225 Monitoring of Air-Pollutants Concentration in Children with Allergic Diseases

BACKGROUND: All over the world, increases the incidence of allergy, asthma and autoimmune diseases. Both young and elderly people are at risk. Therefore, on time diagnostics of these changes and the improvement of patient's quality of life is the most important task for doctors worldwide. METHODS: Patients by random selection were interviewed and subsequently examined: 535 schoolchildren of Kutaisi, aged 7 to 14. Stepwise diagnostics of allergic factors included: 1. Questionnaire screening according to the international ISAAC questionnaire. 2. To identify the specific allergens in serum. 3. To define air pollutant concentration in the environment with the help of Burkard Trap (Burkhard Pollen Trap donated by the WAO). RESULTS: Investigation included questionnaire screening with the use of the international ISAAC questionnaire. The questionnaires for children aged 7 to 10 years were filled in by their parents; school children of 11 to 14 answered the questions themselves. Questionnaire screening allowed select the group of children with already diagnosed and with primarily diagnosed allergic diseases. From mentioned above 3 groups of children: I group 57 persons (10.7%) children with primarily diagnosed allergic diseases; II group-68 persons (12.7%) children with already diagnosed allergic diseases; III group-410 persons (77.6%) practically healthy children with no deviations according to ISAAC questionnaire. The next phase of the examination consisted of ImmunoCAP100 tests in II group 68 children with already diagnosed allergic diseases. There was determined the highest level of Phadiatop (inhaled environmental allergens) was positive in 35% of patient. We gave them the information and recommendation of air –pollens concentration according to Burkard Trap research. The use of allows accurately define the concentration of air pullutants in the environment including the pollen of trees, grass and weeds in particular geographical area in different seasons of the year. CONCLUSIONS: Burkard Trap is committed to helping physicians identify the causative allergens in this complex mini environment, there are necessary condition for final verification of allergic diseases, which makes it posible to form successfully the basis of preventive therapy and appropriate undertake preventive measures.