II. Indications
III. Efficacy: Dust mites
- Overall evidence for Dust mite avoidance is limited
- Mite acaricides and bedroom Allergen Control may be reasonable
- However, impermeable dust covers are unlikely to be beneficial
- Sheikh (2010) Cochrane Database Syst Rev (7):CD001563 +PMID:20614426 [PubMed]
IV. Management: Furniture, Bedding and stuffed animals (house Dust mite)
- Replace heavily infested bedding
- Launder bedding weekly in hot water (130 degrees F)
- Routinely clean carpets and furniture
- Remove stuffed animals from sleeping area
- Prior recommendations to encase pillows and mattresses in semipermeable covers (not supported by evidence)
- Plastic covers with cloth backing available (Feels like real cloth or upholstery)
- However, not found in studies to improve allergic symptoms
V. Management: Housework (house Dust mite)
- Avoid vacuuming if dust sensitive (or use mask)
- Vacuum carpets and clean floors frequently
- HEPA (High efficiency particulate air) filter bags
- Double-thickness vacuum bags
- Replace bedroom carpet with hardwood or linoleum
- Especially carpets overlying concrete
- Minimize dust-collecting surfaces (e.g. shelves)
- Wipe with moist cloth once weekly
- Cover windows with shades and washable curtains
- Clean shades often (avoid Venetian blinds)
- Treat carpet with Acaricide or denaturer (tannic acid)
- Low efficacy and must be repeated often
VI. Management: Ventilation (house Dust mite and pollen sensitive)
- Ensure well-ventilated rooms
- Use air conditioner to reduce humidity/Temperature
- Prior recommendations to install bedroom high-density particulate air filter (not supported by evidence)
- However, HEPA filters do not appar to reduce allergy symptoms (at least for cat allergy, certain pollens)
- Zhang (2020) Otolaryngol 45(3): 394-401 [PubMed]
- Wood (1998) Am J Respir Crit Care 158(1): 115-20 [PubMed]
VII. Management: Damp Areas (Mold sensitivity)
- Avoid damp, poorly ventilated areas (basement, attic)
- Clean shower, basement, and windowsill frequently
- Check Cooling System frequently for mold
- Clean vaporizers and humidifiers
- Remove sources of mold growth (piles of leaves)
- Consider dehumidifier to control humidity (<50%)
- Also reduces Dust mite growth
- Humidity <35% eliminates mite growth completely
- Increase ventilation
- Remove under house water
- Consider fungicides
VIII. Management: Miscellaneous
- Irritants
- Avoid Second hand smoke
- Pollen (Pollen sensitivity)
- Avoid grass/outdoor allergen exposures
- Eliminate houseplants, especially in bedroom
- Animal sensitivity
- Remove pet from house if possible
- Keep pets out of bedroom (e.g. outside or garage)
- Wash the pet weekly in water
- Follow other environmental recommendations above
- Vacuum bedroom carpets weekly
- Eliminate carpeting and upholstered furniture