Effectiveness of air filters and air cleaners in allergic respiratory diseases: a review of the recent literature

James L Sublett, James L Sublett

Abstract

Air filtration is frequently recommended as a component of environmental control measures for patients with allergic respiratory disease. Residential air filtration can be provided by whole house filtration via the home's heating, ventilation, or air conditioning system, by portable room air cleaners, or a combination of the two. Appliances to filter the sleep breathing zone also have been developed. High-efficiency whole house filtration, high-efficiency particulate air sleep zone air filtration, and high-efficiency particulate air room air cleaners all appear to provide various degrees of benefit. Recent studies of various types of filtration, used alone or as part of more comprehensive environmental control measures, are reviewed.

Figures

Fig 1
Fig 1
Balance: the key to the attributes of any air filter. That balance is as follows: 1) air flow to assure adequate ventilation, 2) efficiency to filter out a range of small particle sizes, and 3) capacity to allow for reasonable cost-effective maintenance schedules without adversely affecting airflow and efficiency

References

    1. Eggleston PA. Improving indoor environments: reducing allergen exposures. J Allergy Clin Immunol. 2005;116(1):122–6. doi: 10.1016/j.jaci.2005.04.012.
    1. Small BM. Creating healthier buildings. Toxicol Ind Health. 2009;25(9–10):731–5. doi: 10.1177/0748233709348284.
    1. Jacobs DE, Kelly T, Sobolewski J. Linking public health, housing, and indoor environmental policy: successes and challenges at local and federal agencies in the United States. Environ Health Perspect. 2007;115(6):976–82. doi: 10.1289/ehp.8990.
    1. Chen Q, Hildemann LM. The effects of human activities on exposure to particulate matter and bioaerosols in residential homes. Environ Sci Technol. 2009;43(13):4641–6. doi: 10.1021/es802296j.
    1. Sheikh A. et al. House dust mite avoidance measures for perennial allergic rhinitis. Cochrane Database of Systematic Reviews. 2010;(7):CD001563.
    1. Green R, et al. The effect of air filtration on airborne dog allergen. Allergy. 1999;54(5):484–8. doi: 10.1034/j.1398-9995.1999.00029.x.
    1. Custovic A, et al. Distribution, aerodynamic characteristics, and removal of the major cat allergen Fel d 1 in British homes. Thorax. 1998;53(1):33–8. doi: 10.1136/thx.53.1.33.
    1. Wood RA, et al. A placebo-controlled trial of a HEPA air cleaner in the treatment of cat allergy. Am J Respir Crit Care Med. 1998;158(1):115–20.
    1. American Housing Survey for the United States: 2009, 2011, U.S. Census Bureau.
    1. Zock JP, et al. Housing characteristics, reported mold exposure, and asthma in the European Community Respiratory Health Survey. J Allergy Clin Immunol. 2002;110(2):285–92. doi: 10.1067/mai.2002.126383.
    1. ASHRAE, Building Maintenance Linked to Indoor Air Quality Problems. ASHRAE Journal, 1996(April).
    1. Simmons RB, Crow SA. Fungal colonization of air filters for use in heating, ventilating, and air conditioning (HVAC) systems. J Ind Microbiol. 1995;14(1):41–5. doi: 10.1007/BF01570065.
    1. Hanssen SO. HVAC—the importance of clean intake section and dry air filter in cold climate. Indoor Air. 2004;14(Suppl 7):195–201. doi: 10.1111/j.1600-0668.2004.00288.x.
    1. Morgan WJ, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med. 2004;351(11):1068–80. doi: 10.1056/NEJMoa032097.
    1. Roy A, Wisnivesky JP. Comprehensive use of environmental control practices among adults with asthma. Allergy Asthma Proc. 2010;31(5):72–7. doi: 10.2500/aap.2010.31.3391.
    1. Roy A, Downes MJ, Wisnivesky JP. Comprehensive environmental management of asthma and pediatric preventive care. Pediatr Allergy Immunol. 2011;22(3):277–82. doi: 10.1111/j.1399-3038.2010.01103.x.
