Irrigation therapy in the treatment and prevention of allergic rhinitis in young children

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The article outlines the basic provisions for the definition, classification, diagnosis and basic methods of treatment of allergic rhinitis (AR) in children. The role of irrigation-elimination therapy in treatment and prophylaxis of AR exacerbations in children has been singled out. The peculiarities of irrigation-elimination therapy in infants and young children and the most common mistakes in the care of the nasal cavity in infants and young children have been emphasized. The use of nasal shower helps to reduce the concentration of allergens on the mucous membrane of the nasal cavity and nasopharynx, while moistening, which essentially leads to the prevention of AR exacerbations, and also helps to reduce the concentration of viruses, remove dust particles and in some cases refluxant (if gastroesophageal reflux is present). The indications for the use of the Otrivin Baby aspirator and drops in the treatment and prevention of AR in children are outlined and the main points of use of the Otrivin Baby aspirator are explained. The advantages of using the Otrivin Baby device, including the aspirator and sterile isotonic solution drops for treatment and prevention of AR in infants are described.

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About the authors

Natella E. Payganova

ENT Clinic of Dr. Zaitsev

Author for correspondence.
ORCID iD: 0000-0001-7823-5422

Cand. Sci. (Med.), doctor

Russian Federation, Moscow

Andrei P. Yastremskii

Tyumen State Medical University

ORCID iD: 0000-0002-7760-4860

Cand. Sci. (Med.)

Russian Federation, Tyumen


  1. РАДАР. Аллергический ринит у детей: рекомендации и алгоритм при детском аллергическом рините. Изд. 2-е, перераб. и доп. М.: РГ-Пресс, 2017 [RADAR. Allergic rhinitis in children: recommendations and an algorithm for childhood allergic rhinitis. Ed. 2nd, rev. and add. Moscow: RG-Press, 2017 (in Russian)].
  2. Wright AL, Holberg CJ, Martinez FD, et al. Epidemiology of physician-diagnosed allergic rhinitis in childhood. Pediatrics 1994; 94 (6 Pt 1): 895–901. PMID: 7971008
  3. Аллергия у детей: от теории – к практике. Под ред. Л.С. Намазовой-Барановой. М.: Союз педиатров России, 2011 [Allergies in children: from theory to practice. Ed. LS Namazova-Baranova. Moscow: Union of Pediatricians of Russia, 2011 (in Russian)].
  4. Балаболкин И.И. Аллергические болезни у детей раннего и дошкольного возраста: особенности патогенеза и современные подходы к терапии. Аллергология и иммунология в педиатрии. 2013; 35 (4): 11–20 [Balabolkin II. Allergicheskie bolezni u detei rannego i doshkol’nogo vozrasta: osobennosti patogeneza i sovremennye podkhody k terapii. Allergologiia i immunologiia v pediatrii. 2013; 35 (4): 11–20 (in Russian)].
  5. Settipane RA. Demographics and epidemiology of allergic and nonallergic rhinitis. Allergy Asthma Proc 2001; 22: 185–9.
  6. Аллергический ринит. Клинические рекомендации. Педиатрия. Под ред. А.А. Баранова. М.: ГЭОТАР-Медиа, 2005; с. 1–16 [Allergic rhinitis. Clinical guidelines. Pediatrics. Ed. AA Baranov. Moscow: GEOTAR-Media, 2005; p. 1–16 (in Russian)].
  7. Льерль М. Аллергические заболевания носа и уха. В кн.: Клиническая иммунология и аллергология. Под. ред. Г. Лорор, Т. Фишер, Д. Адельман. Пер. с англ. М.: Практика, 2000 [L’erl M. Allergic diseases of the nose and ear. In the book: Clinical immunology and allergology. Ed. G Loror, T Fisher, D Adelman. Moscow: Praktika, 2000 (in Russian)].
  8. Аллергический ринит у детей: рекомендации и алгоритм при детском аллергическом рините. М., 2015 [Allergic rhinitis in children: recommendations and algorithm for childhood allergic rhinitis. Moscow, 2015 (in Russian)].
  9. Румянцев А.Г. Аллергия: механизмы развития и нозологические формы. В кн.: Иммунология детского возраста. Под ред. А.Ю. Щербины, Е.Д. Пашанова. М.: Медпрактика, 2006; с. 373–404 [Rumyantsev AG. Allergy: mechanisms of development and nosological forms. In the book: Childhood Immunology. Ed. AYu Shcherbina, ED Pashanov. Moscow: Medpraktika, 2006; p. 373–404 (in Russian)].
  10. Гаращенко Т.И. Аллергические риниты: проблемы медикаментозного лечения. Consilium Medicum. 2000; Экстравып.: 12–3 [Garashchenko TI. Allergic rhinitis: problems of drug treatment. Consilium Medicum. 2000; Extra issue: 12–3 (in Russian)].
  11. Hermelingmeier KE, Weber RK, Hellmich M, et al. Nasal irrigation as an adjunctive treatment in allergic rhinitis: a systematic review and meta-analysis. Am J Rhinol Allergy 2012; 26: e119–e125.
  12. Satdhabudha A, Poachanukoon O. Efficacy of buffered hypertonic saline nasal irrigation in children with symptomatic allergic rhinitis: a randomized double-blind study. Int J Pediatr Otorhinolaryngol 2012; 76: 583–8.
  13. Pric D, Bond C, Bouchard J, et al. International Primary Care Respiratory Group (IPCRG) guidelines: management of allergic rhinitis. Prim Care Respir J 2006; 15: 58–70.
  14. I. Slapak J, Skoupá P, Strnad P. Horník Efficacy of isotonic nasal wash (seawater) in the treatment and prevention of rhinitis in children. Arch Otolaryngol Head Neck Surg 2008; 134: 67–74.
  15. Bastier P-L, Lechot A, Bordenave L, et al. Nasal irrigation: From empiricism to evidence-based medicine. A review. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132 (Issue 5): 281–5. doi: 10.1016/j.anorl.2015.08.001
  16. Бойкова Н.Э., Гаращенко Т.И. Ирригационная терапия у детей младшего возраста. Медицинский совет. 2016; 16: 74–8 [Boikova NE, Garashchenko TI. Irrigatsionnaia terapiia u detei mladshego vozrasta. Meditsinskii sovet. 2016; 16: 74–8 (in Russian)].



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