NICE guideline to improve management and treatment of children with atopic eczema
New guidelines launched today by the National Institute for Health and Clinical Excellence (NICE) are set to improve the management and treatment of atopic eczema in children.
The main objective of this guideline is to provide guidance on the routine management of atopic eczema in primary care for children from birth up to 12 years of age. Key recommendations from the guideline include the following:
Healthcare professionals should adopt a holistic approach when assessing a child's atopic eczema at each consultation, taking into account the severity of the atopic eczema and the child's quality of life, including everyday activities and sleep, and psychosocial wellbeing.
Healthcare professionals should use a stepped approach for managing atopic eczema in children. This means tailoring the treatment step to the severity of the atopic eczema.
Healthcare professionals should offer children with atopic eczema a choice of unperfumed emollients to use every day for moisturising, washing and bathing. This should be suited to the child's needs and preferences, and may include a combination of products or one product for all purposes and should be easily available to use at nursery, preschool or school.
Healthcare professionals should spend time educating children with atopic eczema and their parents or carers about atopic eczema and its treatment.
When clinically assessing children with atopic eczema, healthcare professionals should seek to identify potential trigger factors including: irritants, such as soaps and detergents, skin infections, contact allergens, food allergens and inhalant allergens.
"The guidelines sound good, my concern is lack emolients on prescripions for parents. I have experienced mums having to fight with reception staff as emolient has been given in 30mg tubes as opposed to 500mg tubs, resulting in repeated used of antibiotics and steroid therapy unneccesarily. Possibly some sort of register required to ensure practices are giving this area due attention" - Teresa O'Brien, Liverpool
"Sounds good but need longer appointment for consultation. Are nursery, preschool & school receiving some form of education?" - Name and address supplied