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On-line Access: 2015-07-03

Received: 2014-10-23

Revision Accepted: 2015-03-24

Crosschecked: 2015-06-10

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Hui-ying Wang


Jian-ying Zhou


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Journal of Zhejiang University SCIENCE B 2015 Vol.16 No.7 P.640-650


Diagnosis and treatment of allergic diseases in Zhejiang Province: a cross-sectional survey

Author(s):  Hui-ying Wang, Yi-hong Shen, Xu-yan Yang, Lan-fang Tang, Jian-ying Zhou, on behalf of the Zhejiang Provincial Academy of Allergy

Affiliation(s):  Department of Allergy, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China; more

Corresponding email(s):   marywang@zju.edu.cn, zjyhz@zju.edu.cn

Key Words:  Allergy, Diagnosis, Treatment, Allergen-specific immunotherapy

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Hui-ying Wang, Yi-hong Shen, Xu-yan Yang, Lan-fang Tang, Jian-ying Zhou, on behalf of the Zhejiang Provincial Academy of Allergy . Diagnosis and treatment of allergic diseases in Zhejiang Province: a cross-sectional survey[J]. Journal of Zhejiang University Science B, 2015, 16(7): 640-650.

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author="Hui-ying Wang, Yi-hong Shen, Xu-yan Yang, Lan-fang Tang, Jian-ying Zhou, on behalf of the Zhejiang Provincial Academy of Allergy ",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Diagnosis and treatment of allergic diseases in Zhejiang Province: a cross-sectional survey
%A Hui-ying Wang
%A Yi-hong Shen
%A Xu-yan Yang
%A Lan-fang Tang
%A Jian-ying Zhou
%A on behalf of the Zhejiang Provincial Academy of Allergy
%J Journal of Zhejiang University SCIENCE B
%V 16
%N 7
%P 640-650
%@ 1673-1581
%D 2015
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1400284

T1 - Diagnosis and treatment of allergic diseases in Zhejiang Province: a cross-sectional survey
A1 - Hui-ying Wang
A1 - Yi-hong Shen
A1 - Xu-yan Yang
A1 - Lan-fang Tang
A1 - Jian-ying Zhou
A1 - on behalf of the Zhejiang Provincial Academy of Allergy
J0 - Journal of Zhejiang University Science B
VL - 16
IS - 7
SP - 640
EP - 650
%@ 1673-1581
Y1 - 2015
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1400284

Background: The specialty of allergy developed quickly in western countries because of the rapid increase of allergic diseases, whereas it developed relatively slowly in China. The prevalence of allergen sensitization and allergic diseases in Zhejiang Province of China is high and improving the medical services for these diseases is critically needed. Objective: To investigate the working status of the diagnosis and treatment of allergic diseases, including doctor resources, diagnostic methods, and allergen-specific immunotherapy in patients of Zhejiang Province, and to provide instructions for the strategic development of subspecialties of allergic diseases. Methods: First we defined the doctors who treat allergic diseases, and designed a comprehensive questionnaire to collect personal and hospital information for these doctors. The questionnaires were distributed to hospitals with different ranks and from different areas in the province. The general condition of doctor’s resources, carryout of diagnostic methods, and allergen-specific immunotherapy were described and variations in the different specialties, hospitals, and areas were further analyzed. Results: Doctors in their thirties with bachelor’s degrees were the mainstream for diagnosing and treating allergic diseases. The main specialties of the doctor resources were the specialties of Ear, Nose and Throat (ENT), Respirology, Pediatrics, and Dermatology. The Pediatrics specialty had a more reasonable infrastructure of doctor resources with more young doctors working in this subspecialty. The development of allergy subspecialty varied within hospitals at different levels or from different areas. The carryout of the skin prick test (SPT), serum specific IgE (ssIgE), and subcutaneous immunotherapy (SCIT) was best performed in provincial hospitals, while sublingual immunotherapy (SLIT) was prescribed most commonly in municipal hospitals. The performance of SPT and ssIgE in Hangzhou, Jiaxing, and Wenzhou areas was much better than that in other places. The performance of SCIT and SLIT was best in Wenzhou. Conclusions: Our survey revealed a very initial and unbalanced development for the allergy subspecialty in Zhejiang Province. Doctor resources for allergic diseases were mainly from the specialties of ENT, Respirology, and Pediatrics, and the performance of diagnosis and treatment was mainly focused on provincial and municipal hospitals. Continuous education of allergies could be extended to primary healthcare centers and more efforts should be directed to those areas with poor medical resources.




Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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