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CONTROL DE ALERGENOS DE TRANSMISION AEREA COMO MEDIDA DE PREVENCION PRIMARIA Y SECUNDARIA PARA ALERGIAS DE RESPUESTA INMEDIATA

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Mediante el uso de sistemas de filtración de aire en ambientes internos, la concentración de polen proveniente del exterior puede disminuirse para aliviar los síntomas alérgicos en pacientes predispuestos. Estos filtros no mostraron beneficio respecto de la alergia a ácaros o a alergenos provenientes de mascotas.
brehler9.jpg Autor:
Brehler, randolf
Columnista Experto de SIIC

Institución:
Department of Dermatology UKM Muenster, Germany

Artículos publicados por Brehler, randolf
Recepción del artículo
19 de Mayo, 2004 		Aprobación
13 de Julio, 2004
Primera edición
22 de Febrero, 2005 		Segunda edición, ampliada y corregida
7 de Junio, 2021

CONTROL DE ALERGENOS DE TRANSMISION AEREA COMO MEDIDA DE PREVENCION PRIMARIA Y SECUNDARIA PARA ALERGIAS DE RESPUESTA INMEDIATA

Resumen
Antecedentes: La prevalencia de alergias de tipo inmediato aumentó durante las décadas pasadas. Se analizan los conceptos concernientes a la prevención primaria y secundaria de la alergia. Se resumen los resultados de un estudio clínico propio sobre el uso de un sistema de filtrado de aire. Conclusión: Con relación a la prevención primaria de la alergia, la eficacia de evitar el contacto con alergenos genera controversia, y no hay datos disponibles de que la reducción de la exposición a alergenos, especialmente en la niñez, prevenga la alergia. En contraste, se acepta la estrategia de evitar el contacto con alergenos como base para la prevención secundaria en el tratamiento de alergias de tipo inmediato. Como conclusión de nuestro estudio, los sistemas de filtrado de aire son útiles en el tratamiento de pacientes con fiebre de heno.

Palabras clave
Alergia de tipo inmediato, exposición a alergenos, prevención primaria, prevención secundaria


Artículo completo
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CONTROL OF AIRBORNE ALLERGENS IN THE CONCEPTS OF PRIMARY AND SECONDARY PREVENTION MEASURES OF IMMEDIATE-TYPE ALLERGIES

Abstract
Background: The prevalence of immediate-type allergies increased during the past decades. Concepts of preventing the development of allergy and concepts of secondary allergy prevention are discussed. The results of an own clinical study about the use of a fresh air filtration system are summarized. Conclusion: The efficacy of allergen avoidance for primary allergy prevention is controversy discussed, validated data demonstrating that the reduction of allergen exposure especially in early childhood prevent the development of allergy are not available. In contrast allergen avoidance is still accepted as the basis of secondary prevention in the therapy of immediate-type allergies. As a conclusion of our own study fresh air filter systems are useful in the treatment of patients with hey fever.

Key words
Immediate-type allergy, allergen exposure, primary prevention, secondary prevention


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Especialidades
Principal: Alergia
Relacionadas: Diagnóstico por Laboratorio, Inmunología, Medicina Interna, Neumonología, Otorrinolaringología, Salud Pública



