Controle ambiental: prevenção e manejo das doenças atópicas
Environmental control: prevention and management of atopic diseases
Bárbara Souza; Pedro Giavina-Bianchi; Jorge Kalil; Rosana Câmara Agondi
Resumo
A asma é uma das doenças crônicas mais prevalentes no mundo, sendo que 50% a 80% dos pacientes apresentam o fenótipo alérgico. A asma resulta da interação entre predisposição genética e exposição ambiental. Os aeroalérgenos perenes, especialmente os ácaros da poeira doméstica, são considerados um dos responsáveis pelo aumento da prevalência da asma em todo mundo. O controle ambiental é uma das medidas necessárias para o tratamento e controle da asma.
Palavras-chave
Abstract
Asthma is one of the most prevalent chronic diseases worldwide, and 50 to 80% of affected patients have the allergic phenotype. Asthma results from the interaction between genetic predisposition and environmental exposure. Perennial aeroallergens, especially household dust mites, are considered one of the reasons for the increase in the prevalence of asthma worldwide. Environmental control is a necessary measure to treat and control asthma.
Keywords
References
1. Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention 2017. Disponível em: http://ginasthma.org/2017-gina-report-global-strategy-for-asthma-managementand-prevention/ . Acesso em: 15/01/2018.
2. Diette GB, McCormack MC, Hansel NN, Breysse PN, Matsui EC. Environmental issues in managing asthma. Respir Care. 2008;53:602‑17.
3. Melo RMB, Lima LSL, Sarinho ESC. Associação entre controle ambiental domiciliar e exacerbação da asma em crianças e adolescentes do município de Camaragibe, Pernambuco. J Bras Pneumol. 2005;31:5‑12.
4. Platts-Mills TA, Vaughan JW, Carter MC, Woodfolk JA. The role of intervention in established allergy: avoidance of indoor allergens in the treatment of chronic allergic disease. J Allergy Clin Immunol. 2000;106:787‑804.
5. Raulf M, Buters J, Chapman M, Cecchi L, Blay F, Doekes G, et al. Monitoring of occupational and environmental aeroallergens – EAACI Position Paper. Concerted action of the EAACI IG Occupational Allergy and Aerobiology & Air Pollution. Allergy. 2014;69:1280‑99.
6. Tovey ER, Marks GB. It´s time to rethink mite allergen avoidance. J Allergy Clin Immunol. 2011;128:723‑7.
7. Who/IUIS Allergen Nomenclature Sub-Committee. AllergenNomenclature. Disponível em: http://www.allergen.org/search.php. Acesso em: 15/01/2018.
8. Platts-Mills TA, Heymann PW, Chapman MD, Hayden ML, Wilkins SR. Cross-reacting and species-specific determinants on a major allergen from Dermatophagoides pteronyssinus and D. farina: development of a radioimmunoassay for antigen P1 equivalent in house dust and dust mite extracts. J Allergy Clin Immunol. 1986;78:398‑407.
9. Baxi SN, Phipatanakul W. The role of allergen exposure and avoidance in asthma. Adolesc Med State Art Rev. 2010;21:57‑71.
10. Denmark HA, Cromroy HL. House dust mites, Dermatophagoides spp. (Acari: Pyroglyphididae). Entomol Circ 1989. Disponível em:https://edis.ifas.ufl.edu/pdffiles/IN/IN21600.pdf .
11. Gautier C, Charpin D. Environmental triggers and avoidance in the management of asthma. J Asthma Allergy. 2017;7:47‑56.
12. Wilson JM, Platts-Mills TAE. Home environmental interventions for house dust mite. J Allergy Clin Immunol Pract. 2018;6(1):1‑7.
13. Cipriani F, Calamelli E, Ricci G. Allergen avoidance in allergic asthma. Front Pediatr. 2017;10:103.
14. Platts-Mills TAE, Vervloet D, Thomas WR, Aalberse RC, Chapman MD. Indoor allergens and asthma: report of the third international workshop. J Allergy Clin Immunol. 1997;100:S1‑24.
15. Kuehr J, Frischer T, Meinert R, Barth R, Forster J, Schraub S, et al. Mite allergen exposure is a risk for the incidence of specific sensibilization. J Allergy Clin Immunol. 1994;94:44‑52.
16. Sporik R, Chapman MD, Platts-Mills TAE. House dust mite exposure as a cause of asthma.Clin Exp Allergy. 1992;22:897‑906.
17. Halken S, Host A, Niklassen U, Hansen LG, Nielsen F, Pederson S, et al. Effect of mattress and pillow encasings on children with asthma and house dust mite allergy. J Allergy Clin Immunol. 2003;111:169‑76.
18. Woodcock A, Forster L, Matthews E, Martin J, Letley L, Vickers M, et al. Control of exposure to mite allergen and allergenimpermeable bed covers for adults with asthma. N Engl J Med. 2003;349:225‑36.
