Avoidance of allergens as an environmental method in the prevention of inhaled allergy symptoms
Main Article Content
Keywords
Allergy, Asthma, Avoidance, Allergens, Environment, Mites, Pets
Abstract
Asthma and other inhaled allergies are some of the most common paediatric diseases. The association of exposure to allergens with induction and exacerbation of symptoms has been proven. The majority of allergens are permanently or periodically suspended in the air, which leads to impaired quality of life for sensitive patients. Therefore, many methods of prevention and therapy of allergic diseases have been developed. The method of allergen exposure avoidance is often the first and the most significant measure. The present research has been conducted to evaluate, based on scientific data, which measures have the most reliable evidence of effectiveness. Environmental allergen avoidance methods, despite limited evidence supporting their clinical efficacy, are listed as the main therapeutic approaches in most recommendations. The significance of the holistic approach is also emphasised: only simultaneous introduction of several avoidance methods can bring possibly beneficial effects for the patient.
References
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13. Gautier C, Charpin D. Environmental triggers and avoidance in the management of asthma. J Asthma Allergy. 2017;10:47-56.
14. Morgan WJ, Crain EF, Gruchalla RS, O’Connor GT, Kattan M, Evans 3rd R, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med. 2004;351(11):1068-80.
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26. Kanchongkittiphon W, Mendell MJ, Gaffin JM, Wang G, Phipatanakul W. Indoor environmental exposures and exacerbation of asthma: an update to the 2000 review by the Institute of Medicine. Environ Health Perspect. 2015;123(1):6-20.
27. Pet ownership in the UK: where do we stand in 2013., https://veterinaryrecord.bmj.com/content/174/Suppl 1/ 3.1 https://doi.org/10.1136/vr.g338, [accessed 30 march 2019].
28. Almqvist C, Wickman M, Perfetti L, Berglind N, Renström A, Hedrén M, et al. Worsening of asthma in children allergic to cats, after indirect exposure to cat at school. Am J Respir Crit Care Med. 2001;163 3 Pt 1:694-8.
29. Feleszko W, Zalewski BM, Kulus M. Unexpected cross-reactivity in a cat-allergy patient. An allergic reaction at the circus. Allergol Immunopathol (Madr). 2014;42(6):624-5.
30. Portnoy J, Kennedy K, Sublett J, Phipatanakul W, Matsui E, Barnes C, et al. Environmental assessment and exposure control: a practice parameter–furry animals. Ann Allergy Asthma Immunol. 2012;108(4), 223.e1-15.
31. Bornehag CG, Sundell J, Hagerhed L, Janson S, DBH Study Group. Pet-keeping in early childhood and airway, nose and skin symptoms later in life. Allergy. 2003;58(9):939-44.
32. Sanchez J, Diez S, Cardona R. Pet avoidance in allergy cases: is it possible to implement it? Biomedica. 2015;35(3):357-62.
33. Wood RA, Chapman MD, Adkinson NF Jr, Eggleston PA. The effect of cat removal on allergen content in household-dust samples. J Allergy Clin Immunol. 1989;83(4):730-4.
34. van der Heide S, van Aalderen WM, Kauffman HF, Dubois AE, de Monchy JG. Clinical effects of air cleaners in homes of asthmatic children sensitized to pet allergens. J Allergy Clin Immunol. 1999;104 2 Pt 1:447-51.
35. Sublett JL. Effectiveness of air filters and air cleaners in allergic respiratory diseases: a review of the recent literature. Curr Allergy Asthma Rep. 2011;11(5):395-402.
36. Cain G, Elderfield AJ, Green R, Smillie FI, Chapman MD, Custovic A, et al. The effect of dry heat on mite, cat, and dog allergens. Allergy. 1998;53(12):1213-5.
37. Hodson T, Custovic A, Simpson A, Chapman M, Woodcock A, Green R. Washing the dog reduces dog allergen levels, but the dog needs to be washed twice a week. J Allergy Clin Immunol. 1999;103(4):581-5.
