Identification of House Dust Mite and the Risk Factor of Cronic Itch in Elderly
Introduction: Senile pruritus etiology is uncertain. However, well as intrinsic factors, one of the extrinsic risk factors causing pruritus is house dust mites (HDM) as. Aim of this study was to analyze the association between house dust mite density and the pruritus level among elderly residents. Methods: This is an observational study with cross-sectional design. The 34 elderly who met the criteria were included in this study. The pruritus level was obtained using questionnaire as to duration, degree, direction, disability, distribution (5D) itch scale based on NRS (numerical rating scale) categories divided into 4 categories (no, low, moderate, and severe itch). House dust mite density was checked using flotation method and the results categorized into low, moderate, and high density. The dust sample was checked for the species by microscope. The preventive activity to prevent the pruritus were also analyzed. The relationship between itch scale, preventive activity with HDM density was analyzed using STATA 17. Results and Discussion: A total of 34 elderly was included. Elderly were dominated with women (67.6%), moderate itch scale (38.2%) and moderate HDM density (58.8%). Most of the correlation between itch scale based NRS and preventive activity with HDM density p-value was not significant. But the elderly’s’ habit to clean the mattress was significantly correlated with HDM density (p=0.00). The Dermatophagoides sp were the dominant mites found in elderly’s’ room. Conclusion: Itch scale in elderly were not related with HDM density, but correlated with the habit to clean the mattress.
Wang X, Lai Q, Zheng B, Ye L. Wen S, Yan Y, et al. Both Prevalence and Severity of Pruritus are Associated with Age in Chinese Patients with Skin Diseases. Clin Cosmet Investig Dermatol. 2021;14(1):217-223. https://doi.org/10.2147/ccid.s300458
Chen S, Zhou F, Xiong Y. Prevalence and Risk Factors of Senile Pruritus: A Systematic Review and Meta-analysis. BMJ Open. 2022;12(2):e051694. https://doi.org/10.1136/bmjopen-2021-051694
Chung BY, Um JY, Kim JC, Kang SY, Park CW, Kim HO. Pathophysiology and Treatment of Pruritus in Elderly. Int J Mol Sci. 2020;22(1):174. https://doi.org/10.3390/ijms22010174
Silvestri S, Noviandini A. A Literature Review of Pruritus in Elderly. Asian J Eng Soc Health. 2023;2(10):1086-1101. https://doi.org/10.46799/ajesh.v2i10.142
Mahmoud O, Choragudi S, Nwaopara A, Yosipovitch G. Prevalence of Chronic Pruritus in Elderly Black and White Inpatients: A Comparative Population Study. J Clin Med. 2023;12(15):5025. https://doi.org/10.3390/jcm12155025.
Reszke R, Białynicki-Birula R, Lindner K, Sobieszczańska M, Szepietowski J. Itch in Elderly People: A Cross-sectional Study. Acta Derm Venereol. 2019;99(11):1016–1021. https://doi.org/10.2340/00015555-3271
Putri NS, Triesayuningtyas DC, Firdausi H, Indranarum T, Mappamasing H. The Correlation Between Comorbid Factors and Xerosis Cutis in Elderly. Journal of Pakistan Association of Dermatologists. 2023;33(2):507-512. https://www.jpad.com.pk/index.php/jpad/article/view/2084/1933
Aboeldahab S, Khalil FA, Eldawla RE. Clinical and Laboratory Characteristics of Elderly Patients with Pruritus. Clin Cosmet Investig Dermatol. 2021;14(1):1009-1015. https://doi.org/10.2147/CCID.S322527
Brehler R. Clinic and Diagnostics of House Dust Mite Allergy. Allergo J Int. 2022;32(1):1–4. https://doi.org/10.1007/s40629-022-00232-7
Emran H, Chieng CSE, Taib S, Cunningham AC. House Dust Mite Sensitisation and Association with Atopic Dermatitis in Brunei: Allergen Sensitization and Allergic Disease in Brunei. Clin Transl Allergy. 2019;9(65):1-4. https://doi.org/10.1186/s13601-019-0304-5
Klain A, Senatore AA, Licari A, Galleta F. Bettini I, Tomei L, et al. The Prevention of House Dust Mite Allergies in Pediatric Asthma. Children. 2024;11(4):469. https://doi.org/10.3390/children11040469