19. Sanders G, Singer A. Evaluation of impermeable covers for bedding in patients with allergic rhinitis. J Pediatr. 2004;144:137.
20. Platts-Mills TA, Tovey ER, Mitchell EB, Moszoro H, Nock P, Wilkins SR. Reduction of bronchial hyperreactivity during prolonged allergen avoidance. Lancet. 1982;2:675‑8.
21. Becher R, Ovrevik J, Schwarze PE, Nilsen S, Hongslo JK, Bakke JV. Do carpets impair indoor air quality and cause adverse health outcomes: a review. Int J Environ Res Public Health. 2018;15:E184.
22. Rubini NPM, Wandalsen GF, Rizzo MCV, Aun MV, Neto HJC, Solé D. Guia prático sobre controle ambiental para pacientes com rinite alérgica. Arq Asma Alerg Imunol. 2017;1:8‑19.
23. Aranda CS, Cocco RR, Pierotti FF, Mallozi MC, Franco JM, Porto A, et al. Increase sensitization to several allergens over a 12-year period in Brazilian children. Pediatr Allergy Immunol. 2018;29:321‑4.
24. Chan SK, Leung DYM. Dog and cat allergies: current state of diagnostic approaches and challenges. Allergy Asthma Immunol Res. 2018;10:97‑105.
25. Graudenz GS, Kalil J, Latorre MR, Arruda K, Castro FFM. Transporte passivo de alérgenos de cão e gato em edifícios de escritórios. Rev Bras Alerg Imunopatol. 2002;25:99‑106.
26. Ahluwalia SK, Matsui EC. Indoor environmental interventions for furry pet allergens, pest Allergens, and mold: looking to the future. J Allergy Clin Immunol Pract. 2018;6:9‑19.
27. Gergen PJ, Mitchell HE, Calatroni A, Sever ML, Cohn RD, Salo PM, et al. Sensitization and exposure to pets: the effect on asthma morbidity in the US population. J Allergy Clin Immunol Pract. 2018;6:101‑7.
28. Portnoy JM, Kennedy K, Sublett JL, Phipatanakul W, Matsui E, Barnes C, et al. Environmental assessment and exposure control: a practice parameter–furry animals. Ann Allergy Asthma Immunol. 2012;108:223.
29. Shirai T, Matsui T, Suzuki K, Chida K. Effect of pet removal on pet allergic asthma. Chest. 2005;127:1565‑71.
30. Arruda LK, Santos ABR, Ferriani VPL, Sales VS. Alergia a barata. Rev Bras Alerg Imunopatol. 2005;28:172‑80.
31. Pomés A, Mueller GA, Randall TA, Chapman MD, Arruda LK. New insights into cockroach allergens. Curr Allergy Asthma Rep. 2017;17:25.
32. Do DC, Zhao Y, Gao P. Cockroach allergen exposure and risk of asthma. Allergy. 2016;71:463‑74.
33. Portnoy J, Chew GL, Phipatanakul W, Williams PB, Grimes C, Kennedy K, et al. Environmental assessment and exposure reduction of cockroaches: a practice parameter. J Allergy Clin Immunol. 2013;132:802‑8.
34. Morgan WJ, Crain EF, Gruchalla RS, O´Connor GT, Kattan M, Evans R, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med. 2004;351:1068‑80.
35. Sarinho E, Schor D, Veloso MA, Rizzo JA. There are more asthmatics in homes with high cockroach infestation. Braz J Med Biol Res. 2004;37:503‑10.
36. Borchers AT, Chang C, Gershwin M. Mold and human health: a reality check. Clin Rev Allergy Immunol. 2017;52:305‑22.
37. O´Driscoll BR, Hopkinson LC, Denning DW. Mold sensitization is common amongst patients with severe asthma requiring multiple hospital admissions. BMC Pulm Med. 2005;5:1‑10.
38. Pongracic JA, O´Connor GT, Muilenberg ML, Vaughn B, Gold DR, Kattan M, et al. Differential effects of outdoor versus indoor fungal spores on asthma morbidity in inner-city children. J Allergy Clin Immunol. 2010;125;593‑9.
39. Hegarty B, Dannemiller KC, Peccia J. Gene expression of indoor fungal communities under damp building conditions: Implications for human health. Indoor Air. 2018;28:548‑58.
40. Taketomi EA, Sopelete MC, Moreira PFS, Vieira FAM. Doença alérgica polínica: polens alergógenos e seus principais alérgenos. Rev Bras Otorrinolaringol. 2006;72:562‑7.
41. Rosário Filho NA. Reflexões sobre polinose: 20 anos de experiência. Rev Bras Alerg Imunopatol. 1997;20:210‑3.
42. Pollen. National Institute of Environmental Health Sciences. Disponível em: https://www.niehs.nih.gov/health/topics/agents/allergens/pollen/index.cfm. Acesso em: julho/2018.
Submitted date:
12/03/2019
Accepted date:
12/16/2019
Facebook
LinkedIn
Mendeley
StumbleUpon
Reddit
Email