The ARGA study with Italian general practitioners: prescriptions for allergic rhinitis and adherence to ARIA guidelines.

Background: Generaplr actitione(GrsP sa)r et heh ealthcaprero fessiontaol ws homp atientwsi thr hinitifsir stlyre ferfo r theirs ymptoms. 0bjective: Int hep resenstt udyw, e assesseddr ugp rescriptiofnosra llergirch initi(sA Ra) nde valuatepdr escriptive adherenctoe A RIAtr eatmenqtu idelines. Methods: Datao n1 379A Rp atientwse rec ollectebdy 1 07l talianG PsA. dherenctoeA RIAg uidelinewsa se valuated accordintgo ARs everitcyl assification. Results: ARw asd iagnosebdy G Psa s mildi ntermittetnotr 46.2oo/of p atientsm, ildp ersistenfot r2 6.6%m, oderateseverein termittenfot r 20.20/oa,n d moderate-sevepreer sistenfto r 7o/o4i 3.7o/oof AR patientsh ad concomitaanst thmaT. hem ostf requentplyr escribethde rapeutgicro upsw erea ntihistamin(easn ti-H, 76%)a ndn asacl orticosteroi(dNsC S4, 6%).A nti-Hw eres ignificantulys edm oreo ftent o treatA Ra lone thanA R+ asthm(a8 5v s,6 8%,p < 0.001)w, hereaNsC Sw ereu sedm oreo ftento t reaAt R+ asthmtah an ARa lone( 50vs.4 201P0:,0 .01). Amongp atientws itho nlym ildi ntermitteAnRt ,3 9%w erep rescribed combinetdh erapyA. mongp atientws rthm oderate-sevepreer sistenAtR ,3 0%o f thosew ithA Ra lonea nd 18%o f thosew ithA R+ asthmaw erep rescribemdo notherabpays edo na nti-HG. Psw erem orec ompliant withA RIAg uidelinewsh ilet reatinAg Ra lone( 57%t)h anA R+ asthma(4 6%)p atientsT.h ea dherence increaseadc cordintgo thes everitgyr adea ndw ass atisfactofroyr m oderate-sevepreer sisteAntR ( 89%fo r ARa lonea nd9 5%f orA R+ asthma). Conclusions: Adherencteo ARIAg uidelineiss satisfactooryn lyf or treatmenotf mores everep atientsth, usG Ps oftent endt o treatp atientisn dependenftrloym A RIAg uidelineSs.in cep rescriptiodna tao nlyp rovide limitedin formatioton judgep rescribinqgu alitys, omed eviati0fnro mt he golds tandarda re to be exoected.