Irset (Institut de Recherche en santé, environnement et travail) - UMR_S 1085, Univ Rennes, CHU Rennes, Inserm, EHESP, 35000, Rennes, France.
Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Rennes, 2 rue Henri le Guilloux, 35033, Rennes Cedex 09, France.
Mycopathologia. 2020 Apr;185(2):367-371. doi: 10.1007/s11046-019-00417-9. Epub 2020 Jan 2.
The usefulness and feasibility of a global allergens avoidance method with counselors visiting patients' home for allergens measures and adapted advices were prospectively evaluated through asthma control and environment evaluation. Twenty seven patients were prospectively included and compared to a cohort of 30 control patients. The level of control of asthma at inclusion and after 1 year was evaluated by the clinical signs, the evolution of the FEV1, and the healthcare use. Environmental measurements included the fungal load of 5 surfaces of the dwellings and the evaluation of moisture. A significant clinical improvement in the population that benefited from the home counselors visit was observed compared to the baseline (p < 0.0001), as well as a decreased number of hospitalizations for asthma and of the consumption of anti-asthma drugs (p < 0.01). Dampness markers slightly improved with an improvement of the fungal loads in two-third of the dwellings.
通过哮喘控制和环境评估,前瞻性地评估了咨询师上门进行过敏原测量和适应性建议的全球过敏原回避方法的实用性和可行性。27 名患者被前瞻性纳入,并与 30 名对照患者进行比较。通过临床体征、FEV1 的演变和医疗保健使用,评估纳入时和 1 年后哮喘控制水平。环境测量包括 5 个居住表面的真菌负荷和湿度评估。与基线相比,受益于家庭顾问访问的人群的临床状况显著改善(p<0.0001),哮喘住院次数和抗哮喘药物的使用也减少(p<0.01)。潮湿标志物略有改善,三分之二的住宅真菌负荷有所改善。