The role of environmental allergen control in the management of asthma

Allergen exposure may exacerbate asthma symptoms in sensitized patients. Allergen reduction or avoidance measures have been widely utilized; however, there is ongoing controversy on the effectiveness of specific allergen control measures in the management of children with asthma. Often, allergen avo...

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Bibliographic Details
Published in:The World Allergy Organization journal 2022-03, Vol.15 (3), p.100634-100634, Article 100634
Main Authors: Kalayci, Omer, Miligkos, Michael, Pozo Beltrán, César Fireth, El-Sayed, Zeinab A., Gómez, René Maximiliano, Hossny, Elham, Le Souef, Peter, Nieto, Antonio, Phipatanakul, Wanda, Pitrez, Paulo Marcio, Xepapadaki, Paraskevi, Jiu-Yao, Wang, Papadopoulos, Nikolaos G.
Format: Article
Language:English
Subjects:
Air conditioning
Allergen
Allergens
Allergies
Allergy
Asthma
Children
Clinical outcomes
Cockroach
Dermatitis
Disease prevention
Dust
Food allergies
Hay fever
Humidity
Mites
Mold
Molds
Rhinitis
Upholstery
Vacuum cleaners
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Summary:Allergen exposure may exacerbate asthma symptoms in sensitized patients. Allergen reduction or avoidance measures have been widely utilized; however, there is ongoing controversy on the effectiveness of specific allergen control measures in the management of children with asthma. Often, allergen avoidance strategies are not recommended by guidelines because they can be complex or burdensome, although individual patients may benefit. Here we explore the potential for intervention against exposure to the major allergens implicated in asthma (ie, house dust mites, indoor molds, rodents, cockroaches, furry pets, and outdoor molds and pollens), and subsequent effects on asthma symptoms. We critically assess the available evidence regarding the clinical benefits of specific environmental control measures for each allergen. Finally, we underscore the need for standardized and multifaceted approaches in research and real-life settings, which would result in the identification of more personalized and beneficial prevention strategies.
ISSN:1939-4551
1939-4551
DOI:10.1016/j.waojou.2022.100634