The benefit of using plastic-covered mattresses and pillows in the frequency of asthma attacks in children with house dust mite allergy

ABSTRACT: House dust mite (HDM) is abundant in tropical areas with an environmental temperature of 25-300C and humidity of more than 50%. Minimizing exposure to HDM allergens will decrease the frequency of asthma attacks in children with HDM hyperreactivity.
Objective To investigate the benefit of using plastic covered mattresses and pillows in decreasing the frequency of asthma attacks in children allergic to HDM.
Methods This is a longitudinal analytical study on children aged 3–12 years who showed positive HDM skin prick test (SPT). The subjects received communication, information, and education (CIE) for the first 3 months and CIE and plastic-covered mattresses and pillows for the second 3 months. The frequency of asthma attacks was observed for the two periods.
Results Twenty-six children with asthma were included in this study, 16 were boys and 10 were girls. SPT results were +2 in 17 children, +3 in 8 children, and +4 in 1 child, respectively. During the CIE as well as the CIE + plastic intervention periods, asthma attack frequency was decreased significantly in the 1st, 2nd, and 3rd months. Among several variables (age, sex, SPT, atopic history in first-degree relative, and other atopic history), age was the only one significantly related to asthma attack frequency.
Conclusion Covering mattresses and pillows with plastic decreased the frequency of asthma attacks in children with positive SPT to HDM.
Keywords: asthma attack, house dust mite, prick test, CIE, plastic covered mattress, pillow
Author: Luh Putu Winansari Ratih, MD; Hendra Santosa, MD
Journal Code: jpkedokterangg050063

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