Abstract
Up to 40% of children may have allergic rhinitis, which can, among other adverse outcomes, undermine quality of life, exacerbate comorbid asthma, and impair school and examination performance. Once-daily long-acting antihistamines or intranasal corticosteroids are the usual first-line treatments for children with allergic rhinitis. Second-line treatments include short-courses of combinations of an intranasal corticosteroid and topical decongestant or, particularly before exams, oral steroids. Although not life threatening, school nurses need to be cognisant of several issues surrounding allergic rhinitis.
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