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避免过敏原作为一级预防:反对观点

Allergen avoidance as primary prevention: con.

作者信息

Lau Susanne

机构信息

Children's Hospital Charity Campus Virchow, Augustenburger Platz 1, Berlin, Germany.

出版信息

Clin Rev Allergy Immunol. 2005 Feb;28(1):17-23. doi: 10.1385/CRIAI:28:1:017.

Abstract

There has been a dramatic increase in the prevalence of atopic diseases, such as atopic dermatitis, food allergy, allergic rhinitis, and allergic asthma. Because environmental factors such as early allergen exposure to nutritional and inhalant allergens have been suspected as potential environmental factors favoring the development of allergic diseases and asthma, primary prevention studies have begun to investigate the effect on sensitization and wheezing. Designs of the studies are different and, therefore, are not completely comparable. Although no clear primary prevention study is available for pets, mite allergen avoidance during infancy can achieve a reduction of specific sensitization and, in some studies, can also produce a slight effect on respiratory symptoms.

摘要

特应性疾病(如特应性皮炎、食物过敏、过敏性鼻炎和过敏性哮喘)的患病率急剧上升。由于早期接触营养性和吸入性过敏原等环境因素被怀疑是促进过敏性疾病和哮喘发展的潜在环境因素,一级预防研究已开始调查其对致敏和喘息的影响。这些研究的设计各不相同,因此并不完全具有可比性。虽然目前尚无关于宠物的明确一级预防研究,但婴儿期避免接触螨过敏原可降低特异性致敏,在一些研究中,还可对呼吸道症状产生轻微影响。

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