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The non-pharmacological treatment of asthma involves
eliminating allergens from the patient's surroundings. Many patients are sensitised to allergens from house dust mites and a reduction in
exposure to mite antigen in the home may alleviate asthma symptoms. Both chemical and physical methods of reducing exposure to mites have
been tried, as have combinations of these but results of clinical
trials have been equivocal. On p 1105 Gøtzsche et al present the
results of a meta-analysis of 23 studies of methods to reduce the
exposure of asthma patients to mites. They failed to find a benefit
from any of the measures and believe that current chemical and physical
methods cannot be recommended as prophylactic treatment for asthma
patients who are sensitive to mites.