Allergen avoidance

Platts-Mills, Thomas A.E.

doi:10.1016/j.jaci.2003.12.027

Cited by 50 publications

(27 citation statements)

References 36 publications

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“…These advances should benefit patients with allergy by providing better access to environmental allergen exposure assessments and education about objective measures to reduce harmful exposures. 41 We thank Dr Anna Pomès for helpful discussions.…”

Section: Discussionmentioning

confidence: 99%

High-throughput fluorescent multiplex array for indoor allergen exposure assessment

Earle

King

Tsay

et al. 2007

Journal of Allergy and Clinical Immunology

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Section: Discussionmentioning

confidence: 99%

High-throughput fluorescent multiplex array for indoor allergen exposure assessment

Earle

King

Tsay

et al. 2007

Journal of Allergy and Clinical Immunology

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“…Over the past 2 decades, knowledge of how to reduce exposure to indoor asthma triggers has increased dramatically. 7,[30][31][32][33][34][35][36][37][38][39][40][41] Single-trigger interventions generally ineffective Initial approaches for reducing trigger exposure focused on individual triggers. They generally have had minimal to no success.…”

Section: Interventions To Reduce Exposure To Triggersmentioning

confidence: 99%

Home is Where the Triggers Are: Increasing Asthma Control by Improving the Home Environment

Krieger

2010

Pediatric Allergy, Immunology, and Pulmonology

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Asthma remains the most common chronic condition of childhood. Strong evidence has linked exposure to allergens and other triggers commonly found in homes to allergen sensitization and asthma incidence and morbidity. A growing body of evidence has demonstrated that a home visit strategy that includes an environmental component that addresses multiple triggers through multiple interventions is effective. Such home visits reduce exposure to triggers, decrease symptoms and urgent health-care use, and increase quality of life. To make home visits widely available will require health-care payor reimbursement, government and health plan funding, training and certification of home visitors, and active referrals from health-care providers. However, a strategy based solely on education and behavior change is limited, because it cannot adequately reduce exposures due to adverse housing conditions. Therefore, approaches that address substandard housing are needed. These include remediation of existing housing and construction of new asthma-friendly homes. Most studies of remediation have made relatively narrow and focused improvements, such as insulation, heating, or ventilation. Outcomes have been mixed. Studies of new asthma-friendly homes are in their infancy, with promising pilot data. Further investigation is needed to establish the effectiveness of improving housing. A final strategy is improving housing quality through policy change, such as implementation of healthy housing guidelines for new construction, enhancement and increased enforcement of housing codes, and assuring smoke-free multi-unit homes. The combination of home visits, improved housing construction, and policy change has great potential for reducing the global burden of asthma.

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“…Nevertheless, studies examining this have been contradictory. This is the topic of a separate editorial in this issue by Dr Platts-Mills, 27 who raises several key points. Avoidance studies aimed at investigating the relevance of an intervention that decreases exposure with clinical outcome must demonstrate that the exposure was significantly changed and that the outcome changed.…”

Section: Gurjit K Khurana Hershey MD Phd Cincinnati Ohiomentioning

confidence: 99%

Is it all in our genes? The “mite-y” truth

Hershey

2004

Journal of Allergy and Clinical Immunology

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Allergen avoidance

Cited by 50 publications

References 36 publications

High-throughput fluorescent multiplex array for indoor allergen exposure assessment

High-throughput fluorescent multiplex array for indoor allergen exposure assessment

Home is Where the Triggers Are: Increasing Asthma Control by Improving the Home Environment

Is it all in our genes? The “mite-y” truth

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