Chew Ginger L, Horner W Elliott, Kennedy Kevin, Grimes Carl, Barnes Charles S, Phipatanakul Wanda, Larenas-Linnemann Désirée, Miller J David
National Center for Environmental Health, Air Pollution and Respiratory Health Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Ga.
UL Environment, Marietta, Ga.
J Allergy Clin Immunol Pract. 2016 May-Jun;4(3):417-422.e2. doi: 10.1016/j.jaip.2016.01.013. Epub 2016 Mar 25.
Drawing evidence from epidemiology and exposure assessment studies and recommendations from expert practice, we describe a process to guide health care providers helping their patients who present with symptoms that might be associated with living in damp housing. We present the procedures in the form of a guided 2-part interview. The first part has 5 questions that triage the patient toward a more detailed questionnaire that reflects features of housing conditions known to be reliably associated with exposures to mold and dampness contaminants. We chose the questions based on the conditions associated with moisture problems in homes across the United States and Canada. The goal is to facilitate the clinician's effort to help patients reduce exposure to environmental triggers that elicit symptoms to better manage their disease.
借鉴流行病学和暴露评估研究的证据以及专家实践的建议，我们描述了一个流程，以指导医疗保健提供者帮助那些出现可能与居住在潮湿房屋中相关症状的患者。我们以两部分引导式访谈的形式呈现这些程序。第一部分有5个问题，可将患者分类至一份更详细的问卷，该问卷反映了已知与霉菌和潮湿污染物暴露可靠相关的住房条件特征。我们根据美国和加拿大各地与家庭潮湿问题相关的情况选择了这些问题。目标是促进临床医生帮助患者减少对引发症状的环境触发因素的暴露，从而更好地管理他们的疾病。
