Allergic rhinitis (AR) is a global health problem: its prevalence is 23% in Europe, although it is underestimated because as many as 45% of the cases remain undiagnosed. Globally, almost 500 million people suffer from AR, which shows its increasing incidences. The diagnostic course of AR is based on clinical history, supported by anterior rhinoscopy. This inspects the anterior part of the nasal cavity accompanied by allergic sensitivity tests (cutaneous allergic skin tests or specific immunoglobulin E levels). The availability of standardised diagnostic procedures is able to provide objective evaluations of inflammatory situation, and the degree of nasal obstruction may give an advantage in reducing the risk of underestimating the diagnosis of AR. Diagnostic tests with a high level of accuracy are able to provide immediate results, which can sustain the doctor in diagnostic-therapeutic framework. The development of Point of Care Tests (POCTs) could be a useful tool. Considering that nasal obstruction is the most common symptom in patients with AR, the rhinomanometry (RM) test is the most indicated objective evaluation for nasal obstruction. Several studies have also shown the practicability of such diagnostic techniques applied in children. So far, no study has evaluated whether all the applicable requirements are fulfilled by RM in order to be considered as a POCT. The purpose of this perspective was to assess whether all the POCT requirements are fulfilled by RM by conducting a narrative review of the existing literature in which RM has been used in the diagnosis and management of AR in children. A few but encouraging results of studies on children supported the potential use of RM in the area of POCT. However, costs of instruments and the training of personnel involved remain to be explored. The studies support the potential use of RM in POCTs.

中文翻译：

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鼻测压法：儿童过敏性鼻炎的即时检验 (POCT)？

过敏性鼻炎 (AR) 是一个全球性的健康问题：它在欧洲的患病率是 23%，尽管它被低估了，因为多达 45% 的病例仍未得到诊断。在全球范围内，近 5 亿人患有 AR，这表明其发病率不断上升。AR 的诊断过程基于临床病史，并得到前鼻镜检查的支持。这会检查鼻腔前部并进行过敏敏感性测试（皮肤过敏性皮肤测试或特定免疫球蛋白 E 水平）。标准化诊断程序的可用性能够提供炎症情况的客观评估，鼻塞程度可能有助于降低低估 AR 诊断的风险。具有高度准确性的诊断测试能够提供即时结果，这可以在诊断治疗框架中维持医生。护理点测试 (POCT) 的开发可能是一个有用的工具。考虑到鼻塞是 AR 患者最常见的症状，鼻测压 (RM) 测试是鼻塞最有指征的客观评估。一些研究也表明了这种诊断技术在儿童中的实用性。到目前为止，还没有研究评估 RM 是否满足所有适用要求才能被视为 POCT。该观点的目的是通过对现有文献进行叙述性回顾，评估 RM 是否满足所有 POCT 要求，其中 RM 已用于儿童 AR 的诊断和管理。一些关于儿童的研究结果令人鼓舞，支持 RM 在 POCT 领域的潜在用途。然而，仪器的成本和相关人员的培训仍有待探讨。这些研究支持 RM 在 POCT 中的潜在用途。