Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Cox, Helen; Lloyd, Kate; Williams, Hywel C; Arkwright, Peter D.; Brown, Theodore M.; Clark, Christine; Campbell, Margaret; Gore, Claudia; Hardman, Catherine; Langford, Andrew; Lewis-Jones, Sue; Lawton, Sandra; Ridd, Matthew J; Russell, Lucia; Sohi, Dalbir; Turnbull, R; Venter, Carina; Warner, John O.

doi:10.1136/archdischild-2011-300695

Cited by 18 publications

(17 citation statements)

References 64 publications

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“…AE is an intensely itchy, dry‐skin condition, which causes sleep disturbances, and has a major effect on both the patient and family members AE is predominantly a condition of childhood, but it can persist into adult life AE can be a severe, life‐changing condition, with significant effects on patient's quality of life and employment choices …”

Section: Consensus Themesmentioning

confidence: 99%

Use of emollients in dry-skin conditions: consensus statement

Moncrieff

Cork

Lawton

et al. 2013

Clinical and Experimental Dermatology

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129

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SummaryEmollients can perform an important role in the treatment of a number of dermatological conditions. Currently, the use of emollient therapy in the UK is supported only by limited guidelines and a best-practice statement, although guidelines do exist for specific conditions such as childhood eczema. To address this need, a group of clinical professionals covering acute community-care settings and medicines management met to review current data and practice. Their aim was to support other professionals in their approach to the use of emollient therapies in dry-skin conditions.

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Section: Consensus Themesmentioning

confidence: 99%

Use of emollients in dry-skin conditions: consensus statement

Moncrieff

Cork

Lawton

et al. 2013

Clinical and Experimental Dermatology

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129

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“…The Royal College of Paediatrics and Child Health (RCPCH) presented a tiered approach to the management of mild, moderate, and severe atopic eczema [62]. In all three cases, the RCPCH noted that initial treatment should focus on repairing the skin barrier through the use of emollients for moisturizing, washing, and bathing.…”

Section: Abnormal Infant Skin Conditions and Barrier Integritymentioning

confidence: 99%

The Infant Skin Barrier: Can We Preserve, Protect, and Enhance the Barrier?

Telofski

Morelló

Correa

et al. 2012

Dermatology Research and Practice

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Infant skin is different from adult in structure, function, and composition. Despite these differences, the skin barrier is competent at birth in healthy, full-term neonates. The primary focus of this paper is on the developing skin barrier in healthy, full-term neonates and infants. Additionally, a brief discussion of the properties of the skin barrier in premature neonates and infants with abnormal skin conditions (i.e., atopic dermatitis and eczema) is included. As infant skin continues to mature through the first years of life, it is important that skin care products (e.g., cleansers and emollients) are formulated appropriately. Ideally, products that are used on infants should not interfere with skin surface pH or perturb the skin barrier. For cleansers, this can be achieved by choosing the right type of surfactant, by blending surfactants, or by blending hydrophobically-modified polymers (HMPs) with surfactants to increase product mildness. Similarly, choosing the right type of oil for emollients is important. Unlike some vegetable oils, mineral oil is more stable and is not subject to oxidation and hydrolysis. Although emollients can improve the skin barrier, more studies are needed to determine the potential long-term benefits of using emollients on healthy, full-term neonates and infants.

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“…Used in conjunction with the other papers within the RCPCH allergy care pathway portfolio (in press),30 59 62–64 it represents an opportunity to improve the lives of children with allergies in our community.…”

Section: Resultsmentioning

confidence: 99%

The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

Lloyd²,

Arkwright³

et al. 2011

Archives of Disease in Childhood

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The range of manifestations of food allergy/intolerance is much more diverse than hitherto recognised and diagnosis can be problematic as many patients do not have classical IgE mediated disease. The pathway provides a guide for training and development of services to facilitate improvements in delivery as close to the patient's home as possible. The authors recommend that this pathway is implemented locally by a multidisciplinary team with a focus on creating networks.

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Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Cited by 18 publications

References 64 publications

Use of emollients in dry-skin conditions: consensus statement

Use of emollients in dry-skin conditions: consensus statement

The Infant Skin Barrier: Can We Preserve, Protect, and Enhance the Barrier?

The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

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