Management strategies in pediatric allergic rhinitis—are we missing?

: Allergic rhinitis is a widespread pediatric problem that affects sleep, learning, behavior, and quality of life. The present study aimed to show different possible strategies for managing pediatric allergic rhinitis but also mentioned that some methods still need to be included that can be an essential part of management. A qualitative research approach and a document analysis research design were used to respond to the main issues of interest. Findings reveal that different management treatments for allergic rhinitis include allergen avoidance, antihistamines, nasal corticosteroids, referral to a specialist allergy clinic, allergen immunotherapy, oral and intranasal anticholinergics, oral and intranasal decongestants, and patient education. However, the findings show that the most used interventions include the application of second-line antihistamines to treat and manage mild-to-moderate allergic rhinitis and the application of nasal corticosteroids to manage moderate-to-severe allergic rhinitis, allergen immunotherapy, and allergen avoidance. The use of patient education, combination therapy, decongestants, and anticholinergic therapy, though still relevant in clinical settings, is minimally mentioned in the reviewed literature sources. It’s essential to have a strategic approach to managing allergic rhinitis because it has many complications like otitis media, recurrent/or chronic sinusitis, asthma, and snoring. Also, it affects sleep and, eventually school performance. There is a need to undertake more studies to assess the value and importance of patient education in managing pediatric allergic rhinitis.