Effect of bathing on atopic dermatitis during the summer season

Abstract

BackgroundThere are little objective data regarding the optimal practice methods of bathing, although bathing and the use of moisturizers are the most important facets to atopic dermatitis (AD) management.ObjectiveWe performed this study to evaluate the effect of bathing on AD.MethodsNinety-six children with AD were enrolled during the summer season. Parents were educated to bathe them once daily with mildly acidic cleansers, and to apply emollients for 14 days. Parents recorded the frequency of bathing and skin symptoms in a diary. Scoring AD (SCORAD) scores were measured at the initial and follow-up visits. Patients were divided into two groups, based on the compliance of bathing; poor compliance was defined as ≥ 2 bathless days.ResultsThere was an improvement of SCORAD score, itching, and insomnia in the good compliance group (all p < 0.001). The mean change in SCORAD score from the baseline at the follow-up visit was greater in the good compliance group than the poor compliance group (p = 0.038).ConclusionDaily bathing using weakly acidic syndets can reduce skin symptoms of pediatric AD during the summer season.

Bathing Frequency Recommendations for Children with Atopic Dermatitis: Results of Three Observational Pilot Surveys

“…Only two prospective studies have directly compared daily with infrequent bathing in children with AD . Kim et al demonstrated that daily bathing reduced eczema severity significantly more than infrequent bathing, whereas Koutroulis et al showed no difference in AD control between the groups.…”

“…Only two prospective studies have directly compared daily with infrequent bathing in children with AD . Kim et al demonstrated that daily bathing reduced eczema severity significantly more than infrequent bathing, whereas Koutroulis et al showed no difference in AD control between the groups. Study limitations included small sample sizes , multiple unblinded physicians measuring the SCORing Atopic Dermatitis (SCORAD) score , lack of control for medication effects , not determining sample size based on power or significance levels before enrollment , and lack of methods to ensure adherence .…”

Leitlinie Neurodermitis [atopisches Ekzem; atopische Dermatitis]

“…In der koreanischen Beobachtungsstudie wurden eine Basispflege in Kombination mit der Verwendung eines Syndets beim Baden eingesetzt . Es wurden 96 Kinder (1–13 Jahre) eingeschlossen.…”

“…In einer in Portland, USA, und Großbritannien durchgeführten randomisierten, kontrollierten Studie wurde untersucht, wie weit sich mit einer konsequenten Anwendung einer Basistherapie die Entwicklung der Neurodermitis bei 124 Neugeborenen mit einem familiären Hintergrund für atopische Erkrankungen vermindern lässt [110] In der koreanischen Beobachtungsstudie wurden eine Basispflege in Kombination mit der Verwendung eines Syndets beim Baden eingesetzt [115]. Es wurden 96 Kinder (1-13 Jahre) eingeschlossen.…”

Implementation of guidelines, allergy programs, and the October issue

“…Readers may have an idea how to tell the patients of atopic dermatitis about the effect of bathing during summer season [11]. …”