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Basic measures to control exposure to allergens

Basic measures to control exposure to allergens
Indoor allergen Recommendations for reducing exposure
Animal dander
  • Remove animal from house, or at minimum, keep animal out of patient's bedroom. Keep pet in a room with a HEPA filter, and replace the filter as recommended by the manufacturer.
  • Cover air ducts that lead to bedroom with filters. Replace filters as recommended by the manufacturer.
  • Use air filters and vacuums with HEPA filters. Replace the filter as recommended by the manufacturer.
Dust mites
  • Less costly:
    • Encase mattress, pillows, and box spring in allergen-impermeable covers. Finely woven covers for pillows and duvets are preferable.
    • Wash bedding weekly in warm water with detergent or use electric dryer on hot setting.
    • Reduce indoor humidity to <50%. Use air conditioners in warm climates. Avoid living in basements because controlling humidity is very difficult.
  • More costly:
    • Remove fitted carpets from the bedroom. If desired, use area rugs that can be picked up and cleaned.
    • Replace old upholstered furniture with leather, vinyl, or wood.
Cockroaches
  • Use poison bait or traps to control. Consult professional exterminator for severe infestation.
  • Periodically clean home thoroughly.
  • Encase all food fully, and do not store garbage or papers inside the home.
  • Fix water leaks.
Indoor mold
  • Clean moldy surfaces with dilute bleach solution.
  • Fix water leaks.
  • Reduce indoor humidity to <50%. Avoid use of humidifiers. Use air conditioners in warm climates. Avoid living in basements.
  • Evaporative (or swamp) coolers should be avoided or cleaned regularly.
Rodents
  • Consult a professional exterminator.
  • Periodically clean home thoroughly.
  • All food should be stored in sealed containers. Do not store garbage inside.
  • Repair holes in walls, doors, floors, and block other entry points.
Outdoor allergens
  • Limit time outdoors during the pollen seasons, especially in the morning when pollen counts are highest.
  • Keep car windows closed, and use the air conditioner to filter the air.
  • Keep windows of buildings closed, and use the air conditioner or room purifiers with HEPA filters (avoid "ionic" air filters, which produced the respiratory irritant ozone).
  • Wear a high-quality mask if spending prolonged time outdoors.
  • Wear glasses or sunglasses to minimize pollen in the eyes.
  • Avoid hanging clothes outside to dry (pollen may adhere to fabric).
  • After being outdoors, shower to remove pollen from hair and skin, and change clothes.
The measures that can effectively reduce exposure are different for each allergen. Those listed are suggested but have not been verified to be effective in isolation. Studies showing greatest benefit from allergen remediation were those that adapted the measures to each patient's individual sensitivities and addressed all of a patient's allergies in parallel.
HEPA: high-efficiency particulate air.
Reference:
  1. Environmental allergy avoidance. American College of Allergy, Asthma, & Immunology. https://acaai.org/allergies/management-treatment/living-with-allergies/environmental-allergy-avoidance/ (Accessed on June 3, 2025).

Adapted from: American Academy of Allergy, Asthma, & Immunology. The Allergy Report, American Academy of Allergy, Asthma, & Immunology 2000.

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