Title
Metropolitan home living conditions associated with indoor endotoxin levels
Date Issued
01 January 2001
Access level
metadata only access
Resource Type
journal article
Author(s)
Klinnert M.D.
Price M.R.
Leung D.Y.M.
Liu A.H.
University of Colorado Health Sciences Center
Publisher(s)
Mosby Inc.
Abstract
Background: Household endotoxin exposure in allergy and asthma has been gaining attention for its dual potential to exacerbate these conditions in individuals with established disease and to abrogate atopy before disease onset. Objective: We sought to better understand the home environmental and lifestyle factors influencing house dust endotoxin levels. Methods: From the homes of 86 infants with wheeze in metropolitan Denver, Colorado, house dust endotoxin (detected with a standardized Limulus Amebocyte Lysate assay) and common indoor allergen (Fel d 1, Can f 1, Der p 1, Der f 1, and Bla g 1) contents were quantified. Comprehensive home environment and lifestyle questionnaires were completed during home visits by trained study staff and parents. Results: House dust endotoxin levels were associated with only 2 home environmental features: animals in the home and the presence of central air conditioning. The strongest positive associations were found with animals in the home. Interestingly, the homes without cats or other animals revealed a negative correlation between house dust Fel d 1 and endotoxin (P = .03). Central air conditioning, especially during months of typical use, was associated with lower house dust endotoxin levels. No significant associations between house dust endotoxin levels and home dampness, number of household inhabitants or young children, cleaning frequency, or presence of tobacco smokers in the home were found. Conclusions: Indoor endotoxin exposure can be increased by the presence of animals in the home and decreased with central air conditioning. In some homes without animals, where allergen exposure adequate for sensitization still occurs, there are lower levels of house dust endotoxin. Therefore in homes without animals, factors that influence allergen and endotoxin levels in house dust probably differ. Households with detectable allergen levels but low endotoxin levels may provide a predisposing environment for animal allergen sensitization.
Start page
790
End page
796
Volume
107
Issue
5 SUPPL.
Language
English
OCDE Knowledge area
Inmunología Alergia
Scopus EID
2-s2.0-0035022418
PubMed ID
Source
Journal of Allergy and Clinical Immunology
ISSN of the container
00916749
Sponsor(s)
Supported by National Institutes of Health grants R18AI41137, HL-36577, and M01-RR00051; the American Academy of Allergy, Asthma & Immunology; the American College of Allergy, Asthma & Immunology; The Chest Foundation; and National Jewish Medical and Research Center.
Sources of information: Directorio de Producción Científica Scopus