Ev Tozu Akarı Alerjisi Olan Hastalarda Ev Tozu Akarından Kaçınma Stratejilerine Uyumun Değerlendirilmesi

Year 2026, Volume: 23 Issue: 1 , 147 - 159 , 27.03.2026

Zuhal Karalı , Yasin Karalı , Şükrü Çekiç , Hasan Nasuhi Budak

https://doi.org/10.35440/hutfd.1880677

https://izlik.org/JA34TX37KE

Abstract

Amaç: Ev tozu akarı (ETA) alerjisi, hem çocukları hem de yetişkinleri etkileyen önemli bir halk sağlığı sorunudur. Hastanın çevresel kontrol önlemlerine uyumu farklılık gösterebilir. Bu çalışma, ETA alerjisi olan ailelerin evlerinde akar korunma önlemlerine uyumlarını değerlendirmeyi amaçlamıştır.

Materyal ve metod: Bu çalışmaya ETA alerjisi olan 203 çocuğun [132 erkek, 71 kız; ortanca yaş, 9,6 yıl; çeyrekler arası aralık (IQR), 6-13 yıl] aileleri dahil edildi. Ailelerin demografik özellikleri,ev ortamı ve ETA korunma önlemlerine uyum verileri anketleraracılığıyla toplandı. Eşlik eden kedi veya polen alerjisi varlığı,ETA tanı süresi ve cinsiyete göre alt grup analizleri yapıldı.

Bulgular: Çocuğun odasının günlük havalandırılması (%98),kıyafetlerin kapalı dolaplarda saklanması (%96,6) ve yatakçarşaflarının haftalık olarak 60°C'de yıkanması (%93,6) gibi düşükmaliyetli, basit önlemlere yüksek oranda uyum gözlemlendi. Bunakarşılık, yataklara akar koruyucu kılıf alma (%41,9) ve halılarıtamamen kaldırma (%12,3) gibi daha fazla kaynak gerektirenveya maliyetli müdahaleler için uyum daha düşüktü. Tanı sonrasısüpürme sıklığı anlamlı olarak artmıştı (medyan, haftada 3 günden7 güne; p<0,001). Dikkat çekici bir şekilde ailelerin %26,1'i akarkoruyucu nevresim takımlarından, %11,3'ü ise HEPA filtrelisüpürgelerden bilgi sahibi değildi. Halı ve perdelerin kullanımınınbırakılması, hastalık süresi 12 aydan uzun olanlarda daha sıkgözlendi. Klinik tarafından sağlanan eğitim broşürleri ailelerin%83,7’si tarafından faydalı bulundu.

Sonuç: Ev tozu akarı alerjisi olan çocukların aileleri, özellikle yatakodasına yönelik olmak üzere, basit ve düşük maliyetli korunmaönlemlerine yüksek düzeyde uyum göstermektedir. Ancak maliyetve yetersiz farkındalık, daha kapsamlı ve kaynak gerektirenstratejilerin uygulanmasını sınırlayan başlıca engellerdir.

Keywords

Ev tozu akarı , Korunma önlemleri , Önlemlere uyum

Ethical Statement

This study was approved by the Bursa City Hospital Scientific Research Ethics Committee (approval no: 2025-2/7, date: January 22, 2025).

Assessment of Adherence to House Dust Mite Avoidance Strategies in Patients with House Dust Mite Allergy

https://izlik.org/JA34TX37KE

Abstract

Background: House dust mite (HDM) allergy is a significant public health problem affecting both children and adults. Adherence to environmental control measures varies among patients. This study aimed to evaluate compliance with mite avoidance measures in the homes of families with HDM allergy.

Materials and Methods: This study included families of 203 children [132 boys, 71 girls; median age, 9.6 years; interquartile range (IQR), 6-13 years] with HDM allergy. Data on demographics, home environment, and adherence to HDM avoidance measures were collected through questionnaires. Subgroup analyses were performed based on the presence of concomitant cat or pollen allergy, duration of HDM allergy, and sex.