38. Ramadour M, Guetat M, Guetat J, El Biaze M, Magnan A, Vervloet D. Dog factor differences in Can f 1 allergen production. Allergy. 2005;60(8):1060-4.
39. Vredegoor DW, Willemse T, Chapman MD, Heederik DJ, Krop EJ. Can f 1 levels in hair and homes of different dog breeds: lack of evidence to describe any dog breed as hypoallergenic. J Allergy Clin Immunol. 2012;130(4):904-9, e7.
40. Matsui EC, Perzanowski M, Peng RD, Wise RA, Balcer-Whaley S, Newman M, et al. Effect of an integrated pest management intervention on asthma symptoms among mouse-sensitized children and adolescents with asthma: a randomized clinical trial. Jama. 2017;317(10):1027-36.
41. Cecchi L, D’Amato G, Annesi-Maesano I. External exposome and allergic respiratory and skin diseases. J Allergy Clin Immunol. 2018;141(3):846-57.
42. Bastl K, Berger U, Kmenta M. Evaluation of pollen apps forecasts: the need for quality control in an eHealth service. J Med Internet Res. 2017;19(5):e152.
43. Suphioglu C. Thunderstorm asthma due to grass pollen. Int Arch Allergy Immunol. 1998;116(4):253-60.
44. Bousquet J, Caimmi DP, Bedbrook A, Bewick M, Hellings PW, Devillier P, et al. Pilot study of mobile phone technology in allergic rhinitis in European countries: the MASK-rhinitis study. Allergy. 2017;72(6):857-65.
45. Tischer C, Chen CM, Heinrich J. Association between domestic mould and mould components, and asthma and allergy in children: a systematic review. Eur Respir J. 2011;38(4):812-24.
46. Bush RK, Portnoy JM. The role and abatement of fungal allergens in allergic diseases. J Allergy Clin Immunol. 2001;107 3 Suppl: S430-40.
47. Niemeier RT, Sivasubramani SK, Reponen T, Grinshpun SA. Assessment of fungal contamination in moldy homes: comparison of different methods. J Occup Environ Hyg. 2006;3(5):262-73.
48. Kercsmar M, Dearborn DG, Schluchter M, Xue L, Kirchner HL, Sobolewski J, et al. Reduction in asthma morbidity in children as a result of home remediation aimed at moisture sources. Environ Health Perspect. 2006;114(10):1574-80.
49. Barnes CS, Dowling P, Van Osdol T, Portnoy J. Comparison of indoor fungal spore levels before and after professional home remediation. Ann Allergy Asthma Immunol. 2007;98(3):262-8.
50. Cook KA, Modena BD, Simon RA. Improvement in asthma control using a minimally burdensome and proactive smartphone application. J Allergy Clin Immunol Pract. 2016;4(4):730-7.e1.
51. Gergen PJ, Mortimer KM, Eggleston PA, Rosenstreich D, Mitchell H, Ownby D, et al. Results of the National Cooperative Inner-City Asthma Study (NCICAS) environmental intervention to reduce cockroach allergen exposure in inner-city homes. J Allergy Clin Immunol. 1999;103 3 Pt 1:501-6.
52. Matsui EC, Abramson SL, Sandel MT. Indoor environmental control practices and asthma management. Pediatrics. 2016;138(5).
53. Portnoy J, Chew GL, Phipatanakul W, Williams PB, Grimes C, Kennedy K, et al. Environmental assessment and exposure reduction of cockroaches: a practice parameter. J Allergy Clin Immunol. 2013;132(4), 802-8.e1-25.
2. Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126(3):466-76.
3. Arlian LG, Platts-Mills TA. The biology of dust mites and the remediation of mite allergens in allergic disease. J Allergy Clin Immunol. 2001;107 3 Suppl: S406-13.
4. Thomas WR. Hierarchy and molecular properties of house dust mite allergens. Allergol Int. 2015;64(4):304-11.
5. Wickens K, Siebers R, Ellis I, Lewis S, Sawyer G, Tohill S, et al. Determinants of house dust mite allergen in homes in Wellington, New Zealand. Clin Exp Allergy. 1997;27(9):1077-85.
