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Proposed treatment model/eczema action plan for pediatricians and other primary care providers

With so many AD management guidelines spread by different groups, there is potential for these to conflict with each other, making it difficult for HCPs to determine which guidelines are best suited for their patients.  This straight forward, guideline based approach, outlines an integrated plan and provides guidance as to when to refer to a dermatologist or allergist/immunologist.

In addition, few guidelines contain a treatment model and, those that do, fail to account for the relapsing–remitting nature of AD or for the use of proactive management.  To address these gaps and provide a useful tool for pediatricians and PCPs in managing their patients with AD, we have integrated the following diagnostic and treatment model.

Proposed treatment model/eczema action plan for pediatricians and other primary care providers. aAs tolerated during flare; direct use of moisturizers on inflamed skin may be poorly tolerated; however, bland petrolatum is often tolerated when skin is inflamed. bApproximately 0.5 cups sodium hypochlorite per 40 gallons of water/full bathtub or 1 mL/L. TCI, topical calcineurin inhibitor.

Reproduced with permission from Pediatrics, Vol. 136, pages 554-65, © 2015 by the AAP