Results: High adherence was observed for low-cost, simple measures, including daily ventilation of the child's room (98%), storage of clothes in closed closets (96.6%), and weekly washing of bed linens at 60°C (93.6%). In contrast, adherence was lower for more costly resource-intensive measures, such as dust mite–proof bedding (41.9%) and complete carpet removal (12.3%). Vacuuming frequency increased significantly after diagnosis (median, 3 to 7 days a week; p<0.001). Notably, 26.1% of families lacked knowledge about mite-proof bedding and 11.3% about HEPA-filter vacuum cleaners. Discontinuation of carpets and curtains was more common in patients with a disease duration longer than 12 months. Educational brochures provided by the clinic were reported to be helpful by 83.7% of families.

Conclusions: Families of children with HDM allergy demonstrate high adherence to simple, low-cost avoidance measures, particularly bedroom-related interventions. However, cost and limited awareness remain key barriers to the adoption of more intensive, resource-intensive strategies.

Keywords

House dust mite (HDM) , Avoidance measures , Adherence to measures

Ethical Statement

This study was approved by the Bursa City Hospital Scientific Research Ethics Committee (approval no: 2025-2/7, date: January 22, 2025).

References

• 1. Oh J, Kim S, Kim MS, Abate YH, ElHafeez SA, Abdelkader A, et al. Global, regional, and national burden of asthma and atopic dermatitis, 1990-2021, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Respir Med. 2025;13:425-37.
• 2. Bumbacea RS, Corcea SL, Ali S, Dinica LC, Fanfaret IS, Boda D. Mite allergy and atopic dermatitis: is there a clear link? Exp Ther Med. 2020;20(4):3554-60.
• 3. Özdemir Ö. Sensitization prevalence of children with allergic rhinitis to airborne and food allergens in Sakarya province of Turkey. MOJ Immunol. 2016;3.
• 4. Zuiani C, Čustović A. Update on house dust mite allergen avoidance measures for asthma. Curr Allergy Asthma Rep. 2020;20:50.
• 5. Yıldız YK, Yaytokgil SB, Vezir E. Evaluation of clinical and demographic characteristics in children with aeroallergen sensitization: a study based on skin prick test results. Allergol Immunopathol (Madr). 2025;53(6):46-54.
• 6. Harmancı K, Bakırtaş A, Türktaş İ. Sensitization to aeroallergens in preschool children with respiratory problems in Ankara, Turkey. Turk Thorac J. 2021;7(1):10-4.
• 7. Can C, Altınel N, Hatipoğlu S. Aeroallergen sensitisation patterns of children aged 5 years and younger with asthma and/or allergic rhinitis in Istanbul. Arch Pediatr. 2021;28(1):7-11.
• 8. Terzioğlu K, Ağca M. Distribution and characterization of aeroallergens in the etiology of allergic rhinitis patients in Istanbul Kartal region. Namik Kemal Med J. 2021;9(2):123-8.
• 9. Ozkaya E, Sogut A, Küçükkoç M, Eres M, Acemoglu H, Yuksel H, et al. Sensitisation pattern of inhalant allergens in children with asthma living at different altitudes in Turkey. Int J Biometeorol. 2015;59:1685-90.
• 10. Doroudchi A, Imam K, Lloret MIG. Allergen immunotherapy in pediatric respiratory allergy. Curr Treat Options Allergy. 2021;8:147-58.
• 11. Cipriani F, Calamelli E, Ricci G. Allergen avoidance in allergic asthma. Front Pediatr. 2017;5:103.
• 12. Cloosterman SG, Hofland ID, Lukassen HG, Wieringa MH, Folgering HTh, van der Heide S, et al. House dust mite avoidance measures improve peak flow and symptoms in patients with allergy but without asthma. J Allergy Clin Immunol. 1997;100(3):313-9.
