8.0c Wk 7 Eczema

Question 1

What is the epidemiology of Eczema in Kids

Answer 1

Can affect 15-20% of kids
○ In babies – More often on face
○ In older kids – In the creases, back of knees and elbows.

Question 2

What are the signs and symptoms of Eczema?

Answer 2

• Dry skin
  
  • Itchy
  • If they scratch it can bleed
  • Infection
  • Cracked skin

Question 3

What are the non pharmacological interventions for Eczema?

Answer 3

Non pharmacological interventions

• Non bio washing powder for clothes
• No bath oils or salts
• Soft clothing
• Seaweed

Question 4

What are the pharmaceutical interventions for Eczema?

Answer 4

Mild eczema

* No pharmacological 
* Mild – Emolient cream ideally every 3-4 hours

Moderate

* As mild plus
* Topical corticosteriod e,g, hydrocortisone 0.1-2.5%

Question 5

What are the systemic and topical SEs associated with corticosteriods

Answer 5

Question 6

How do you know how much corticosteriod cream to apply?

Answer 6

• Finger tip units e.g.

    ○ 1.5 finger tip units for a 3-5 year olds face
    ○ 3.5 finger tip units for a 3-5 year olds back

  • User more as they get older.

Question 7

What else may you prescribe?

Answer 7

Antihistamine especially in the summer when there is more pollon around.
* Non sedating ideally
* Sedating antihistamine at night

Question 8

What if secondary skin infection?

Answer 8

Systemic flucloxacillin first line as skin infection likely to be a staph infection

	○ Or Erythromycin (If pencillin allergy)

Only use topical antibiotics if the infection is very localised and for no more than 2/52.