Allergy

WallaceDBedbrookACzarlewskiWBousquetJean

PhD, Professor

National Research Center - Institute of Immunology Federal Medical-Biological Agency of RussiaФедеральное государственное бюджетное учреждение «Государственный научный центр Институт иммунологии» Федерального медико-биологического агентстваCentral Clinical Hospital of the Russian Academy of Sciences is a multidiscipline medical centreНИИ педиатрии и охраны здоровья детей ЦКБ РАН Миннауки и ВОPirogov Medical UniversityФГАОУ ВО Российский национальный исследовательский медицинский университет им. Н.И. ПироговаUniversity of StockholmUniversity Hospitals LeuvenUniversity Hospital MarburgPhilipps-Universitat MarburgMcMaster UniversityNova Southeastern UniversityMACVIA-France, Fondation partenariale FMC VIA-LRMedical Consulting Czarlewski15022020171VOL 17, NO1 (2020)ТОМ 17, №1 (2020)72202042020Copyright ©; 2020, Pharmarus Print MediaCopyright ©; 2020, Фармарус Принт Медиа2020Pharmarus Print MediaФармарус Принт Медиаhttps://rusalljournal.ru/raj/article/view/1344

One of the most common chronic upper respiratory diseases worldwide is allergic rhinitis (AR). Despite advances in understanding the mechanisms of allergic inflammation, the symptoms of AR in most cases are not completely controlled by modern treatment methods. Allergic rhinitis is a precursor and predisposing factor for the development of other respiratory diseases, one of which is asthma. Diagnosis of AR is being actively conducted, but there is still a serious problem of uncontrolled and chaotic treatment of patients, so it is necessary to provide comprehensive medical care within the national health system. ARIA aims to develop and apply internationally recommendations for the management of patients with allergic respiratory diseases. In collaboration with other international associations that deal with the treatment and diagnosis of allergies and respiratory diseases, regulations and programs have been developed for the treatment of patients with AR, as well as when it is combined with asthma, which form the basis of ARIA. This document has been adapted for use in the field of healthcare in the Russian Federation and covers key issues related to the management of patients with AR and in combination with AR and asthma.

Одним из наиболее распространенных хронических заболеваний верхних дыхательных путей во всем мире является аллергический ринит (АР). Несмотря на успехи в понимании механизмов аллергического воспаления, симптомы АР в большинстве случаев не контролируются полностью современными методами лечения. АР является предвестником и предрасполагающим фактором развития других респираторных заболеваний, одним из которых является бронхиальная астма (БА). Активно ведется диагностика АР, но сохраняется серьезная проблема бесконтрольного и хаотичного лечения пациентов, поэтому необходимо обеспечить всестороннее медицинское обслуживание в рамках национальной системы здравоохранения. На сегодняшний день ARIA (аллергический ринит и его влияние на бронхиальную астму) своей целью ставит разработку и применение на международном уровне рекомендаций по ведению пациентов с аллергическими респираторными заболеваниями. В сотрудничестве с другими международными ассоциациями, которые занимаются лечением и диагностикой аллергии и респираторных заболеваний, были разработаны положения и программы для лечения пациентов с АР, а также при ее сочетании с БА, которые и составляют основу ARIA. Данный документ адаптирован для применения в сфере здравоохранения на территории Российской Федерации и охватывает ключевые вопросы, касающиеся ведения пациентов с АР и в сочетании АР и БА.

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