6. Wood RA, et al. 22 - Environmental Control. In: Leung DYM, editor. Pediatric allergy: principles and practice. 3rd ed. London: Elsevier; 2016. p. 196-202, e3.
7. Portnoy J, Miller JD, Williams PB, Chew GL, Miller JD, Zaitoun F, et al. Environmental assessment and exposure control of dust mites: a practice parameter. Ann Allergy Asthma Immunol. 2013;111(6):465-507.
8. Leas BF, D’Anci KE, Apter AJ, Bryant-Stephens T, Lynch MP, Kaczmarek JL, et al. Effectiveness of indoor allergen reduction in asthma management: a systematic review. J Allergy Clin Immunol. 2018;141(5):1854-69.
9. Singh M, Jaiswal N. Dehumidifiers for chronic asthma. Cochrane Database Syst Rev. 2013;(6): Cd003563.
10. Sulser C, Schulz G, Wagner P, Sommerfeld C, Keil T, Reich A, et al. Can the use of HEPA cleaners in homes of asthmatic children and adolescents sensitized to cat and dog allergens decrease bronchial hyperresponsiveness and allergen contents in solid dust? Int Arch Allergy Immunol. 2009;148(1):23-30.
11. McDonald LG, Tovey E. The role of water temperature and laundry procedures in reducing house dust mite populations and allergen content of bedding. J Allergy Clin Immunol. 1992;90 4 Pt 1:599-608.
12. Andersen A, Roesen J. House dust mite, Dermatophagoides pteronyssinus, and its allergens: effects of washing. Allergy. 1989;44(6):396-400.
13. Gautier C, Charpin D. Environmental triggers and avoidance in the management of asthma. J Asthma Allergy. 2017;10:47-56.
14. Morgan WJ, Crain EF, Gruchalla RS, O’Connor GT, Kattan M, Evans 3rd R, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med. 2004;351(11):1068-80.
15. Reisman RE, Mauriello PM, Davis GB, Georgitis JW, DeMasi JM. A double-blind study of the effectiveness of a high-efficiency particulate air (HEPA) filter in the treatment of patients with perennial allergic rhinitis and asthma. J Allergy Clin Immunol. 1990;85(6):1050-7.
16. Antonicelli L, Bilò MB, Pucci S, Schou C, Bonifazi F. Efficacy of an air-cleaning device equipped with a high-efficiency particulate air filter in house dust mite respiratory allergy. Allergy. 1991;46(8):594-600.
17. Warburton CJ, Niven RM, Pickering CA, Fletcher AM, Hepworth J, Francis HC. Domiciliary air filtration units, symptoms and lung function in atopic asthmatics. Respir Med. 1994;88(10):771-6.
18. Schauer U, Bergmann KC, Gerstlauer M, Lehmann S, Gappa M, Brenneken A, et al. Improved asthma control in patients with severe, persistent allergic asthma after 12 months of nightly temperature-controlled laminar airflow: an observational study with retrospective comparisons. Eur Clin Respir J. 2015;2.
19. Wu FF, Wu MW, Pierse N, Crane J, Siebers R. Daily vacuuming of mattresses significantly reduces house dust mite allergens, bacterial endotoxin, and fungal beta-glucan. J Asthma. 2012;49(2):139-43.
20. Sublett JL, Seltzer J, Burkhead R, Williams PB, Wedner HJ, Phipatanakul W, et al. Air filters and air cleaners: rostrum by the American Academy of Allergy, Asthma & Immunology Indoor Allergen Committee. J Allergy Clin Immunol. 2010;125(1):32-8.
21. Sweet LL, Polivka BJ, Chaudry RV, Bouton P. The impact of an urban home-based intervention program on asthma outcomes in children. Public Health Nurs. 2014;31(3):243-52.
