Physicians’ Perception on Allergic Rhinitis and Its Management: A Questionnaire Based Survey

  • Divya PrabhatEmail author
  • Deepa Sholapuri
  • Ganesh Uchit
Original Article


Despite high prevalence and impact on quality of life, Allergic Rhinitis (AR) is undertreated. Furthermore, existence of a relationship between AR and upper respiratory tract infection (URTI) is less explored. This Pan-India survey intended to assess physicians’ perception about AR and URTI, and management practices in Indian setting. This questionnaire-based survey was conducted by telephonically interviewing 300 physicians [Consultant Physicians (CP): 33%; General Physicians (GP): 32%; ENT surgeons: 16%; pediatricians: 11%; allergy specialists: 8%] across India. CPs (33%) and GPs (32%) treated more AR patients in a month, versus other specialties. According to physicians, about 29.6% of patients with AR develop URTI in a month. Majority of the physicians (98%) believed that recurrent URTI can be considered as an indicator of undiagnosed AR. Majority of the physicians (98%) also considered AR to be a predisposing factor for increased risk of URTI. About 62% agreed that prompt diagnosis and treatment of AR can reduce the risk of complications such as URTI. Most preferred first- and second-line of treatment (alone or in combination) in AR management were oral antihistamines (41%) and intranasal corticosteroids (40%), respectively. Similar treatment preferences were observed irrespective of physicians’ specialization and years of experience. This survey sheds light on the need to implement clear guidelines for the diagnosis and management of AR.


Allergic rhinitis Physician Management Survey 



The authors would like to thank Dr. Shalini Nair (Abbott) for assisting in manuscript development. The authors also thank all the physicians for their participation in this study.


This survey was supported by Abbott Healthcare Pvt. Ltd.

Compliance with Ethical Standards

Conflict of interest

Dr. Sholapuri and Dr. Uchit authored this publication in the capacity as an employee of Abbott Healthcare Pvt Ltd. The authors have declared and confirmed that there is no other conflict of interest with respect to this authored publication.


  1. 1.
    Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A et al (2008) Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy 63(Suppl. 86):8–160CrossRefGoogle Scholar
  2. 2.
    Prasad R, Kumar R (2013) Allergy situation in India: what is being done? Indian J Chest Dis Allied Sci 55:7–8PubMedGoogle Scholar
  3. 3.
    Varshney J, Varshney H (2015) Allergic rhinitis: an overview. Indian J Otolaryngol Head Neck Surg 67(2):143–149CrossRefGoogle Scholar
  4. 4.
    Pawankar R, Mori S, Ozu C, Kimura S (2011) Overview on the pathomechanisms of allergic rhinitis. Asia Pac Allergy 1(3):157–167CrossRefGoogle Scholar
  5. 5.
    Hellings PW, Fokkens WJ, Akdis C, Bachert C, Cingi C, Dietz de Loos D, Gevaert P, Hox V, Kalogjera L, Lund V, Mullol J, Papadopoulos NG, Passalacqua G, Rondón C, Scadding G, Timmermans M, Toskala E, Zhang N, Bousquet J (2013) Uncontrolled allergic rhinitis and chronic rhinosinusitis: where do we stand today? Allergy 68:1–7CrossRefGoogle Scholar
  6. 6.
    Bousquet J, Van Cauwenberge P, Khaltaev N (2001) Allergic Rhinitis and its Impact on Asthma. J Allergy Clin Immunol 108:S147–S334CrossRefGoogle Scholar
  7. 7.
    Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, van Wijk RG, Ohta K, Zuberbier T, Schünemann HJ (2010) Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 126:466–476CrossRefGoogle Scholar
  8. 8.
    Baiardini I, Braido F, Bonini M, Compalati E, Canonica GW (2009) Why do doctors and patients not follow guidelines? Curr Opin Allergy Clin Immunol 9:228–233CrossRefGoogle Scholar
  9. 9.
    Wang DY (2012) Management of allergic rhinitis in general practitioners. Asia Pac Allergy 2(4):233–236CrossRefGoogle Scholar
  10. 10.
    Wang DY, Chan A, Smith JD (2004) Management of allergic rhinitis: a common part of practice in primary care clinics. Allergy 59:315–319CrossRefGoogle Scholar
  11. 11.
    Van Hoecke H, Vastesaeger N, Dewulf L, Sys L, van Cauwenberge P (2006) Classification and management of allergic rhinitis patients in general practice during pollen season. Allergy 61:705–711CrossRefGoogle Scholar
  12. 12.
    Storms W, Meltzer EO, Nathan RA, Selner JC (1997) Allergic rhinitis: the patient’s perspective. J Allergy Clin Immunol 99:S825–S828CrossRefGoogle Scholar
  13. 13.
    Wang DY, Niti M, Smith JD, Yeoh KH, Ng TP (2002) Rhinitis: do diagnostic criteria affect the prevalence and treatment. Allergy 57:150–154CrossRefGoogle Scholar
  14. 14.
    Baena-Cagnani CE, Canonica GW, Zaky Helal M et al (2015) The international survey on the management of allergic rhinitis by physicians and patients (ISMAR). World Allergy Organ J 8(1):10CrossRefGoogle Scholar
  15. 15.
    Hellings PW, Fokkens WJ (2006) Allergic rhinitis and its impact on otorhinolaryngology. Allergy 61:656–664CrossRefGoogle Scholar
  16. 16.
    Wang DY (2005) Risk factors of allergic rhinitis: genetic or environmental? Ther Clin Risk Manag 1:115–123CrossRefGoogle Scholar
  17. 17.
    May JR, Dolen WK (2017) Management of allergic rhinitis: a review for the community pharmacist. Clin Ther 39(12):2410–2419CrossRefGoogle Scholar
  18. 18.
    Camelo-Nunes Inês Cristina (2006) New antihistamines: a critical view. J Pediatr (Rio J) 82(5 Suppl):S173–S180Google Scholar
  19. 19.
    Unal M, Hafiz G (2005) The role of antihistamines in the management of allergic rhinitis. Curr Med Chem Anti Inflamm Anti Allergy Agents 4:477–480CrossRefGoogle Scholar
  20. 20.
    Van Cauwenberge P, Bachert C, Passalacqua G et al (2000) Consensus statement on the treatment of allergic rhinitis. European Academy of Allergology and Clinical Immunology. Allergy 55:116–134CrossRefGoogle Scholar
  21. 21.
    Krouse JH (2008) Allergic rhinitis—current pharmacotherapy. Otolaryngol Clin N Am 41:347–358CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Divya Prabhat
    • 1
    • 2
    • 4
    Email author
  • Deepa Sholapuri
    • 3
  • Ganesh Uchit
    • 3
  1. 1.Bhatia HospitalMumbaiIndia
  2. 2.B.J. Wadia HospitalMumbaiIndia
  3. 3.Abbott Healthcare Pvt. LtdMumbaiIndia
  4. 4.Jaslok HospitalMumbaiIndia

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