Document Detail


Dust-mite avoidance measures in patients on immunotherapy.
MedLine Citation:
PMID:  18302837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The compliance of dust-mite (DM) allergic patients receiving immunotherapy (IT) with environmental avoidance measures has not been reported. To investigate patient practices, a questionnaire was distributed to patients receiving IT for indoor allergens. Ninety-three of 200 patients (46%) with indoor allergies completed the questionnaire. Of the 93 patients, 69% were allergic to DMs, 45% were allergic to pets, 17% were allergic to mold, and 3% were allergic to cockroaches. Of 64 patients allergic to DMs, 53% reported use of mattress covers, 61% reported use of pillow covers, 81% reduced moisture in their homes, 83% washed their bed linens in water that was >130 degrees F, 77% vacuumed or dusted weekly, and 21% replaced carpets with polished flooring. Fifty-two percent of patients who did not use covers and 49% who did not replace their carpets cited cost as the most common reason. Education about the use of DM covers was reported by 97% of patients allergic to DMs, predominantly by physicians. In conclusion, many patients on IT for DM allergy do not use avoidance measures for decreasing allergen exposure. Cost appears to influence compliance with several measures including protective mattress and pillow covers. It may be unreasonable to require most patients to use such avoidance measures before being candidates for IT.
Authors:
Kevin M White; Jeffrey S Nugent; Melinda M Rathkopf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Allergy and asthma proceedings : the official journal of regional and state allergy societies     Volume:  29     ISSN:  1088-5412     ISO Abbreviation:  Allergy Asthma Proc     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-02-27     Completed Date:  2008-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9603640     Medline TA:  Allergy Asthma Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-4     Citation Subset:  IM    
Affiliation:
Department of Allergy/Immunology, Wilford Hall Medical Center, Lackland Air Force Base, Texas, USA. kevin.white@lackland.af.mil
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Child
Child, Preschool
Housekeeping*
Humans
Immunotherapy*
Middle Aged
Patient Compliance*
Pyroglyphidae / immunology*
Questionnaires
Rhinitis, Allergic, Perennial / prevention & control,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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