Which interventions are the most effective approach to dust mite avoidance in the management of allergic rhinitis?

Updated: Jan 07, 2019
  • Author: Michael J Morris, MD, FACP, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

A Cochrane Review noted that most trials to date have been small and of poor methodologic quality. Therefore, clinicians cannot easily offer definitive recommendations on the role of house dust mite avoidance measures in the management of perennial allergic rhinitis that is sensitive to house dust mites. Conclusions from this analysis suggest that acaricides and extensive bedroom-based environmental control programs may help reduce rhinitis symptoms. If such measures are considered appropriate, they should be the interventions of choice. However, analysis also indicated that isolated use of bedding that is impermeable to house dust mites is not likely to be effective in reducing rhinitis symptoms caused by dust mites. [77]


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