Gudmundsson Gunnar, Sigurdarson Sigurdur Thór, Tómasson Kristinn, Gíslason Davíd, Hallas Thorkill
Lungna-, ofnaemis- og svefndeild Landspítala, Reykjavík.
Laeknabladid. 2008 Nov;94(11):723-7.
Sensitization to Dermatophagoides pteronyssinus (D. pteronyssinus) occurs in 9% of the Reykjavik population, despite the fact that no Der p 1 antigen has been found in the area. A recent study revealed that sensitized persons more often had a childhood history of work or holiday stay in rural areas than controls. As a follow up we studied the risk of exposure to mites in farmland dwellings.
In a survey of work-related lung disorders among farmers in the south and west of Iceland, 80 samples of house dust, representing 42 farms, were collected from bedroom mattresses and the floors in living rooms and examined for mites. Treatment of samples was identical with the method used earlier in the Reykjavik investigation (ECRHS II).
In contrast to the Reykjavik results, dust from farm dwellings showed a large diversity of mites. Seventeen taxons were found, with Acarus siro and D. pteronyssinus in 13 and 8 farms respectively, but the samples did not show signs that any of the taxons actually had lived or reproduced where they were collected.
The finding of D. pteronyssinus in farmland dwellings provides a possible explanation of why some Reykjavik citizens might have developed sensitization to this mite, even though cross sensitization to other species of mites could give a false positive reaction to D. pteronyssinus in at least some of those cases. Our observations did not support the idea that the mites were living in the dwellings and an explanation for their occurrence must be sought in the outdoor environment.
尽管在雷克雅未克地区未发现Der p 1抗原,但该地区9%的人口对屋尘螨产生了致敏反应。最近的一项研究表明,与对照组相比,致敏者在农村地区工作或度假的童年经历更为常见。作为后续研究,我们调查了农田住宅中接触螨虫的风险。
在冰岛南部和西部农民的职业性肺部疾病调查中,从42个农场的卧室床垫和客厅地板上采集了80份屋尘样本,并对螨虫进行了检测。样本处理方法与雷克雅未克调查(欧洲社区呼吸健康调查II)中使用的方法相同。
与雷克雅未克的结果相反,农田住宅的灰尘中螨虫种类繁多。共发现17个分类群,其中粗脚粉螨和屋尘螨分别在13个和8个农场中被发现,但样本未显示任何分类群在采集地实际生活或繁殖的迹象。
在农田住宅中发现屋尘螨,这或许可以解释为什么一些雷克雅未克市民会对这种螨虫产生致敏反应,尽管对其他螨虫种类的交叉致敏在至少部分病例中可能导致对屋尘螨的假阳性反应。我们的观察结果并不支持螨虫生活在住宅中的观点,其出现的原因必须从室外环境中寻找。