The benefit of using plastic-covered mattresses and pillows on the frequency of asthma attacks in children with house dust mite allergy
Keywords:
asthma attack, house dust mite, prick test, CIE, plastic covered mattress, pillow
Abstract
Background House dust mite (HDM) is abundant in tropical ar-eas with an environmental temperature of 25-30 0 C and humidity
of more than 50%. Minimizing exposure to HDM allergens will de-
crease the frequency of asthma attacks in children with HDM hy-
perreactivity.
Objective To investigate the benefit of using plastic covered mat-
tresses and pillows in decreasing the frequency of asthma attacks
in children allergic to HDM.
Methods This is a longitudinal analytical study on children aged
3–12 years who showed positive HDM skin prick test (SPT). The
subjects received communication, information, and education (CIE)
for the first 3 months and CIE and plastic-covered mattresses and
pillows for the second 3 months. The frequency of asthma attacks
was observed for the two periods.
Results Twenty-six children with asthma were included in this study,
16 were boys and 10 were girls. SPT results were +2 in 17 chil-
dren, +3 in 8 children, and +4 in 1 child, respectively. During the
CIE as well as the CIE + plastic intervention periods, asthma at-
tack frequency was decreased significantly in the 1 st , 2 nd , and 3 rd
months. Among several variables (age, sex, SPT, atopic history in
first-degree relative, and other atopic history), age was the only
one significantly related to asthma attack frequency.
Conclusion Covering mattresses and pillows with plastic de-
creased the frequency of asthma attacks in children with positive
SPT to HDM
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Jakarta: Balai Penerbit FKUI; 2001.
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Welter MS, Bregmen I, De Monchy JGR, Postma DS.
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sented at The 3rd round table discussion on allergy
and immunology: Asma Bronkial, 2001 Oct 27;
Denpasar, Indonesia.
2. The mighty dust mite. Available from: http//
www.healthquest-nf.com/hqdustmitesinfo.htm.
3. Franky. Peran Dermatophagoides Pteronyssimus
terhadap kejadian asma bronkial pada anak di
Denpasar. Thesis. Denpasar: bagian Ilmu Kesehatan
Anak FK UNUD, 1996.
4. Adhianto G. Characteristic & clinical manifestation
of allergic rhinitis. Research report. Denpasar: Bagian
Ilmu Kesehatan Anak FK UNUD; 2001.
5. Sheikh A, Hurwitz B, Sibbald B, Barnes G, Howe M,
Durham S. House dust mite barrier bedding for child-
hood asthma; randomized placebo controlled trial in
primary care. BMC Family Practice 2002;3:12-7.
6. Halken S, Host A, Niklassen U, Hansen LG,
Nielsen F, Pedersen 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.
7. Shapiro GG, Wighton TG, Chinn T, Zuckerman J,
Eliassen AH, Picciano JF, et al. House dust mite
avoidance for children with asthma in homes of low
income families. J Allergy Clin Immunol 1999;
103:1069-74.
8. Vanlaar CH, Peat JK, Marks GB, Rimmer J, Tovey ER.
Domestic control of house dust mite allergen in children’s
bed. J Allergy Clin Immunol 2000;105:1130-3.
9. UKK Pulmonologi, PP Ikatan Dokter Anak Indone-
sia. Konsensus Nasional Asma Anak. Jakarta: 2000.
10. Akib AAP. Perjalanan alamiah penyakit alergi dan
upaya pencegahannya. In: Akib AAP, Tumbelaka AR,
Matondang CS, editors. Pendekatan imunolgis
berbagai penyakit alergi dan infeksi. Proceedings of
Pendidikan Kedokteran Berkelanjutan Ilmu Kesehatan
Anak FKUI XLIV. 2001 Jul 30-31; Jakarta, Indonesia.
Jakarta: Balai Penerbit FKUI; 2001.
11. Martinez FD. Complexities of the genetics of asthma.
Am J Respir Crit Care Med 1997;156(Suppl):S117-22
12. Arlian LG, Platts-Mills TAE. The biology of dust
mites and the remediation of mite allergens in aller-
gic disease. J Allergy Clin Immunol 2001;107
(Suppl):S406-13.
13. Rijssenbeek-Nouwens LHM, Oosting AJ, De bruin-
Welter MS, Bregmen I, De Monchy JGR, Postma DS.
Clinical evaluation of effect of anti allergic mattress
covers in subjects with moderate to severe asthma and
house dust mite allergy: a randomized double blind
placebo controlled study. Thorax 2002;57:784-90.
14. Gotzche PG, Hammarquist C, Burr M. House Dust mite
control measures in the management of asthma: meta
analysis. BMJ 1998;317: 1105-10.
15. Chew GL, Burge HA, Dockery DW, Muilenberg ML,
Weiss ST, Gold DR. Limitations of a home character-
istics questionnaire as a predictor of indoor allergen
levels. Am J Respir Crit Care Med 1998; 157:1536-41.
16. Koopman LP, Van Strien RT, Kerkhof M, Wijga A, Smit
HA, De Jogste JC, et al. Placebo controlled trial of house
dust mite impermeable mattress cover. Am J Respir
Crit Care Med 2002;166:307-13.
Published
2016-10-10
How to Cite
1.
Ratih LP, Santosa H. The benefit of using plastic-covered mattresses and pillows on the frequency of asthma attacks in children with house dust mite allergy. PI [Internet]. 10Oct.2016 [cited 22Nov.2024];45(2):60-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/800
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Received 2016-10-05
Accepted 2016-10-05
Published 2016-10-10
Accepted 2016-10-05
Published 2016-10-10
