Should ASIT be canceled?


In connection with the ongoing pandemic of coronavirus infection, as well as with the beginning of dusting of birch, the parents of our patients are worried about a lot of questions including about Today, the head of the Department of Clinical Immunology and Allergology of the Research Institute of Pediatrics and Children’s Health of the Central Clinical Hospital of the Russian Academy of Sciences, an allergist-immunologist, Ph.D. Levina Yulia Grigorievna58ac9fe02fe8c424c3900ff07a4b8e2e
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Do I need to cancel allergen-specific immunotherapy (ASIT), in connection with the beginning of flowering of birch and the risk of contracting a coronavirus infection?

Let me remind you that ASIT and is the only effective pathogenetic method for treating hay fever, changing the course of the disease, which consists in the gradual introduction of increasing doses of a causally significant allergen. In this situation, if a child receives ASIT sublingually, in order to achieve the best effect, it is imperative to continue taking the drug according to the scheme recommended by the doctor until the end of birch flowering, there is no need to cancel the drug. An allergist, if necessary, can adjust the dose of the drug. When symptoms of a viral infection, including those caused by coronavirus, appear, ASIT must be suspended. Check with your allergist for further advice. ⠀ ⠀
If we are in self-isolation and do not leave the house, how can we check if there is an effect from ASIT?doctor_170206_154051

There is no need to specifically check the effectiveness of ASIT. If windows are periodically opened in the apartment, pollen grains can get into the room anyway. ⠀
Let me remind you that we recommend that you ventilate the room after rain, in the evening and when there is no wind. Always use air purifiers or air conditioners with a HEPA filter. Do not dry clothes after washing outside (on the balcony), because pollen settles on them. Carry out a wet cleaning in the apartment every day.
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Are children with hay fever at risk for a more severe course of coronavirus infection?

First of all, I would like to note that children are less likely (1-6% of diagnosed cases) and easier than adults to get sick with COVID-19.