Lessons by Volume

Volume 22

Indoor Allergen Control Measures: A Practical Summary

By Peter B. Boggs, MD

**Table 8—***Indoor Allergen Remediation Check List*
Context	Yes	No	Context	Yes	No
Skin-test patient to determine IgE sensitization. Quantitate relevant allergens in indoor dust. Institute relevant indoor allergen remediation.
House Dust Mite Allergen			Roach Allergens
Encasements–pillow			Roach sightings anytime
Encasements–mattress			Daytime roach sightings
Encasements–box springs			Roach droppings and/or parts present
Hot-water (130° F) washing of bedding weekly			Enclose foods in plastic or glass
Carpet removal from bedroom			Garbage removed daily
Vacuum-clean carpet regularly			Clean food debris daily
Special vacuum cleaner bags			Plumbing openings sealed
HEPA filter on vacuum cleaner			Cracks and crevices sealed
HEPA-filtered mask when vacuuming			Professional extermination
Vacate home for 30 min after vacuuming			Clean before and after extermination
Steam clean carpet regularly			Professional extermination repeated
Pet Allergen			Mold Allergen
Pet in home in last year			Remove visible mold
Pet removed from home			Repair water leaks
Pet removed from bed			Repair water damaged materials
Pet removed from bedroom			Increase ventilation
Wash pet twice weekly			Air-conditioning duct cleaning
Limited contact with pet			Dehumidify (relative humidity, 50%)
Wash clothes that contact pet			Increase natural lighting in dark areas
HEPA room air filters			Ventilate closets
HEPA central air filter			Light in closets




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