Asia Pacific allergy · 2025
Prevalence and characteristics of allergic disease among pediatric patients of urban, rural, and remote primary care clinics: A multisite study in the Philippines.
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Tan-Lim Carol Stephanie C, Falcon Robbi Miguel G, Feliciano Jeremiah F, Fong Michael B, Dans Leonila F, Rey Mia P, Dans Antonio Miguel L
Аннотация
BACKGROUND: There is a dearth of epidemiologic studies on allergic diseases in children in the Philippines.
OBJECTIVE: This study aimed to describe the prevalence, characteristics, and management of allergic disease consultations among pediatric patients who visited urban, rural, and remote primary care health facilities.
METHODS: This was a cross-sectional study involving all pediatric patients less than 19 years old who sought consultation in the primary care facilities in the urban, rural, and remote sites from May 1, 2019, to April 30, 2022. Data from each pediatric consult were encoded in real time into the electronic health record (EHR) by healthcare workers in the primary care sites. The Philippine Primary Care Studies data management team extracted from the EHR the month and year of consultation, frequency of consults, demographic factors including age, sex, and location, and clinical factors including chief complaint, diagnosis, management, and family history of allergic disease of the study participants.
RESULTS: There were 20,380 pediatric patients who consulted in the 3 primary care sites over the 3-year study period from May 1, 2019, to April 30, 2022, of which 546 (2.7%) had an allergic condition. The most common allergic condition across the sites was asthma at 74.9%, followed by atopic dermatitis (13.2%) and allergic contact dermatitis (8.1%). The average number of consults per patient was 1.2 (standard deviation: 0.7). Significant variation in the pharmacologic management of the various allergic conditions was observed across the sites.
CONCLUSION: The prevalence of allergic conditions among pediatric patients consulting in the 3 primary care sites was 2.7%, although this is likely an underestimate due to missed diagnosis especially for mild or asymptomatic disease, and lack of confirmatory testing in the primary care setting. Underutilization of first-line medications and overutilization of nonessential drugs were more apparent in the rural and remote sites.
OBJECTIVE: This study aimed to describe the prevalence, characteristics, and management of allergic disease consultations among pediatric patients who visited urban, rural, and remote primary care health facilities.
METHODS: This was a cross-sectional study involving all pediatric patients less than 19 years old who sought consultation in the primary care facilities in the urban, rural, and remote sites from May 1, 2019, to April 30, 2022. Data from each pediatric consult were encoded in real time into the electronic health record (EHR) by healthcare workers in the primary care sites. The Philippine Primary Care Studies data management team extracted from the EHR the month and year of consultation, frequency of consults, demographic factors including age, sex, and location, and clinical factors including chief complaint, diagnosis, management, and family history of allergic disease of the study participants.
RESULTS: There were 20,380 pediatric patients who consulted in the 3 primary care sites over the 3-year study period from May 1, 2019, to April 30, 2022, of which 546 (2.7%) had an allergic condition. The most common allergic condition across the sites was asthma at 74.9%, followed by atopic dermatitis (13.2%) and allergic contact dermatitis (8.1%). The average number of consults per patient was 1.2 (standard deviation: 0.7). Significant variation in the pharmacologic management of the various allergic conditions was observed across the sites.
CONCLUSION: The prevalence of allergic conditions among pediatric patients consulting in the 3 primary care sites was 2.7%, although this is likely an underestimate due to missed diagnosis especially for mild or asymptomatic disease, and lack of confirmatory testing in the primary care setting. Underutilization of first-line medications and overutilization of nonessential drugs were more apparent in the rural and remote sites.