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Brehler, Randolf
Bibliografía del artículo
  1. ISAAC. Worldwide variations in the prevalence of asthma symptoms: the International Study of Asthma and Allergies in Childhood. (ISAAC) Steering Committee. Lancet 1998: 1225-32.
  2. Bjorksten B. Environment and infant immunity. Proc Nutr Soc. 1999; 58: 729-32.
  3. Morein B, Abusugra I, Blomqvist G. Immunity in neonates. Vet Immunol Immunopathol. 2002; 87: 207-13.
  4. Kilpelainen M, Terho EO, Helenius H, Koskenvuo M. Farm environment in childhood prevents the development of allergies. Clin Exp Allergy. 2000; 30: 201-8.
  5. Von Ehrenstein OS, Von Mutius E, Illi S, Baumann L, Bohm O, von Kries R.. Reduced risk of hay fever and asthma among children of farmers. Clin Exp Allergy. 2000; 30: 187-93.
  6. Platts-Mills T, Vaughan J, Squillace S, et al. Sensitisation, asthma and a modified Th2 response in children exposed to cat allergen: a population-based cross-sectional study. Lancet 2001; 357: 752-6.
  7. Simpson A, Custovic A. Early pet exposure: friend or foe Curr Opin Allergy Clin Immunol. 2003; 3: 7-14.
  8. Murray CS, Woodcock A, Custovic A. The role of indoor allergen exposure in the development of sensitization and asthma. Curr Opin Allergy Clin Immunol 2001; 1: 407-12.
  9. Sedgewick J, Holt P. Suppression of IgE responses in inbred rats by repeated respiratory tract exposure to antigen: responder phenotype influences isotype specificity of induced tolerance. Eur J Immunol 1984; 14: 893-7.
  10. McMenamin C, Schon HM, Oliver J, Girn B, Holt PG. Regulation of IgE responses to inhaled antigens: cellular mechanisms underlying allergic sensitization versus tolerance induction. Int Arch Allergy Appl Immunol 1991; 94: 78-82.
  11. Sheikh A, Hurwitz B. House dust mite avoidance measures for perennial allergic rhinitis (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd.
  12. Gotzsche PC, Johansen HK, Burr ML, Hammarquist C. House dust mite control measures for asthma (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd.
  13. Woodcock A, Forster L, Matthews E, Martin J, Letley L, Vickers M, Britton J, Strachan D, Howarth P, Altmann D, Frost C, Custovic A. Control of exposure to mite allergen and allergen-impermeable bed covers for adults with asthma. N Engl J Med 2003; 349: 225-36.
  14. Terreehorst I, Hak E, Oosting AJ, Tempels-Pavlica Z, de Monchy JG, Bruijnzeel-Koomen CA, Aalberse RC, Gerth van Wijk R. Evaluation of impermeable covers for bedding in patients with allergic rhinitis. N Engl J Med. 2003; 349: 237-46.
  15. Reisman RE, Mauriello PM, Davis GB, Georgitis JW, DeMasi JM. A double-blind study of the effectiveness of a high-efficiency particulate air (HEPA) filter in the treatment of patients with perennial allergic rhinitis and asthma. J Allergy Clin Immunol 1990; 85: 1050-7.
  16. Custovic A, Simpson A, Pahdi H, Green RM, Chapman MD, Woodcock A: Distribution, aerodynamic characteristics, and removal of the major cat allergen Fel d 1 in British homes. Thorax 1998; 53: 33-8.
  17. Fletcher AM, Pickering CA, Custovic A, Simpson J, Kennaugh J, Woodcock A. Reduction in humidity as a method of controlling mites and mite allergens: the use of mechanical ventilation in British domestic dwellings. Clin Exp Allergy 1996; 26: 1051-6.
  18. Green R, Simpson A, Custovic A, Faragher B, Chapman M, Woodcook A. The effect of air filtration on airborne dog allergen. Allergy 1999; 54: 484-8.
  19. Wood RA, Johnson EF, Van NM, Chen PH, Eggleston PA. A placebo-controlled trial of a HEPA air cleaner in the treatment of cat allergy. Am J Respir Crit Care Med 1998; 158: 115-20.
  20. Van der Heide S, Kauffman HF, Dubois AE, de Monchy JG. Allergen reduction measures in houses of allergic asthmatic patients: effects of air-cleaners and allergen-impermeable mattress covers. Eur Respir J 1997; 10: 1217-23.
  21. Platts-Mills TAE, Chapman MD, Heyman PW, Luczynska CM. Measurement of airborne allergen using immunoassays; in Solomon WR (ed): Airborne aeroallergens. Immunol Allergy Clin North Am 1989; 9: 269-84.
  22. Kilburn S, Lasserson TJ, McKean M. Pet allergen control measures for allergic asthma in children and adults (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd.
  23. Spengler JD. Indoor pollution. N Engl Reg Allergy Proc 1985; 6: 126-34.
  24. Chafee FH. Pollen studies in a hospital air-conditioned room. N Engl Reg Allergy Proc 1985; 6: 150-2.
  25. Hirsch DJ, Hirsch SR, Kalbfleisch JH. Effect of central air conditioning and meteorologic factors on indoor spore counts. J Allergy Clin Immunol 1978; 62: 22-6.
  26. Solomon WR, Burge HA, Boise JR. Exclusion of particulate allergens by window air conditioners. J Allergy Clin Immunol 1980; 65: 305-8.
  27. Criep LH, Green MA. Air cleaning as an aid in the treatment of hay fever and bronchial asthma. J Allergy 1936; 7: 120.
  28. Spiegelman J, Friedman H, Blumstein BI. The effects of central air conditioning on pollen, mold and bacterial concentrations. J Allergy 1963; 34: 426.
  29. Spiegelman J, Friedman H. The effects of central air filtration and conditioning on pollen and microbial contamination. J Allergy 1968; 42: 193.
  30. Vaugh WT, Cooley LE. Air conditioning as a means of removing pollen and other particulate matter and of relieving pollenosis. J Allergy 1933; 5: 37.
  31. Brehler R, Kütting B, Biel K, Luger T. Positive effects of a fresh air filtration system on hay fever symptoms Int Arch Allergy Immunol. 2003; 130: 60-5.
 
 
 
 
 
 
 
 
 
 
 
 
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