Translating Atopic Dermatitis Management Guidelines Into Practice for Primary Care Providers

Atopic dermatitis affects a substantial number of children, many of whom seek initial treatment from their pediatrician or other primary care provider. Approximately two-thirds of these patients have mild disease and can be adequately managed at the primary care level. However, recent treatment guid...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2015-09, Vol.136 (3), p.554-565
Main Authors: Eichenfield, Lawrence F, Boguniewicz, Mark, Simpson, Eric L, Russell, John J, Block, Julie K, Feldman, Steven R, Clark, Adele R, Tofte, Susan, Dunn, Jeffrey D, Paller, Amy S
Format: Article
Language:English
Subjects:
Care and treatment
Caregivers
Children
Children & youth
Company business management
Dermatitis
Dermatitis, Atopic - therapy
Eczema
Evidence-Based Medicine
Family
Guideline Adherence
Health aspects
Humans
Inflammation
Management
Medical treatment
Patient Care Planning
Patient Education as Topic
Pediatrics
Practice
Practice Guidelines as Topic
Primary care
Primary Health Care
Skin
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Summary:Atopic dermatitis affects a substantial number of children, many of whom seek initial treatment from their pediatrician or other primary care provider. Approximately two-thirds of these patients have mild disease and can be adequately managed at the primary care level. However, recent treatment guidelines are written primarily for use by specialists and lack certain elements that would make them more useful to primary care providers. This article evaluates these recent treatment guidelines in terms of evaluation criteria, treatment recommendations, usability, accessibility, and applicability to nonspecialists and integrates them with clinical evidence to present a streamlined severity-based treatment model for the management of a majority of atopic dermatitis cases. Because each patient's situation is unique, individualization of treatment plans is critical as is efficient communication and implementation of the plan with patients and caregivers. Specifically, practical suggestions for individualizing, optimizing, implementing, and communicating treatment plans such as choosing a moisturizer formulation, avoiding common triggers, educating patients/caregivers, providing written treatment plans, and scheduling physician follow-up are provided along with a discussion of available resources for patients/caregivers and providers.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2014-3678