Adherence in specific immunotherapy

Allergies are steadily gaining in importance in the Western world. For over one hundred years, immunology has been the only causal treatment. Specific immunotherapy (SIT) aims at the cure of allergy or at least freedom from allergy symptoms. In association with this, adherence poses a complex proble...

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Bibliographic Details
Published in:Hautarzt 2017-04, Vol.68 (4), p.282-286
Main Authors: Lemberg, M-L, Joisten, M-J, Mösges, R
Format: Article
Language:ger
Subjects:
Allergens - immunology
Allergens - therapeutic use
Animals
Desensitization, Immunologic - methods
Drug Tolerance - immunology
Evidence-Based Medicine
Humans
Hypersensitivity - immunology
Hypersensitivity - therapy
Medication Adherence
Treatment Outcome
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Summary:Allergies are steadily gaining in importance in the Western world. For over one hundred years, immunology has been the only causal treatment. Specific immunotherapy (SIT) aims at the cure of allergy or at least freedom from allergy symptoms. In association with this, adherence poses a complex problem. Both treatment applications commonly used in Germany-sublingual and subcutaneous immunotherapy-show poor persistence on the part of the patients. In most cases, SIT is not carried out to the end of the recommended duration and instead is discontinued prematurely. Corresponding figures from 3‑year studies in the literature range from 41- 93% for uncompleted SLIT and from 40-77% for uncompleted SCIT. Patient adherence is subject to influencing factors of various dimensions that are interdependent in complex relationships. The physician-patient relationship is just as decisive a factor for treatment success as the patient's understanding of allergy, treatment, and the importance of adherence.
ISSN:1432-1173
DOI:10.1007/s00105-017-3946-z