Penatalaksanaan Pollen Allergy

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dr. Pepi Nurapipah

Penatalaksanaan alergi serbuk sari diawali dengan mengidentifikasi alergen serbuk sari, kontrol lingkungan dan pencegahan paparan terhadap allergen. Terapi farmakologi diberikan untuk mengontrol gejala alergi yang timbul. Imunoterapi dapat dipertimbangkan pada kasus persisten yang tidak terkontrol dengan terapi lain.[6,7,10]

Berobat Jalan

Terapi berobat jalan pada pasien dengan alergi serbuk sari adalah mengidentifikasi alergen penyebab, dalam hal ini, jenis serbuk sari; dan mengurangi kontak dengan alergen. Menghindari paparan alergen adalah cara paling aman dan paling efektif sebagai terapi untuk gejala rhinitis yang muncul karena alergi.[6,10]

Referensi

6. Jean T. Allergic Rhinitis. 2023. https://emedicine.medscape.com/article/134825-overview
7. Ridolo E, Incorvaia C, Pucciarini F, Makri E, Paoletti G, Canonica GW. Current treatment strategies for seasonal allergic rhinitis: where are we heading? Clin Mol Allergy. 2022 Aug 10;20(1):9. doi: 10.1186/s12948-022-00176-x.
8. Jaakkola JJK, Kiihamaki S, Nayha S, et al. Airborne pollen concentrations and daily mortality from respiratory and cardiovascular causes. European Journal of Public Health. 2021. https://academic.oup.com/eurpub/article/31/4/722/6210642
10. D'Amato G, Murrieta-Aguttes M, D'Amato M, Ansotegui IJ. Pollen respiratory allergy: Is it really seasonal? World Allergy Organ J. 2023 Jul 15;16(7):100799. doi: 10.1016/j.waojou.2023.100799.
17. Small, P., Keith, P.K. & Kim, H. Allergic rhinitis. Allergy Asthma Clin Immunol 14, 51. 2018. https://doi.org/10.1186/s13223-018-0280-7
18. Akhouri S, House SA. Allergic Rhinitis. Statpearls Publishing. 2026. https://www.ncbi.nlm.nih.gov/books/NBK538186/
19. Leader P, Geiger Z. Vasomotor Rhinitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2026. https://www.ncbi.nlm.nih.gov/books/NBK547704/
24. deShazo R, Kemp SF. Trigger avoidance in allergic rhinitis. Uptodate. 2026. https://www.uptodate.com/contents/trigger-avoidance-in-allergic-rhinitis-beyond-the-basics
25. Wahid NWB, Shermetaro C. Rhinitis Medicamentosa. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2026. https://www.ncbi.nlm.nih.gov/books/NBK538318/
26. Fein MN, Fischer DA, O'Keefe AW, Sussman GL. CSACI position statement: Newer generation H1-antihistamines are safer than first-generation H1-antihistamines and should be the first-line antihistamines for the treatment of allergic rhinitis and urticaria. Allergy Asthma Clin Immunol. 2019;15:61. Published 2019 Oct 1. doi:10.1186/s13223-019-0375-9
27. Lee CC, Tam YY, Chang YH, Hsieh ML, Shao IH. The impact of pseudoephedrine and antihistamine on lower urinary tract symptoms in male patients with rhinitis: A prospective randomized study. Urol Sci 2020;31:108-13. https://www.e-urol-sci.com/text.asp?2020/31/3/108/287982
28. Choi J, Azmat CE. Leukotriene Receptor Antagonists. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2026. https://www.ncbi.nlm.nih.gov/books/NBK554445/
29. Min Y. The Pathophysiology, Diagnosis and Treatment of Allergic Rhinitis. Allergy, Asthma, and Immunology Research. 2010. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846743/
30. Minutello K, Gupta V. Cromolyn Sodium. StatPearls Publishing. 2026. https://www.ncbi.nlm.nih.gov/books/NBK557473/
31. Tsabouri S, Mavroudi A, Feketea G, Guibas GV. Subcutaneous and Sublingual Immunotherapy in Allergic Asthma in Children. Front. Pediatr., 2017. Sec.Pediatric Pulmonology. https://doi.org/10.3389/fped.2017.00082
32. Bager P, Poulsen G, Wohlfahrt J, Melbye M. The effectiveness of pollen allergen immunotherapy on allergic rhinitis over 18 years: A national cohort study in Denmark. Allergy. 2024 Apr;79(4):1028-1041. doi: 10.1111/all.16026.

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