|
SELECTED ARTICLES FROM THE RECENT LITERATURE 2007
November 2, 2007
Effects of early life exposures to dust mite allergen and endotoxin
Summary
We have long known that women employed in domestic cleaning are at increased risk for asthma symptoms. This risk has clearly been shown to bleach agents, ammonia fumes, and degreasers. It has been demonstrated to be independent of whether or not the agents are applied by spray (1).
However, it has not been clearly established as to whether or not such risk exists for nonprofessional home cleaning. A recent article by Zock and associates (2), analyzing data obtained in the European Community Respiratory Health Survey, recently found an association between asthma and the use of common household cleaning agents - administered via spray. They did not find this risk when cleaning agents were employed via non-aerosol applications.
Atopy was not a relevant risk factor in either the study cited above involving professional cleaners or the evaluation of domestic, nonprofessional cleaners.
Editor's Comments
In the practice of asthma, we daily encounter patients who fight worsening symptoms upon exposure to cleaning agents. This is seen not only in the home but also in offices. This recent study confirms our clinical experience.
Reference
Medina-Ramon, et al. Occupational and Environmental Medicine 2005; 62(9):598-606.
Zock J, et al. The use of household cleaning sprays and adult asthma: an international longitudinal study. American Journal of Respiratory Critical Care Medicine 2007; 176(8):735-741.
|