    1. Barach AL. A room filter for the removal of dust, pollen and air pollutants: preliminary report. Ann Allergy. 1969;27(10):519–20.
    1. Zwemer RJ, Karibo J. Use of laminar control device as adjunct to standard environmental control measures in symptomatic asthmatic children. Ann Allergy. 1973;31(6):284–90.
    1. Reisman RE. Do air cleaners make a difference in treating allergic disease in homes? Ann Allergy Asthma Immunol. 2001;87(6 Suppl 3):41–3. doi: 10.1016/S1081-1206(10)62339-3.
    1. Wood RA. Air filtration devices in the control of indoor allergens. Curr Allergy Asthma Rep. 2002;2(5):397–400. doi: 10.1007/s11882-002-0073-3.
    1. McDonald E, et al. Effect of air filtration systems on asthma: a systematic review of randomized trials. Chest. 2002;122(5):1535–42. doi: 10.1378/chest.122.5.1535.
    1. Sublett JL, et al. Air filters and air cleaners: rostrum by the American Academy of Allergy, Asthma & Immunology Indoor Allergen Committee. J Allergy Clin Immunol. 2010;125(1):32–8. doi: 10.1016/j.jaci.2009.08.036.
    1. Johnson L, et al. Low-cost interventions improve indoor air quality and children’s health. Allergy Asthma Proc. 2009;30(4):377–85. doi: 10.2500/aap.2009.30.3257.
    1. Fisk WJ, et al. Performance and costs of particle air filtration technologies. Indoor Air. 2002;12(4):223–34. doi: 10.1034/j.1600-0668.2002.01136.x.
    1. Macintosh DL, et al. Whole house particle removal and clean air delivery rates for in-duct and portable ventilation systems. J Air Waste Manage Assoc. 2008;58(11):1474–82. doi: 10.3155/1047-3289.58.11.1474.
    1. Yamamoto N, et al. Residential air exchange rates in three major US metropolitan areas: results from the Relationship Among Indoor, Outdoor, and Personal Air Study 1999–2001. Indoor Air. 2010;20(1):85–90. doi: 10.1111/j.1600-0668.2009.00622.x.
    1. Myatt TA, et al. Control of asthma triggers in indoor air with air cleaners: a modeling analysis. Environ Health. 2008;7:43. doi: 10.1186/1476-069X-7-43.
    1. Francis H, et al. Clinical effects of air filters in homes of asthmatic adults sensitized and exposed to pet allergens. Clin Exp Allergy. 2003;33(1):101–5. doi: 10.1046/j.1365-2222.2003.01570.x.
    1. Gore RB, et al. Air filtration units in homes with cats: can they reduce personal exposure to cat allergen? Clin Exp Allergy. 2003;33(6):765–9. doi: 10.1046/j.1365-2222.2003.01678.x.
    1. Batterman S, Godwin C, Jia C. Long duration tests of room air filters in cigarette smokers’ homes. Environ Sci Technol. 2005;39(18):7260–8. doi: 10.1021/es048951q.
    1. Bernstein JA, et al. A pilot study to investigate the effects of combined dehumidification and HEPA filtration on dew point and airborne mold spore counts in day care centers. Indoor Air. 2005;15(6):402–7. doi: 10.1111/j.1600-0668.2005.00379.x.
    1. Sulser C, et al. Can the use of HEPA cleaners in homes of asthmatic children and adolescents sensitized to cat and dog allergens decrease bronchial hyperresponsiveness and allergen contents in solid dust? Int Arch Allergy Immunol. 2009;148(1):23–30. doi: 10.1159/000151502.
    1. Hacker DW, Sparrow EM. Use of air-cleaning devices to create airborne particle-free spaces intended to alleviate allergic rhinitis and asthma during sleep. Indoor Air. 2005;15(6):420–31. doi: 10.1111/j.1600-0668.2005.00387.x.
    1. Morris RJ, et al. A novel air filtration delivery system improves seasonal allergic rhinitis. Allergy Asthma Proc. 2006;27(1):63–7.
    1. Pedroletti C, et al. Clinical effects of purified air administered to the breathing zone in allergic asthma: a double-blind randomized cross-over trial. Respir Med. 2009;103(9):1313–9. doi: 10.1016/j.rmed.2009.03.020.
    1. Stillerman A, et al. Efficacy of a novel air filtration pillow for avoidance of perennial allergens in symptomatic adults. Ann Allergy Asthma Immunol. 2010;104(5):440–9. doi: 10.1016/j.anai.2010.03.006.

Source: PubMed

3
Se inscrever