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Allergen Avoidance


Avoidance can be useful in the management of patients with allergy. These measures are effective. Relatively inexpensive, and unlike medications are not associated with any side effects. They may seem perhaps a bit inconvenient, but measures mentioned below if adopted will help your allergic condition.

Pollens

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Ragweed photo taken in my backyard

Monitor pollen counts.
If pollen counts are high, remain indoors or at least limit outdoors trips to rural areas.
Keep windows closed and run air conditioners when indoors.
Keep windows rolled up in cars.
Avoid lawn mowing or leaf raking-use a mask if absolutely necessary.
Wear wraparound sunglasses or goggles, if possible, when outdoors.


Dust Mites

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The most important component of house dust to which patients may become allergic is the dust mite. These microscopic arachnids can cause allergic rhinitis, asthma, and may contribute in the pathogenesis of atopic dermatitis. Dust mites live primarily in mattresses, pillows, blankets, carpets, curtains, and upholstered furniture. Their favorite food is shed human epithelial cells. Waste product particles (fecal pellets) passed by these mites are the main source of dust mite allergen. The following steps can be taken to reduce dust mite allergen levels.

Use allergy-proof casings on all mattresses and pillows.
Every 7 to 14 days, wash everything on the bed (e.g., comforters, blankets, pillows) in hot water (130 degrees F).
Comforters that cannot be washed should be covered in an allergy proof casing and dry cleaned (a process that kills mites).
Remove carpets especially in the bed room.
Remove all carpeting on concrete floors. Such floors tend to trap moisture and promote mite and mold growth. Carpets should be removed and the concrete covered with a vapor barrier and washable floor covering such as vinyl or linoleum.
Wash children's stuffed toys as frequently as bedding; store in plastic bags or freezer when not in use.
Indoor humidity should be kept at less than 50%; dust mites thrive in high humidity. Monitor the humidity and use a dehumidifier if necessary.


Animals

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If house pets have been or are currently present in the home, house dust will contain large amounts of animal dander.When pets have been recently removed from the home, patients with allergies should follow these steps:
Vacuum up any pet hair and wash all walls and floors.
Steam clean all carpets and upholstery but assure rapid drying by running heat or air conditioning system. Dampness promotes mite and mold growth.
Wash all bedding and draperies even if the pet was not in direct contact with them.
If pets are still in the home, the following should be accomplished:
Keep pets out of bedrooms at all times.
Keep pets outdoors as much as possible. Put pets in another room (airborne allergen levels increase 100-fold when pets are in the same room)
Remove carpeting from the entire house, if possible.
Start by removing bedroom carpeting because it traps pet allergens.
Use the same precautions with mattresses and pillows as described for dust mites.
Use a high efficiency particulate air (HEPA) cleaner to remove airborne allergens. Use one in the bedroom and consider using another one in the room in which you spend the most time.
Use HEPA central furnace filters to prevent spread of the airborne dander throughout the house.
Open the windows and ventilate the house; air exchange can decrease airborne pet allergens.
Wash pets weekly to remove surface allergens. Any pet bedding should also be washed weekly.


Molds

Avoid exposure to damp basements, compost piles, fallen leaves, cut grass, barns, and wooded areas-all areas of high mold growth (wear a face mask if such exposures are unavoidable).
Prevent high levels of humidity indoors.
Measure the indoor humidity with a gauge and keep it at 35% or less. This can be accomplished with air conditioners in the summer and preventing over-humidification in the winter.
Remove humidity produced by showering or cooking with an exhaust fan.
Mold growth can be prevented indoors by products that kill mildew, e.g., diluted bleach.
If using a humidifier, clean it occasionally with a bleach solution and change the water frequently.

Adapted from redefining rhinitis consensus conference proceedings. Dust Mite picture used with permission from Alk