Pediatric atopic dermatitis: frequent soaking baths improve disease severity

  • Cardona DID & al.
  • J Allergy Clin Immunol Pract
  • 13 nov. 2019

  • de Brian Richardson, PhD
  • Clinical Essentials
El acceso al contenido completo es sólo para profesionales sanitarios registrados. El acceso al contenido completo es sólo para profesionales sanitarios registrados.

Takeaway

  • Twice-daily soaking baths are associated with improved disease severity compared with twice-weekly baths in children with moderate to severe atopic dermatitis (AD).

Why this matters

  • Few studies have analyzed the role of bathing frequency in pediatric AD.

Key results

  • Twice-daily baths were associated with decreased physician-assessed severity (Scoring Atopic Dermatitis [SCORAD] index) compared with twice-weekly baths (effect size, 21.23; P<.0001>
  • Twice-daily baths were also associated with improved parent-assessed disease severity (Atopic Dermatitis QuickScore [ADQ]; effect size, 5.76; P=.0052).

Study design

  • 40 children aged 6 months-11 years with moderate to severe AD received either twice-weekly baths (N=20) or twice-daily baths (N=20); all received immediate application of an occlusive moisturizer.
  • Funding: Maine Medical Center Research Institute; Pharmaceutical Specialties, Inc.

Limitations

  • Small patient sample size.
  • Potential selection bias because of prerandomization attrition.