| Education |
Explain/demonstrate how to apply emollients |
| Various topical medications should be used with intervals |
| In children > 12 months, use shampoos recommended in AD |
| When talking to the patient (guardian), make sure the recommendations are understood and followed |
| Revision of recommendations at least once a year |
| Prevention |
Avoid allergens and irritants: |
| Tobacco smoke |
| Infections |
| Wool clothing |
| Stress |
| Skin cleansing |
Delicate and precise, mechanical cleansing |
| Detergents with/without aseptic substances |
| Suitable galenic forms |
| pH in the range of 6 |
| Fast bath ≤ 5 min, including 2-min bathing in oil at 27–30°C |
| Adding 1/2 cup of sodium hypochlorite to the bath eliminates itching |
| Bath salts – facilitate the removal of exfoliated skin, skin scales, particularly beneficial in severe impetiginization |
| Emollient therapy |
Application min. 2–3 times a day! |
| Glycerol is better tolerated than urea or sodium chloride |
| Propylene glycol can easily cause irritation in young children < 2 years of age and should not be used in these patients |
| In children < 2 years of age it is recommended to use emollients without protein allergens and haptens |
| Do not use emollients containing peanut extracts which increase the risk of sensitization and allergies! |
| Emollients are poorly tolerated in inflammation sites – use the appropriate doses of emollients (250–500 g/week) |
