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巴基斯坦南部空气中曲霉菌与哮喘加重的关联。

Association of airborne Aspergillus with asthma exacerbation in Southern Pakistan.

作者信息

Zubairi Ali Bin Sarwar, Azam Iqbal, Awan Safia, Zafar Afia, Imam Asif Ali

机构信息

Department of Medicine, Aga Khan University, Karachi 74800, Pakistan.

Department of Community Health Sciences, Aga Khan University, Karachi 74800, Pakistan.

出版信息

Asia Pac Allergy. 2014 Apr;4(2):91-8. doi: 10.5415/apallergy.2014.4.2.91. Epub 2014 Apr 29.

DOI:10.5415/apallergy.2014.4.2.91
PMID:24809014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4005352/
Abstract

BACKGROUND

Exposure to airborne fungi has been related with exacerbation of asthma in adults and children leading to increased outpatient, emergency room visits, and hospitalizations. Hypersensitivity to these airborne fungi may be an important initial predisposing factor in the development and exacerbation of asthma.

OBJECTIVE

This study was conducted to determine an association between fungal types and spore concentrations with the risk of asthma exacerbation in adults.

METHODS

This cross-sectional study was conducted from May 2008 to August 2009 at the Aga Khan University Hospital Karachi, Pakistan. All adult (age≥16 years) patients presenting to the hospital with acute asthma exacerbation were enrolled after informed consent. A home survey was conducted for each patient to assess their environmental characteristics. Indoor air samples were also obtained from the patient's home to determine the type and spore concentration of fungi within the week of their enrollment in the study.

RESULTS

Three hundred and ninety-one patients with an acute asthma exacerbation were enrolled during the study period. The mean age of participants was 46 years (standard deviation, ±18 years) and 247 (63.2%) were females. A trend of higher asthma enrollment associated with higher Aspergillus concentrations was found in two consecutive summers. A total of nineteen types of fungi were found in air samples. Aspergillus spp. was the most frequently isolated fungus with acute asthma exacerbation.

CONCLUSION

An association of higher concentration of indoor Aspergillus spp. with asthma exacerbation in adults was observed in this study.

摘要

背景

接触空气中的真菌与成人和儿童哮喘加重有关,导致门诊、急诊就诊和住院人数增加。对这些空气中真菌的超敏反应可能是哮喘发生和加重的一个重要初始诱发因素。

目的

本研究旨在确定真菌类型和孢子浓度与成人哮喘加重风险之间的关联。

方法

本横断面研究于2008年5月至2009年8月在巴基斯坦卡拉奇的阿迦汗大学医院进行。所有因急性哮喘加重而到医院就诊的成年(年龄≥16岁)患者在获得知情同意后入组。对每位患者进行家庭调查以评估其环境特征。还从患者家中采集室内空气样本,以确定其入组研究当周室内真菌的类型和孢子浓度。

结果

研究期间共纳入391例急性哮喘加重患者。参与者的平均年龄为46岁(标准差,±18岁),女性有247例(63.2%)。在连续两个夏季发现哮喘入组率较高与曲霉浓度较高之间存在一种趋势。在空气样本中总共发现了19种真菌。曲霉属是急性哮喘加重时最常分离出的真菌。

结论

本研究观察到室内曲霉属浓度较高与成人哮喘加重之间存在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/2e76fd13c360/apa-4-91-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/7cd52d5578aa/apa-4-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/6dd810d90004/apa-4-91-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/e2adca6fd8a7/apa-4-91-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/2e76fd13c360/apa-4-91-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/7cd52d5578aa/apa-4-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/6dd810d90004/apa-4-91-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/e2adca6fd8a7/apa-4-91-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/4005352/2e76fd13c360/apa-4-91-g004.jpg

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