Effect of a bed covering system in children with asthma and house dust mite hypersensitivity

Allergen avoidance is regarded as an important approach to management of atopic asthma. The effect of Intervent bed covering systems on house dust mite (HDM) allergen exposure, asthma symptoms and markers of inflammation was investigated in 31 HDM sensitive asthmatic children. Dust concentrations of...

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Published inThe European respiratory journal Vol. 10; no. 2; pp. 361 - 366
Main Authors Frederick, JM, Warner, JO, Jessop, WJ, Enander, I, Warner, JA
Format Journal Article
LanguageEnglish
Published Leeds Eur Respiratory Soc 01.02.1997
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Abstract Allergen avoidance is regarded as an important approach to management of atopic asthma. The effect of Intervent bed covering systems on house dust mite (HDM) allergen exposure, asthma symptoms and markers of inflammation was investigated in 31 HDM sensitive asthmatic children. Dust concentrations of Dermatophagoides pteronyssinus allergen 1 (Der p 1) were monitored before and after covering the mattress, duvet and pillow with active and placebo covers for 3 months, in a single-blind, cross-over trial. Twice daily peak expiratory flow rate (PEFR), daily symptom scores and treatment schedule were recorded. Bronchial hyperresponsiveness was monitored by histamine challenge (provocative concentration of histamine causing a 20% fall in forced expiratory volume in one second (PC20)), and inflammation by measuring eosinophil cationic protein (ECP), eosinophil protein X (EPX), eosinophil peroxidase (EPO), and soluble interleukin-2 receptor (sIL-2R) in serum. There was a significant reduction in Der p 1 when the mattress, duvet and pillow were covered with the active bedding. There was no significant improvement in symptoms of asthma, PEFR, bronchodilator usage of PC20. Also, ECP, EPX, sIL-2R concentrations did not change for either treatment. EPO concentrations were significantly lower in the active compared to the placebo period. The active bed covers reduced retrievable Dermatophagoides pteronyssinus allergen 1 (Der p 1) from the bedding, with short term clinical benefit.
AbstractList Allergen avoidance is regarded as an important approach to management of atopic asthma. The effect of Intervent bed covering systems on house dust mite (HDM) allergen exposure, asthma symptoms and markers of inflammation was investigated in 31 HDM sensitive asthmatic children. Dust concentrations of Dermatophagoides pteronyssinus allergen 1 (Der p 1) were monitored before and after covering the mattress, duvet and pillow with active and placebo covers for 3 months, in a single-blind, cross-over trial. Twice daily peak expiratory flow rate (PEFR), daily symptom scores and treatment schedule were recorded. Bronchial hyperresponsiveness was monitored by histamine challenge (provocative concentration of histamine causing a 20% fall in forced expiratory volume in one second (PC20)), and inflammation by measuring eosinophil cationic protein (ECP), eosinophil protein X (EPX), eosinophil peroxidase (EPO), and soluble interleukin-2 receptor (sIL-2R) in serum. There was a significant reduction in Der p 1 when the mattress, duvet and pillow were covered with the active bedding. There was no significant improvement in symptoms of asthma, PEFR, bronchodilator usage of PC20. Also, ECP, EPX, sIL-2R concentrations did not change for either treatment. EPO concentrations were significantly lower in the active compared to the placebo period. The active bed covers reduced retrievable Dermatophagoides pteronyssinus allergen 1 (Der p 1) from the bedding, with short term clinical benefit.
Author Enander, I
Jessop, WJ
Warner, JA
Frederick, JM
Warner, JO
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Issue 2
Keywords Allergy
Mattress
Acari
Obstructive pulmonary disease
Child
Human
Immunopathology
Respiratory disease
Treatment efficiency
Maximum expiratory flow rate
Acaridida
Instrumentation therapy
Exploration
Coverage
Concentration
Dermatophagoides pteronyssinus
Asthma
Lung volume
Acariformes
Arachnida
Dust
Treatment
Arthropoda
Pyroglyphidae
Invertebrata
Allergen
Language English
License CC BY 4.0
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Snippet Allergen avoidance is regarded as an important approach to management of atopic asthma. The effect of Intervent bed covering systems on house dust mite (HDM)...
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StartPage 361
SubjectTerms Adolescent
Allergens
Allergic diseases
Animals
Antigens, Dermatophagoides
Asthma - blood
Asthma - physiopathology
Asthma - therapy
Bedding and Linens
Biological and medical sciences
Blood Proteins - analysis
Bronchial Hyperreactivity
Bronchial Provocation Tests
Child
Child, Preschool
Cross-Over Studies
Dust - analysis
Eosinophil Granule Proteins
Eosinophil Peroxidase
Eosinophil-Derived Neurotoxin
Eosinophils
Female
Glycoproteins - analysis
Histamine
Humans
Immunopathology
Inflammation Mediators - analysis
Male
Medical sciences
Mites
Peak Expiratory Flow Rate
Peroxidases - analysis
Receptors, Interleukin-2 - blood
Respiratory and ent allergic diseases
Respiratory Hypersensitivity - blood
Respiratory Hypersensitivity - physiopathology
Respiratory Hypersensitivity - therapy
Ribonucleases
Single-Blind Method
Title Effect of a bed covering system in children with asthma and house dust mite hypersensitivity
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