Medical Indoor Environment Counselor (MIEC): role in compliance with advice on mite allergen avoidance and on mite allergen exposure

Blay, F. De; Fourgaut, G.; Hédelin, Guy; Vervloët, D.; Michel, F. B.; Godard, P.; Charpin, D.; Pauli, G.

doi:10.1034/j.1398-9995.2003.23674.x

Cited by 80 publications

(24 citation statements)

References 14 publications

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“…The adjunctive use of environmental counselors has been shown to improve adherence with these behaviors. 27,28 Our study had certain strengths and limitations that are worth acknowledging. We were able to gather detailed information on a variety of allergen evaluation, counseling, and avoidance behaviors, as well as more than 25 sociodemographic, clinical, and system factors that might influence this in a prospective cohort of all patients hospitalized for asthma over a consecutive 12-month period, regardless of where they received their outpatient care.…”

Section: Discussionmentioning

confidence: 95%

Allergen sensitization evaluation and allergen avoidance education in an inner-city adult cohort with persistent asthma

Busse

Wang²,

Halm

2005

Journal of Allergy and Clinical Immunology

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Section: Discussionmentioning

confidence: 95%

Allergen sensitization evaluation and allergen avoidance education in an inner-city adult cohort with persistent asthma

Busse

Wang²,

Halm

2005

Journal of Allergy and Clinical Immunology

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“…This percentage was 25% in the SAMI experience and 40% in the CHS service [13]. CMEI has led more detailed validation of the impact of home inspection on mite-allergen levels [18]. The CHS service has published a telephone evaluation about the implementation of recommendations provided following the home inspection [12] Future strategies Several aspects of these services deserve to be highlighted…”

Section: Current Achievementsmentioning

confidence: 99%

“…In the field of house dust mites, a multi-centre French study [18] has demonstrated a larger reduction in mite-allergen levels following home inspection, compared with recommendations provided during an outpatient visit. The innercity asthma study, a multi-centre US study including 1,000 asthmatic children, demonstrated a drop in symptomatic days following a home inspection which provided the family with tools for implementing a mite avoidance program and recommendations about exposure to passive smoking [27].…”

Section: Current Achievementsmentioning

confidence: 99%

Environmental home inspection services in Western Europe

Charpin

Baden

Bex³

et al. 2010

Environ Health Prev Med

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This review deals with environmental home inspection services in Western Europe provided for patients at the request of attending physicians to improve patient management. Such requests are usually motivated by respiratory or general symptoms which occur or worsen at home. The visit includes a standardised questionnaire as well as environmental sampling such as mite-allergen measurement, mould identification and volatile organic compound (VOC) measurements. Besides, some nonrespiratory indoor risks are also taken into account. Following the visit, a report is sent to the family and the attending physician. These services have been developed since the early 1990s, but evaluation of their efficacy is still limited. Some studies have demonstrated a reduction in mite-allergen levels and clinical improvement following the visit and implementation of advice provided to the family. However, more studies are needed to further document efficacy and also perform cost-benefit analysis of these services.

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“…Nevertheless locations for ideal sample collection vary with the specific circumstances associated with the habits of the allergic individual. Demonstrating the presence of the allergen in their home environment and identifying sources of high-risk exposure with the assistance of medical indoor environment counselor will convince the patient to pursue allergen reduction methods (59,60).…”

Section: Diagnosis Of Individual Patientsmentioning

confidence: 99%

Monitoring of occupational and environmental aeroallergens – EAACI Position Paper

Raulf

Buters

Chapman³

et al. 2014

Allergy

Self Cite

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Exposure to high molecular weight sensitizers of biological origin is an important risk factor for the development of asthma and rhinitis. Most of the causal allergens have been defined based on their reactivity with IgE antibodies, and in many cases, the molecular structure and function of the allergens have been established. Significant information on allergen levels that cause sensitization and allergic symptoms for several major environmental and occupational allergens has been reported. Monitoring of high molecular weight allergens and allergen carrier particles is an important part of the management of allergic respiratory diseases and requires standardized allergen assessment methods for occupational and environmental (indoor and outdoor) allergen exposure. The aim of this EAACI task force was to review the essential points for monitoring environmental and occupational allergen exposure including sampling strategies and methods, processing of dust samples, allergen analysis, and quantification. The paper includes a summary of different methods for sampling and allergen quantification, as well as their pros and cons for various exposure settings. Recommendations are being made for different exposure scenarios.

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Medical Indoor Environment Counselor (MIEC): role in compliance with advice on mite allergen avoidance and on mite allergen exposure

Abstract: Our results suggest that the home visit by the MIEC 1) increased the compliance to mite reduction methods advised; 2) induced a significant difference in mite reduction levels on mattress bases and on carpets; 3) avoided nonestablished avoidance advice.

Cited by 80 publications

References 14 publications

Allergen sensitization evaluation and allergen avoidance education in an inner-city adult cohort with persistent asthma

Allergen sensitization evaluation and allergen avoidance education in an inner-city adult cohort with persistent asthma

Environmental home inspection services in Western Europe

Monitoring of occupational and environmental aeroallergens – EAACI Position Paper

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