• 13. Morgan WJ, Crain EF, Gruchalla RS, O'Connor GT, Kattan M, Evans R 3rd, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med. 2004;351(11):1068-80.
• 14. Halken S. Prevention of allergic disease in childhood: clinical and epidemiological aspects. Pediatr Allergy Immunol. 2004;15(Suppl 16):4-32.
• 15. Halken S, Høst 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(1):169-76.
• 16. Global Initiative for Asthma. Global strategy for asthma management and prevention. GINA Report; 2020.
• 17. Leas BF, D'Anci KE, Apter AJ, Bryant-Stephens T, Lynch MP, Kaczmarek JL, et al. Effectiveness of indoor allergen reduction in asthma management: a systematic review. J Allergy Clin Immunol. 2018;141(5):1854-69.
• 18. Celedón JC, Milton DK, Ramsey CD, Litonjua AA, Ryan L, Platts-Mills TA, et al. Exposure to dust mite allergen and endotoxin in early life and asthma and atopy in childhood. J Allergy Clin Immunol. 2007;120(1):144-9.
• 19. Butland BK, Strachan DP, Anderson HR. The home environment and asthma symptoms in childhood. Thorax. 1997;52:618-24.
• 20. Ediger D, Günaydın FE, Erbay M, Şeker Ü. Trends of sensitization to aeroallergens in patients with allergic rhinitis and asthma in Bursa. Turk J Med Sci. 2020;44:330-7.
• 21. Van Boven FE, Arends LR, Braunstahl GJ, van Wijk RG. Environmental mite allergen control strategies for asthma treatment. Clin Exp Allergy. 2019;49(4):400-9.
• 22. Colloff MJ. Dust mites. Collingwood (VIC): CSIRO Publishing; 2009.
• 23. Arshad SH, Bateman B, Sadeghnejad A, Gant C, Matthews SM. Prevention of allergic disease during childhood by allergen avoidance. J Allergy Clin Immunol. 2007;119(2):307-13.
• 24. National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the diagnosis and management of asthma. Bethesda (MD): NHLBI; 2007.
• 25. Tovey ER, Willenborg CM, Crisafulli DA, Rimmer J, Marks GB. Most personal exposure to house dust mite aeroallergen occurs during the day. PLoS One. 2013;8(7):e69900.
• 26. Moira CY, Ferguson A, Dimich-Ward H, Watson W, Manfreda J, Becker A. Effectiveness of and compliance with intervention measures in reducing house dust and cat allergen levels. Ann Allergy Asthma Immunol. 2002;88(1):52-8.
• 27. Wilson JM, Platts-Mills TAE. Home environmental interventions for house dust mite. J Allergy Clin Immunol Pract. 2018;6:1-8.
• 28. Jeon YH, Lee YJ, Sohn MH, Lee HR. Effects of vacuuming mattresses on allergic rhinitis symptoms in children. Allergy Asthma Immunol Res. 2019;11:655-63.
• 29. Rains N, Siebers R, Crane J, Fitzharris P. House dust mite allergen accumulation on new synthetic and feather pillows. Clin Exp Allergy. 1999;29:182-5.
• 30. Miller JD, Naccara L, Satinover S, Platts-Mills TAE. Mattress encasings accumulate mite and cat allergen. J Allergy Clin Immunol. 2007;120(4):977-9.
• 31. Vojta PJ, Randels SP, Stout J, Muilenberg M, Burge HA, Lynn H. et al. Effectsof physical interventions on house dust mite allergen levels. Environ Health Perspect. 2001;109(8):815-9.
• 32. Dabbaghzadeh A, Ghaffari J, Feridoni M, Alipour A. House dust mite allergen levels in houses of asthmatic children. J Pediatr Rev. 2020;8(4):267-75.
• 33. Bremmer S, Simpson EL. Dust mite avoidance for the primary prevention of atopic dermatitis. Pediatr Allergy Immunol. 2015;26(7):646-54.
• 34. Hsu C, Chien D, Tsai J, Yen C, Liao E. Prevalence of IgE positivity and environmental factors associated with mite species. Asian Pac J Allergy Immunol. 2024.
• 35. Lin GQ, Ye ZQ, Song EL, Lin YN. Enhancing pediatric asthma management through multifaceted health education. World J Clin Cases. 2024;12:3708-16.