Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
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Ann. Allergy Asthma Immunol. · Dec 2006
ReviewThe expanding role of leukotriene receptor antagonists in chronic asthma.
To provide a comprehensive review of studies that evaluate the effects of leukotriene receptor antagonists in adult chronic asthma. ⋯ In the management of chronic asthma, leukotriene receptor antagonists have emerged as a useful oral nonsteroidal anti-inflammatory adjunct both as monotherapy and in combination with other classes of drugs. Monitoring their effects in terms of lung function alone may result in clinicians missing beneficial effects on inflammatory biomarkers, airway hyperresponsiveness, and exacerbations.
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Ann. Allergy Asthma Immunol. · Nov 2006
Randomized Controlled Trial Multicenter StudyEffects of treatment with mometasone furoate dry powder inhaler in children with persistent asthma.
Mometasone furoate dry powder inhaler (DPI) has been shown to effectively treat asthma in children. ⋯ Both mometasone furoate DPI doses were well tolerated and significantly improved lung function, maintained effective asthma control, and improved quality of life in children with asthma.
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Ann. Allergy Asthma Immunol. · Nov 2006
Safety and effectiveness of a preoperative allergy clinic in decreasing vancomycin use in patients with a history of penicillin allergy.
We developed a clinical pathway to optimize the use of antimicrobials by decreasing vancomycin use in preoperative patients with a history of penicillin allergy. ⋯ Establishment of a clinical pathway in a preoperative clinic that includes allergy consultation and penicillin skin testing reduced vancomycin use to only 16% in surgical patients with a history of beta-lactam allergy.
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Ann. Allergy Asthma Immunol. · Nov 2006
Rates of retrieval of self-injectable epinephrine prescriptions: a descriptive report.
Some studies have demonstrated poor patient compliance with carrying and administering self-injectable epinephrine (SIE). No study has attempted to define the number or characteristics of patients who are prescribed SIE and subsequently do not retrieve the prescription. ⋯ Elderly patients and those receiving care in clinic settings are more likely to fill an SIE prescription. Determining why patients do not fill an SIE prescription may help focus patient education efforts.
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Ann. Allergy Asthma Immunol. · Oct 2006
Case ReportsPostoperative ST-segment elevation: was vasospasm caused by anaphylaxis or by its treatment with epinephrine?
Anaphylaxis must be recognized and treated promptly to avoid significant morbidity and mortality. In this clinical setting, electrocardiographic changes can be multifactorial. ⋯ Cardiovascular complications, including electrocardiographic changes, may be induced by anaphylactic mediators or by medications used for its treatment.