Distribution variations of multi allergens at asthmatic children's homes

Abstract

Increasing asthma prevalence is evident in many countries and childhood asthma has also become one of the most common chronic diseases in children. Exposure to indoor allergens has been be attributed to a significant increase in asthma occurrence. Meanwhile, allergen distribution varies widely among different countries. This brief investigation reports the distribution of common indoor allergens, such as mite ( Dermatophagoides pteronyssinus, Der p 1 and Der p 2), cat ( Felis domesticus, Fel d 1), and German cockroach allergens ( Blattella germanica, Bla g 1) at different sites of asthmatic children in Taiwan. Approximately 40 asthmatic children's homes participated in this study and the cohort was followed prospectively for approximately 6 months, starting in December until the following May. Dust samples were collected from each child's mattress, and bedroom and living room floors. All samples were analyzed with monoclonal antibody-based enzyme-linked immunosorbent assay (ELISA). Statistical difference of Der p 1 concentrations is observed among those on the mattress, bedroom and living room floor, except for in May. Seasonal variation in Der p 1 levels on the mattress and bedroom floor is also significant ( P<0.025 and 0.001, respectively). Distributional variation seems to be significant for most allergens among sites within homes in most seasons. Therefore, if only one sample is to be taken, the month of May would be a more ideal choice of study period, and detailed sampling across sites appears to be necessary should the true environmental exposure of allergens be desired.