Management of allergic rhinitis: a common part of practice in primary care clinics

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Abstract
Background:  Allergic rhinitis (AR) is an extremely common disease worldwide and one of the top‐ten reasons for a visit to primary care clinics. This study aimed to investigate the understanding of current guidelines and concepts of management for AR among general practitioners (GPs) in Singapore.Methods:  A postal questionnaire was designed to survey the dispensing practice and understanding of current guidelines in the management of AR among Singapore GPs.Results:  Two hundred GPs completed the questionnaire. AR was estimated to be 10–40% of total patient visits in 50% of the primary care clinics surveyed. There was no significant difference in diagnosis and management of AR among GPs practicing solo, as a group or in polyclinics. The use of allergy tests (skin or in vitro tests) was Conclusion:  Management of allergic rhinitis is common in primary care clinics. Quick symptomatic relief with low‐cost medications is a major concern for GPs in the management of AR, as it will affect a patient's compliance and perception of efficacy. However, inappropriate use of decongestants and other nonevidence‐based therapies should not be recommended. Implementing the current evidence‐based international guidelines for AR needs to be improved.