Clinical Practice Guideline: Allergic Rhinitis
Leadership: Michael D. Seidman, MD, (Chair), Richard K. Gurgel MD, (Assistant Chair), Sandra Y. Lin, MD (Assistant Chair), Seth R. Schwartz, MD, MPH (Methodologist).
Guideline Development Group: Fuad M. Baroody, MD; James R. Bonner, MD; Douglas E. Dawson, MD; Mark S. Dykewicz, MD; Jesse M. Hackell, MD; Joseph K. Han, MD; Stacey L. Ishman, MD, MPH; Helene J. Krouse, PhD, ANP-BC; Sonya Malekzadeh, MD; James (Whit) W. Mims, MD; Folashade S. Omole, MD; William D. Reddy, LAc, DiplAc; Dana V. Wallace, MD; Sandra A. Walsh; Barbara E. Warren, PsyD, MEd; Meghan N. Wilson, MD; Lorraine C. Nnacheta, MPH
The guideline was published as a supplement in the February 2015 issue of Otolaryngology—Head and Neck Surgery.
The primary purpose of this guideline is to address quality improvement opportunities for all clinicians, in any setting, who are likely to manage patients with AR, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The guideline is intended to be applicable for both pediatric and adult patients with AR. Children under the age of 2 years were excluded in this clinical practice guideline because rhinitis in this population may be different than in older patients and is not informed by the same evidence base.
Endorsed by: American Academy of Family Physicians, July 2015
- Published Guideline
- Executive Summary
- Part 1: The guideline's process and general implications
- Part 2: Implications for non-otolaryngologists
- Slide set available: Contact Sarah O'Connor firstname.lastname@example.org for more information
- Education Opportunities
- AAO-HNSF Continuing Medical Education (CME) visit www.academyu.org (Academy login required)
- AAO-HNSF Clinical Practice Guideline Lecture: Allergic Rhinitis
- Pediatric Webinar Series: Allergic Rhinitis
- AcademyQ CME: Rhinology & Allergy
- ABOto Maintenance of Certification (MOC) visit www.aboto.org (ABOto login required)
- Performance Improvement Modules (PIMs) (ABOto MOC participation required)
- Allergy Immunotherapy
- Figures from the Clinical Practice Guideline: Allergic Rhinitis
- Recommendations for adding second medication to treat Allergic Rhinitis (Fig 1)
- Diagnosis and Treatment Flow Chart (Fig 2)
- Common clinical scenarios (Fig 3)
- Research Needs
- View/Order Guideline Pocket Card and Mobile App
In 2012 the ABIM Foundation launched Choosing Wisely® with a goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures.
Choosing Wisely centers around conversations between providers and patients informed by the evidence-based recommendations.
History, physical examination and allergy testing are the cornerstones of diagnosis of allergic rhinitis. The utility of imaging for allergic rhinitis is unproven.
- Plain Language Summary
- Allergies and Hay Fever
- Allergic Rhinitis Environmental Control Measures
- Allergic Rhinitis Guideline Medication recommendations
- Allergic Rhinitis Intranasal Antihistamines table
- Allergic Rhinitis Oral Antihistamines table
- Allergic Rhinitis history and physical findings
- Decision aids to help people who are facing health treatment or screening