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Subcutaneous immunotherapy: a perspective from Peking Union Medical College Hospital
  • +10
  • Ying-Yang Xu,
  • Kai Guan,
  • Jia Yin,
  • Lianglu Wang,
  • Yu Xiang Zhi,
  • Jin-Lu Sun,
  • Hong Li,
  • Li-Ping Wen,
  • Jian-Qing Gu,
  • Rui Tang,
  • Zixi Wang,
  • Li-Sha Li,
  • Le Cui
Ying-Yang Xu
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

Corresponding Author:[email protected]

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Kai Guan
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Jia Yin
Peking Union Medical College Hospital
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Lianglu Wang
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Yu Xiang Zhi
Peking Union Medical College Hospital
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Jin-Lu Sun
Peking Union Medical College Hospital
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Hong Li
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Li-Ping Wen
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Jian-Qing Gu
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Rui Tang
Peking Union Medical College Hospital
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Zixi Wang
Peking Union Medical College Hospital
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Li-Sha Li
Department of Allergy, Peking Union Medical College Hospital
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Le Cui
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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Abstract

Background Allergen-specific immunotherapy (AIT) is the only disease-modifying treatment for IgE mediated disease. In china, AIT has been applied over 60 years and subcutaneous immunotherapy (SCIT) is the major route. This study analyzed the relatively comprehensive status of SCIT in our country. Methods Patients who initiated SCIT between January 1, 2015, and December 31, 2016 at Peking Union Medical College Hospital were collected and their medical records from January 1, 2015, to December 31, 2019 were obtained. The formulation and adherence of SCIT in different age groups and regions were analyzed. Results A total of 4731 patients receiving SCIT were analyzed, including 459 children (5-12 years), 624 adolescent (13-18 years) and 3648 adults. On a per-species allergen extract basis, multi-allergen SCIT were prescribed in 83% of patients. Mugwort, house dust mite and firebush were most frequently administered. On per-group allergen extract basis, 49% of SCIT were mixing formulations and weed pollen, tree pollen and house dust mite were most frequently used. The most common component of SCIT was mold in children (53%), whereas weed pollen in adolescents (59%) and adults (68%). Overall, 35% of patients completed at least 3-year SCIT. Children had the highest adherence of SCIT, followed by adolescents and adults (49%, 47% and 31%, respectively). Conclusions The majority of patients were prescribed SCIT of mixing formulation. Weed pollen was the most frequently used allergen group in SCIT, especially in Northern China. Real-life adherence in SCIT was still low which desiderate improvement of current procedure of SCIT.