22. Smith H, Horney D, Jones C, Goubet S, Mukhopadhyay S, Frew A. Pragmatic randomized controlled trial of an allergy intervention for children aged 6-16 with asthma and rhinitis in general practice. Clin Exp Allergy. 2016;46(9):1227-35.
23. Huiyan W, Yuhe G, Juan W, Junyan Z, Shan W, Xiaojun Z, et al. The importance of allergen avoidance in high-risk infants and sensitized patients: a meta-analysis study. Allergy Asthma Immunol Res. 2014;6(6):525-34.
24. Krieger J, Jacobs DE, Ashley PJ, Baeder A, Chew GL, Dearborn D, et al. Housing interventions and control of asthma-related indoor biologic agents: a review of the evidence. J Public Health Manag Pract. 2010;16 5 Suppl: S11-20.
25. Crocker DD, Kinyota S, Dumitru GG, Ligon CB, Herman EJ, Ferdinands JM, et al. Effectiveness of home-based, multi-trigger, multicomponent interventions with an environmental focus for reducing asthma morbidity: a community guide systematic review. Am J Prev Med. 2011;41 2 Suppl 1:S5-32.
26. Kanchongkittiphon W, Mendell MJ, Gaffin JM, Wang G, Phipatanakul W. Indoor environmental exposures and exacerbation of asthma: an update to the 2000 review by the Institute of Medicine. Environ Health Perspect. 2015;123(1):6-20.
27. Pet ownership in the UK: where do we stand in 2013., https://veterinaryrecord.bmj.com/content/174/Suppl 1/ 3.1 https://doi.org/10.1136/vr.g338, [accessed 30 march 2019].
28. Almqvist C, Wickman M, Perfetti L, Berglind N, Renström A, Hedrén M, et al. Worsening of asthma in children allergic to cats, after indirect exposure to cat at school. Am J Respir Crit Care Med. 2001;163 3 Pt 1:694-8.
29. Feleszko W, Zalewski BM, Kulus M. Unexpected cross-reactivity in a cat-allergy patient. An allergic reaction at the circus. Allergol Immunopathol (Madr). 2014;42(6):624-5.
30. Portnoy J, Kennedy K, Sublett J, Phipatanakul W, Matsui E, Barnes C, et al. Environmental assessment and exposure control: a practice parameter–furry animals. Ann Allergy Asthma Immunol. 2012;108(4), 223.e1-15.
31. Bornehag CG, Sundell J, Hagerhed L, Janson S, DBH Study Group. Pet-keeping in early childhood and airway, nose and skin symptoms later in life. Allergy. 2003;58(9):939-44.
32. Sanchez J, Diez S, Cardona R. Pet avoidance in allergy cases: is it possible to implement it? Biomedica. 2015;35(3):357-62.
33. Wood RA, Chapman MD, Adkinson NF Jr, Eggleston PA. The effect of cat removal on allergen content in household-dust samples. J Allergy Clin Immunol. 1989;83(4):730-4.
34. van der Heide S, van Aalderen WM, Kauffman HF, Dubois AE, de Monchy JG. Clinical effects of air cleaners in homes of asthmatic children sensitized to pet allergens. J Allergy Clin Immunol. 1999;104 2 Pt 1:447-51.
35. Sublett JL. Effectiveness of air filters and air cleaners in allergic respiratory diseases: a review of the recent literature. Curr Allergy Asthma Rep. 2011;11(5):395-402.
36. Cain G, Elderfield AJ, Green R, Smillie FI, Chapman MD, Custovic A, et al. The effect of dry heat on mite, cat, and dog allergens. Allergy. 1998;53(12):1213-5.
37. Hodson T, Custovic A, Simpson A, Chapman M, Woodcock A, Green R. Washing the dog reduces dog allergen levels, but the dog needs to be washed twice a week. J Allergy Clin Immunol. 1999;103(4):581-5.
38. Ramadour M, Guetat M, Guetat J, El Biaze M, Magnan A, Vervloet D. Dog factor differences in Can f 1 allergen production. Allergy. 2005;60(8):1060-4.
