Epidemiology of spider mite sensitivity: a meta-analysis and systematic review

Abstract Background Spider mites, including Tetranychus urticae, Panonychus citri, and Panonychus ulmi, are common pests in gardens, greenhouses, and orchards. Exposure, particularly occupational exposure, to these organisms may lead to the development of respiratory or contact allergies. However, t...

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Main Authors: Ying Zhou, Haoyuan Jia, Xuming Zhou, Yubao Cui, Jun Qian
Format: Article
Language:English
Published: Wiley 2018-06-01
Series:Clinical and Translational Allergy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13601-018-0209-8
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author Ying Zhou
Haoyuan Jia
Xuming Zhou
Yubao Cui
Jun Qian
author_facet Ying Zhou
Haoyuan Jia
Xuming Zhou
Yubao Cui
Jun Qian
author_sort Ying Zhou
collection DOAJ
description Abstract Background Spider mites, including Tetranychus urticae, Panonychus citri, and Panonychus ulmi, are common pests in gardens, greenhouses, and orchards. Exposure, particularly occupational exposure, to these organisms may lead to the development of respiratory or contact allergies. However, the prevalence of sensitivity to spider mites is unclear. Methods We examined the literature to generate an estimate of the global prevalence of allergies to spider mites. Results Electronic databases were searched and twenty-three studies reporting the prevalence of sensitivity to spider mites (based on skin prick tests or IgE-based detection systems) in an aggregate total of 40,908 subjects were selected for analysis. The estimated overall rate of spider mite sensitivity was 22.9% (95% CI 19–26.8%). Heterogeneity was high and meta-regression analysis considering variables such as published year, country, number of study subjects, methods for allergen detection (skin prick test, ImmunoCAP, RAST testing, or intradermal test), and mite species revealed no single significant source. Twelve of the 23 studies reported rates of monosensitization (i.e., patients responsive to spider mites but no other tested allergen), yielding a global average of 7% (95% CI 5–9%), hence spider mites represent a unique source of allergens. Conclusions Spider mites are an important cause of allergic symptoms. However, the publication bias and heterogeneity evident in this study indicate that further trials using standardized detection methods are needed to determine the association of exposure and symptoms as well as the specific patient characteristics that influence developing spider mite sensitivity.
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spelling doaj.art-7e885852df484eea89d52c8fd77adb3a2022-12-21T22:39:08ZengWileyClinical and Translational Allergy2045-70222018-06-018111010.1186/s13601-018-0209-8Epidemiology of spider mite sensitivity: a meta-analysis and systematic reviewYing Zhou0Haoyuan Jia1Xuming Zhou2Yubao Cui3Jun Qian4Department of Pediatrics Laboratory, Wuxi Children’s HospitalDepartment of Clinical Laboratory, Wuxi People’s Hospital Affiliated to Nanjing Medical UniversityDepartment of Clinical Laboratory, Wuxi People’s Hospital Affiliated to Nanjing Medical UniversityDepartment of Clinical Laboratory, Wuxi People’s Hospital Affiliated to Nanjing Medical UniversityDepartment of Pediatrics, Wuxi Children’s HospitalAbstract Background Spider mites, including Tetranychus urticae, Panonychus citri, and Panonychus ulmi, are common pests in gardens, greenhouses, and orchards. Exposure, particularly occupational exposure, to these organisms may lead to the development of respiratory or contact allergies. However, the prevalence of sensitivity to spider mites is unclear. Methods We examined the literature to generate an estimate of the global prevalence of allergies to spider mites. Results Electronic databases were searched and twenty-three studies reporting the prevalence of sensitivity to spider mites (based on skin prick tests or IgE-based detection systems) in an aggregate total of 40,908 subjects were selected for analysis. The estimated overall rate of spider mite sensitivity was 22.9% (95% CI 19–26.8%). Heterogeneity was high and meta-regression analysis considering variables such as published year, country, number of study subjects, methods for allergen detection (skin prick test, ImmunoCAP, RAST testing, or intradermal test), and mite species revealed no single significant source. Twelve of the 23 studies reported rates of monosensitization (i.e., patients responsive to spider mites but no other tested allergen), yielding a global average of 7% (95% CI 5–9%), hence spider mites represent a unique source of allergens. Conclusions Spider mites are an important cause of allergic symptoms. However, the publication bias and heterogeneity evident in this study indicate that further trials using standardized detection methods are needed to determine the association of exposure and symptoms as well as the specific patient characteristics that influence developing spider mite sensitivity.http://link.springer.com/article/10.1186/s13601-018-0209-8AllergySpider mitesTetranychus urticaePanonychus citriPanonychus ulmi
spellingShingle Ying Zhou
Haoyuan Jia
Xuming Zhou
Yubao Cui
Jun Qian
Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
Clinical and Translational Allergy
Allergy
Spider mites
Tetranychus urticae
Panonychus citri
Panonychus ulmi
title Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
title_full Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
title_fullStr Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
title_full_unstemmed Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
title_short Epidemiology of spider mite sensitivity: a meta-analysis and systematic review
title_sort epidemiology of spider mite sensitivity a meta analysis and systematic review
topic Allergy
Spider mites
Tetranychus urticae
Panonychus citri
Panonychus ulmi
url http://link.springer.com/article/10.1186/s13601-018-0209-8
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AT haoyuanjia epidemiologyofspidermitesensitivityametaanalysisandsystematicreview
AT xumingzhou epidemiologyofspidermitesensitivityametaanalysisandsystematicreview
AT yubaocui epidemiologyofspidermitesensitivityametaanalysisandsystematicreview
AT junqian epidemiologyofspidermitesensitivityametaanalysisandsystematicreview