PT - JOURNAL ARTICLE AU - Guergana Petrova AU - Snezhina Lazova AU - Vera Papochieva AU - Dimitrinka Miteva AU - Penka Perenovska TI - Allergic rhinitis does it have an impact on controller asthma therapy choice DP - 2014 Sep 01 TA - European Respiratory Journal PG - P1168 VI - 44 IP - Suppl 58 4099 - http://erj.ersjournals.com/content/44/Suppl_58/P1168.short 4100 - http://erj.ersjournals.com/content/44/Suppl_58/P1168.full SO - Eur Respir J2014 Sep 01; 44 AB - Background: In the last decade there is a worldwide increase in prevalence of allergic rhinitis (AR) and asthma. After the relationship between both entities was clarified the latest guidelines recommend integrated management.Method: The records of 882 children (324 girls and 558 boys, mean age 7,5 y) admitted for asthma attack in our department for a period of 4 years (Jan. 2010- Dec. 2013) were analyzed for gender, age, AR and controller.Results: The total number of patients was not significantly different and there were no significant difference in gender and age distribution through the years. AR was documented in 499 children (average 55.79%) with increasing prevalence from 51.52% in 2010 to 58.76% in 2012. Excluding 2013 boys had higher AR prevalence 60-61% vs.51-56% in girls. All patients regardless their AR status received antihistamines as additional therapy and 18 didn't have controller therapy (14 in 2010 , 1 in 2011 and 3 in 2013). While in 2010 the children had as a controller therapy Inhaled corticosteroids (ICS) more often (>60%), in 2011, 2012 and 2013 leukotriene receptor antagonist (LTRA) alone or in combination with ICS prevailed(>60%). Combined therapy (ICS+LTRA ± long acting beta2 agonist) was mainly prescribed for children older than 10 years. Some (all of them with AR) of the patients were re-admitted in the studied period – all of them with poor asthma control and AR.Conclusion: As all guidelines and research papers state the role of LTRA – there is increasing use of them in children with asthma even in cases without AR. Better understanding and control of AR is related with better asthma control and less emergency department visits and hospitalizations.