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学校暴露与哮喘。

School exposure and asthma.

机构信息

Division of Allergy and Immunology, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

Division of Allergy and Immunology, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

出版信息

Ann Allergy Asthma Immunol. 2018 May;120(5):482-487. doi: 10.1016/j.anai.2018.01.028.

DOI:10.1016/j.anai.2018.01.028
PMID:29407419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5942597/
Abstract

OBJECTIVE

To provide a comprehensive overview of common school exposures and the association between school exposures and pediatric asthma morbidity.

DATA SOURCES

A comprehensive literature review was performed using PubMed.

STUDY SELECTIONS

Full-length, peer-reviewed studies published in English were considered for review. In vivo, in vitro, and animal studies were excluded. Studies of school exposure to cockroach, mouse, dust mite, dog, cat, molds, pollution, and endotoxin associated with asthma and asthma morbidity were considered.

RESULTS

The current literature establishes an association between school exposure and pediatric asthma morbidity. There is a need for ongoing research to evaluate the effects of school-based environmental interventions on asthma morbidity.

CONCLUSION

It is evident that the indoor school environment is a significant reservoir of allergens, molds, pollutants, and endotoxin and that there is an association between school exposure and pediatric asthma morbidity. School-based interventions have the potential for substantial individual, community, and public health benefit. It is important that researchers continue to study the health effects associated with school exposures and assess cost-effectiveness of multifaceted school-based interventions.

摘要

目的

全面概述常见的学校暴露因素以及学校暴露因素与儿童哮喘发病率之间的关系。

资料来源

使用 PubMed 进行了全面的文献回顾。

研究选择

考虑了全文、同行评审、以英语发表的研究。排除了体内、体外和动物研究。研究了与哮喘和哮喘发病率相关的蟑螂、老鼠、尘螨、狗、猫、霉菌、污染和内毒素的学校暴露。

结果

目前的文献确立了学校暴露与儿童哮喘发病率之间的关联。需要进行持续的研究,以评估基于学校的环境干预对哮喘发病率的影响。

结论

显然,室内学校环境是过敏原、霉菌、污染物和内毒素的重要储存库,学校暴露与儿童哮喘发病率之间存在关联。基于学校的干预措施有可能对个人、社区和公共健康产生重大影响。研究人员继续研究与学校暴露相关的健康影响并评估多方面基于学校的干预措施的成本效益非常重要。

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本文引用的文献

1
Acute effects of air pollutants on pulmonary function among students: a panel study in an isolated island.大气污染物对海岛地区学生肺功能的急性影响:一项面板研究。
Environ Health Prev Med. 2017 Apr 4;22(1):33. doi: 10.1186/s12199-017-0646-3.
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Nitrogen dioxide exposure in school classrooms of inner-city children with asthma.市区哮喘儿童的学校教室中二氧化氮暴露情况。
J Allergy Clin Immunol. 2018 Jun;141(6):2249-2255.e2. doi: 10.1016/j.jaci.2017.08.028. Epub 2017 Oct 5.
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Gene-environment interaction between an IL4R variant and school endotoxin exposure contributes to asthma symptoms in inner-city children.白细胞介素4受体(IL4R)变体与学校内毒素暴露之间的基因-环境相互作用导致城市中心儿童出现哮喘症状。
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The national cost of asthma among school-aged children in the United States.美国学龄儿童哮喘的全国成本。
Ann Allergy Asthma Immunol. 2017 Sep;119(3):246-252.e1. doi: 10.1016/j.anai.2017.07.002.
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Impact of environmental microbiota on human microbiota of workers in academic mouse research facilities: An observational study.学术小鼠研究设施中环境微生物群对工作人员人体微生物群的影响:一项观察性研究。
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Reducing the burden of allergy and asthma in schoolchildren: Air cleaning solutions and microbial diversity-the dark side of the moon?减轻学童的过敏和哮喘负担:空气净化解决方案与微生物多样性——月球的阴暗面?
J Allergy Clin Immunol Pract. 2017 Jul-Aug;5(4):1164-1165. doi: 10.1016/j.jaip.2017.04.019.
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The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned.学校内城区哮喘干预研究:设计、原理、方法及经验教训
Contemp Clin Trials. 2017 Sep;60:14-23. doi: 10.1016/j.cct.2017.06.008. Epub 2017 Jun 12.
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NIAID, NIEHS, NHLBI, and MCAN Workshop Report: The indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management.美国国立过敏与传染病研究所、美国国立环境卫生科学研究所、美国国立心肺血液研究所及儿童健康与人类发展国家研究所研讨会报告:室内环境与儿童哮喘——对哮喘预防和管理中家庭环境干预的启示
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Mouse Sensitization and Exposure Are Associated with Asthma Severity in Urban Children.城市儿童的哮喘严重程度与小鼠致敏和暴露有关。
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Association Between Allergen Exposure in Inner-City Schools and Asthma Morbidity Among Students.市中心学校的过敏原暴露与学生哮喘发病率之间的关联。
JAMA Pediatr. 2017 Jan 1;171(1):31-38. doi: 10.1001/jamapediatrics.2016.2543.