39. Vredegoor DW, Willemse T, Chapman MD, Heederik DJ, Krop EJ. Can f 1 levels in hair and homes of different dog breeds: lack of evidence to describe any dog breed as hypoallergenic. J Allergy Clin Immunol. 2012;130(4):904-9, e7.
40. Matsui EC, Perzanowski M, Peng RD, Wise RA, Balcer-Whaley S, Newman M, et al. Effect of an integrated pest management intervention on asthma symptoms among mouse-sensitized children and adolescents with asthma: a randomized clinical trial. Jama. 2017;317(10):1027-36.
41. Cecchi L, D’Amato G, Annesi-Maesano I. External exposome and allergic respiratory and skin diseases. J Allergy Clin Immunol. 2018;141(3):846-57.
42. Bastl K, Berger U, Kmenta M. Evaluation of pollen apps forecasts: the need for quality control in an eHealth service. J Med Internet Res. 2017;19(5):e152.
43. Suphioglu C. Thunderstorm asthma due to grass pollen. Int Arch Allergy Immunol. 1998;116(4):253-60.
44. Bousquet J, Caimmi DP, Bedbrook A, Bewick M, Hellings PW, Devillier P, et al. Pilot study of mobile phone technology in allergic rhinitis in European countries: the MASK-rhinitis study. Allergy. 2017;72(6):857-65.
45. Tischer C, Chen CM, Heinrich J. Association between domestic mould and mould components, and asthma and allergy in children: a systematic review. Eur Respir J. 2011;38(4):812-24.
46. Bush RK, Portnoy JM. The role and abatement of fungal allergens in allergic diseases. J Allergy Clin Immunol. 2001;107 3 Suppl: S430-40.
47. Niemeier RT, Sivasubramani SK, Reponen T, Grinshpun SA. Assessment of fungal contamination in moldy homes: comparison of different methods. J Occup Environ Hyg. 2006;3(5):262-73.
48. Kercsmar M, Dearborn DG, Schluchter M, Xue L, Kirchner HL, Sobolewski J, et al. Reduction in asthma morbidity in children as a result of home remediation aimed at moisture sources. Environ Health Perspect. 2006;114(10):1574-80.
49. Barnes CS, Dowling P, Van Osdol T, Portnoy J. Comparison of indoor fungal spore levels before and after professional home remediation. Ann Allergy Asthma Immunol. 2007;98(3):262-8.
50. Cook KA, Modena BD, Simon RA. Improvement in asthma control using a minimally burdensome and proactive smartphone application. J Allergy Clin Immunol Pract. 2016;4(4):730-7.e1.
51. Gergen PJ, Mortimer KM, Eggleston PA, Rosenstreich D, Mitchell H, Ownby D, et al. Results of the National Cooperative Inner-City Asthma Study (NCICAS) environmental intervention to reduce cockroach allergen exposure in inner-city homes. J Allergy Clin Immunol. 1999;103 3 Pt 1:501-6.
52. Matsui EC, Abramson SL, Sandel MT. Indoor environmental control practices and asthma management. Pediatrics. 2016;138(5).
53. Portnoy J, Chew GL, Phipatanakul W, Williams PB, Grimes C, Kennedy K, et al. Environmental assessment and exposure reduction of cockroaches: a practice parameter. J Allergy Clin Immunol. 2013;132(4), 802-8.e1-25.
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Dec 15, 2020
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Strzelczyk, Z., Roszkowski, M., Feleszko, W., & Krauze, A. (2020). Avoidance of allergens as an environmental method in the prevention of inhaled allergy symptoms. Allergologia Et Immunopathologia, 48(6), 745-752. https://all-imm.com/index.php/aei/article/view/110
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How to Cite
Strzelczyk, Z., Roszkowski, M., Feleszko, W., & Krauze, A. (2020). Avoidance of allergens as an environmental method in the prevention of inhaled allergy symptoms. Allergologia Et Immunopathologia, 48(6), 745-752. https://all-imm.com/index.php/aei/article/view/110