Dyhre-Petersen N, Gazerani P. Presence and Characteristics of Senile Pruritus among Danish Elderly Living in Nursing Homes. Future Sci OA. 2019;5(6):FSO399. https://doi.org/10.2144/fsoa-2019-0036
Armunanto SIS, Dewi DP, Pramono D, Anam MS. Correlation Between House Dust Mite Density with Healthy House and Asthma Status in Pediatric Patients: Study among Asthma Pediatric Patient in Semarang. Diponegoro Medical Journal. 2021;10(5):357-365. https://doi.org/10.14710/dmj.v10i5.30270
Cheung HN, Chan YS, Hsiung NH. Validation of the 5-D Itch Scale in Three Ethnic Groups and Exploring Optimal Cutoff Values Using the Itch Numerical Rating Scale. BioMed Res Int. 2021;2021(1):7640314. https://doi.org/10.1155/2021/7640314
Ibrahim RY, Eldeek HEM, Rezk HA, Othman, R, El Tayeb A, Elnazer M. Species Identification and Seasonal Prevalence of House Dust Mites in Assiut City, Egypt: A Descriptive Study in an Urban Area. Persian J. Acarol. 2022;11(1):83-99. https://doi.org/10.22073/pja.v11i1.69666
Anindita R, Amwia SL, Inggraini M, Nathalia DD. Density of House Dust Mites (HDM) Dermathopagoides sp. In Jatimulya Village South Tambun District Bekasi City. Int Islam Med J. 2022;3(2):73–79. https://doi.org/10.33086/iimj.v3i2.3015
Anindita R, Amwia SL, Inggraini M, Nathalia DD. Density of house dust mites (HDM) Dermathopagoides sp. in Jatimulya Village South Tambun District Bekasi City. Int Islam Med J. 2022;3(2):73-79. https://10.33086/iimj.v3i2.3015
Lorentzen JC, Johanson G, Björk F, Stensson S. Overcrowding and Hazardous Dwelling Condition Characteristics: A Systematic Search and Scoping Review of Relevance for Health. Int J Environ Res Public Health. 2022;19(23):15542. https://doi.org/10.3390/ijerph192315542
Xue Q, Zou M, Guo J, Teng, Q, Zhang, Q, Sheng L, et al. Detection and Assessment of Dust Mite Allergens in an Indoor Environment in Anhui, China. Environ Sci Pollut Res. 2023;30(2):3045–3055. https://doi.org/10.1007/s11356-022-22395-0
Maya-Manzano JM, Pusch G, Ebner Von Eschenbach C, Bartusel E, Belzner T, Karg E, et al. Effect of Air Filtration on House Dust Mite, Cat and Dog Allergens and Particulate Matter in Homes. Clin Transl Allergy. 2022;12(4):e12137. https://doi.org/10.1002/clt2.12137
Wu FFS, Wu MW, Pierse N, Crane J, Siebers R. Daily Vacuuming of Mattresses Significantly Reduces House Dust Mite Allergens, Bacterial Endotoxin, and Fungal β-Glucan. J Asthma. 2012;49(2):139–143. https://doi.org/10.3109/02770903.2011.654023
Klimek L, Brehler R, Bergmann KC, Casper I, Klimek F, Hageman J, et al. Avoidance Measures for Mite Allergy—An Update. Allergo J Int. 2023;32(1):18–27. https://doi.org/10.1007/s40629-022-00242-5
Altaş U, Altaş ZM, Ercan N, Özkars MY. The Effect of House Dust Sensitization on Skin Sebum and Moisture in Children with Allergic Respiratory Diseases. Children. 2023;10(9):1483. https://doi.org/10.3390/children10091483
Rinaldo A, Wijayadi LJ, Dewi SM. Karakteristik Kadar Hidrasi Kulit Pada Lansia di Panti Wreda Kristen Hana: Kajian terhadap Pruritus. Tarumanegara Medical Journal. 2019;1(2):245–253. https://doi.org/10.24912/tmj.v1i2.3823
Moniaga C, Tominaga M, Takamori K. Mechanisms and Management of Itch in Dry Skin. Acta Derm Venereol. 2020;100(2):10–21. https://doi.org/10.2340/00015555-3344
Mazan P, Lesiak A, Narbutt J. Pruritus in Elderly Patients: Review of Literature. Forum Dermatologicum. 2024;10(1):1–9. https://doi.org/10.5603/fd.93718
Yong SS, Kwan Z, Ch’ng CC, Yong ASW, Tan LL, Han WH, et al. Self-reported Generalised Pruritus Among Community-Dwelling Older Adults in Malaysia. BMC Geriatr. 2020;20(223):1-7. https://doi.org/10.1186/s12877-020-01610-y
Rzepecki AK, Murase JE, Juran R, Fabi SG, McLellan BN. Estrogen-deficient skin: The Role of Topical Therapy. Int J Womens Dermatol. 2019;5(2):85–90. https://doi.org/10.1016/j.ijwd.2019.01.001
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