McClanahan 2019.
Study characteristics | ||
Methods |
Study design: single‐centre, investigator‐blinded RCT Recruitment dates: June 2011 and January 2014 Treatment arms: 2 AD follow‐up: study visits occurred at 2, 6, and 12 months. 2 phone calls were performed at 18 to 24 months to discuss development of AD, provide education on emollient use, and supply additional product. |
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Participants |
Randomisation: N = 100 (intervention n = 54, control n = 46) Inclusion criteria:
Exclusion criteria:
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Interventions |
Intervention group: instructed to apply moisturiser daily to all body surfaces excluding the scalp and diaper area and to use the cleanser only as needed during bathing Comparator: control group was given no specific instructions regarding use of emollients except to use emollients of their choice on an as‐needed basis Moisturiser/emollient: Cetaphil Restoraderm (Galderma, Baie d’Urfé, Montreal, Canada); key ingredients include shea butter as a lipid source, pseudoceramide‐5, and 2 FLG breakdown products. A cleanser was also provided. No bathing frequency instructions were provided. Both products were to be used within 21 days of birth. |
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Outcomes |
Primary outcomes: cumulative incidence of AD at 12 months diagnosed by a blinded investigator ("investigator‐confirmed AD"). UK Working Party Criteria adapted to identify incident cases of AD were used rather than a 12‐month period of prevalence. Secondary outcomes: a post hoc secondary analysis of the primary outcome was also performed: cumulative incidence of AD defined as AD diagnosed by an investigator and/or an outside paediatrician or chart review within 12 or 24 months (any AD) Adverse events: intervention group vs control group: bacterial skin infections (7.4% vs 6.5%); hypersensitivity reactions including irritant contact dermatitis and urticaria (14.8% vs 8.7%). No serious adverse events were reported in either group. |
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Identification |
Country: Oregon, USA Setting: maternal hospital wards Sponsorship source: all funding sources supported the work |
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Declarations of interest | Dr Simpson has received consulting fees from Galderma, which supplied the emollient for this study. | |
Notes |