FCAAIA Notes: The vast majority of children with asthma have allergies and should have allergy testing. Therefore, a thorough history of environmental exposures, correlated with the patient’s history and his testing results allow for focused recommendations for allergen avoidance.
The role of allergy in asthma is so well established that national and international guidelines for the care of asthma indicate that patients with persistent asthma (and allergy) should be considered candidates for allergy shots. Continue reading “AAP: INDOOR ALLERGEN TESTING ‘A MUST’ FOR KIDS WITH ASTHMA”
FCAAIA Notes: Air pollution is not just an outdoor problem. In fact, many patients neglect the effect that air pollution can have inside their homes. Air purifiers are useful for some people with asthma or allergies, but not others. This study looked at the effect of air purifiers on asthma control as it relates to small particulates that are irritants, not allergens.
Fireplaces, kerosene heaters, smoking, and wood stoves are some common and easily avoidable sources of particulate indoor air pollution. Continue reading “EFFECTIVENESS OF AIR PURIFIER ON HEALTH OUTCOMES AND INDOOR PARTICLES IN HOMES OF CHILDREN WITH ALLERGIC DISEASES IN FRESNO, CALIFORNIA: A PILOT STUDY”
FCAAIA Notes: Endotoxin is everywhere. The word endotoxin doesn’t sound so bad until you realize that endotoxin comes from fecal (animal and human) bacterial cell walls. It is highest in homes with pets, in farm homes, in buildings with a lot of rodents, and in more polluted/dirtier areas. Endotoxin got a lot of press several years or so ago when the “Hygiene Hypothesis” was put forth. Continue reading “CLASSROOM AIRBORNE ENDOTOXIN LEVELS LEAD TO INCREASED ASTHMA SYMPTOMS”
FCAAIA Notes: More bad news for children who live in houses with smokers (not that we ever expect to have good news for them!). Passive smoking comes in three forms: Second hand smoke is that exhaled by the smoker. Side stream smoke is smoke that comes off the end of a burning cigarette, cigar, pipe, etc. Now, we include third-hand smoke which is identified by the smell of the clothing, furniture, home, etc. of smokers.
This study identifies third hand smoke as a risk factor for respiratory infections and wheezing in young children, even if their parents claimed to have never smoked inside. So, we cannot stress strongly enough that care takers of children who smoke should quit. Continue reading “THIRD-HAND SMOKE IMPACTS KIDS’ BREATHING”