Antigen avoidance in people with hypersensitivity pneumonitis: A scoping review

•Suspected causative antigens were mainly fungi, bacteria, or avian proteins.•Both desirable and insufficient antigen avoidance behaviour were reported.•Continuous and desirable antigen avoidance tended to improve or maintain conditions. Antigen avoidance (AA) is essential for people with hypersensi...

Full description

Saved in:
Bibliographic Details
Published in:Heart & lung 2021-05, Vol.50 (3), p.407-416
Main Authors: Kawamoto, Yuko, Oda, Sumika, Tanaka, Makoto
Format: Article
Language:English
Subjects:
Alveolitis, Extrinsic Allergic
Antigen avoidance
Antigen removal
Behavioral changes
Health Personnel
Humans
Hypersensitivity pneumonitis
Patient education
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Suspected causative antigens were mainly fungi, bacteria, or avian proteins.•Both desirable and insufficient antigen avoidance behaviour were reported.•Continuous and desirable antigen avoidance tended to improve or maintain conditions. Antigen avoidance (AA) is essential for people with hypersensitivity pneumonitis (HP). An intervention programme to promote continuous AA in people with HP will be the focus of future research. We systematically analysed the AA behaviour of people with HP, interventions of health-care providers to promote AA behaviour, clinical outcomes after AA, and evaluation methods after AA. We conducted a scoping review using six online databases and manual searches. Papers written in English or Japanese that reported cases on AA were selected. The extracted data were classified qualitatively. In total 205 cases included in 109 eligible papers were examined. This review clarified the fundamental evidence of AA in people with HP. These people required the continuous support of health-care providers to continue appropriate AA. This review highlighted four aspects that require further research to design interventions for promoting effective and continuous AA in people with HP.
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2021.01.023