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- W3155397739 abstract "Abstract Background/objectives To investigate the evaluation and management of atopic dermatitis (AD) in the pediatric emergency department (PED). Methods This retrospective chart review was performed at the PED of a single institution and examined data from 2012 to 2017. Of 335 visits from patients 18 years and younger coded for AD, 167 visits with documented findings that supported a diagnosis of AD according to guidelines from the American Academy of Dermatology were included. Results The mean age of presentation was 6.3 years (standard deviation [SD]: 5.9). Of 11 patients with multiple visits, the mean between‐visit interval was 31 days (SD: 41). Topical corticosteroids (TCSs) were not prescribed or recommended in 63/167 visits. In an additional 46/167 visits, over‐the‐counter topical hydrocortisone was recommended. Of prescribed TCS, the mean TCS class was 5.5 (SD: 1.9). 61/104 recommended or prescribed TCSs were weak (Class 7), the most likely used class ( P < .001). Dermatology consultation was requested in 14/167 visits and was associated with higher rates of TCS prescriptions (13/14 vs 91/153, P = .018), a higher mean class of TCS prescribed (3.1 vs 5.9, P < .001), higher prescription rates of systemic antibiotics (8/14 vs 10/153, P < .001), and higher recommendation rates for emollient usage (10/14 vs 46/153, P = .005). Conclusions Most patients presenting to the PED for AD were either not prescribed a TCS or were prescribed a weak TCS, often one that is over‐the‐counter. While there may be a variety of explanations for these findings, it is possible they reveal a practice gap regarding AD management in the PED." @default.
- W3155397739 created "2021-04-26" @default.
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- W3155397739 date "2021-04-19" @default.
- W3155397739 modified "2023-09-25" @default.
- W3155397739 title "Topical corticosteroid use for atopic dermatitis in the pediatric emergency department" @default.
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- W3155397739 doi "https://doi.org/10.1111/pde.14606" @default.
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