Atopic dermatitis - topical therapy: Do patients apply much too little?

Background: The treatment of atopic dermatitis still remains a challenge. Little research has been done on the issue of the extent to which patients correctly use prescribed topical preparations under everyday conditions. Aims: To investigate what quantity of topical preparations is applied by outpa...

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Veröffentlicht in:The Journal of dermatological treatment 2005-04, Vol.16 (2), p.95-101
Hauptverfasser: Niemeier, V., Kupfer, J., Schill, W. -B., Gieler, U.
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container_issue 2
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container_title The Journal of dermatological treatment
container_volume 16
creator Niemeier, V.
Kupfer, J.
Schill, W. -B.
Gieler, U.
description Background: The treatment of atopic dermatitis still remains a challenge. Little research has been done on the issue of the extent to which patients correctly use prescribed topical preparations under everyday conditions. Aims: To investigate what quantity of topical preparations is applied by outpatients in daily routine treatment over a 26-week period and to what extent this consumption is related to the course of the severity of patients' skin conditions. Methods: Thirty adult outpatients (20 female and 10 male) with atopic dermatitis were examined at four different times during 26 weeks. For treatment and skin care these patients were given a topical glucocorticoid preparation (prednicarbate) and the corresponding emollient. Results: The average severity rating (SCORAD) was 29.6 (before therapy 33.9, after 26 weeks 27.4). The SCORAD indices improved by a mean of 6.5 points (p
doi_str_mv 10.1080/09546630510027895
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Little research has been done on the issue of the extent to which patients correctly use prescribed topical preparations under everyday conditions. Aims: To investigate what quantity of topical preparations is applied by outpatients in daily routine treatment over a 26-week period and to what extent this consumption is related to the course of the severity of patients' skin conditions. Methods: Thirty adult outpatients (20 female and 10 male) with atopic dermatitis were examined at four different times during 26 weeks. For treatment and skin care these patients were given a topical glucocorticoid preparation (prednicarbate) and the corresponding emollient. Results: The average severity rating (SCORAD) was 29.6 (before therapy 33.9, after 26 weeks 27.4). The SCORAD indices improved by a mean of 6.5 points (p&lt;0.05). Conclusion: Patients who applied the correct amount of the prednicarbate-containing preparations (not less than 90% of 0.5 g dm2) to the areas of affected skin showed a significant improvement in SCORAD indices across the four measuring times.</description><identifier>ISSN: 0954-6634</identifier><identifier>EISSN: 1471-1753</identifier><identifier>DOI: 10.1080/09546630510027895</identifier><identifier>PMID: 16019623</identifier><language>eng</language><publisher>Oslo: Informa UK Ltd</publisher><subject>Administration, Topical ; Adult ; Adults ; Biological and medical sciences ; compliance ; Dermatitis, Atopic - drug therapy ; emollients ; Emollients - administration &amp; dosage ; Female ; glucocorticoids ; Glucocorticoids - administration &amp; dosage ; Humans ; Male ; Medical sciences ; Pharmacology. 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Little research has been done on the issue of the extent to which patients correctly use prescribed topical preparations under everyday conditions. Aims: To investigate what quantity of topical preparations is applied by outpatients in daily routine treatment over a 26-week period and to what extent this consumption is related to the course of the severity of patients' skin conditions. Methods: Thirty adult outpatients (20 female and 10 male) with atopic dermatitis were examined at four different times during 26 weeks. For treatment and skin care these patients were given a topical glucocorticoid preparation (prednicarbate) and the corresponding emollient. Results: The average severity rating (SCORAD) was 29.6 (before therapy 33.9, after 26 weeks 27.4). The SCORAD indices improved by a mean of 6.5 points (p&lt;0.05). 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Drug treatments</topic><topic>Prednisolone - administration &amp; dosage</topic><topic>Prednisolone - analogs &amp; derivatives</topic><topic>Self Administration</topic><topic>Severity of Illness Index</topic><topic>skin disease</topic><topic>Skin, nail, hair, dermoskeleton</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Niemeier, V.</creatorcontrib><creatorcontrib>Kupfer, J.</creatorcontrib><creatorcontrib>Schill, W. -B.</creatorcontrib><creatorcontrib>Gieler, U.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of dermatological treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niemeier, V.</au><au>Kupfer, J.</au><au>Schill, W. -B.</au><au>Gieler, U.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atopic dermatitis - topical therapy: Do patients apply much too little?</atitle><jtitle>The Journal of dermatological treatment</jtitle><addtitle>J Dermatolog Treat</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>16</volume><issue>2</issue><spage>95</spage><epage>101</epage><pages>95-101</pages><issn>0954-6634</issn><eissn>1471-1753</eissn><abstract>Background: The treatment of atopic dermatitis still remains a challenge. Little research has been done on the issue of the extent to which patients correctly use prescribed topical preparations under everyday conditions. Aims: To investigate what quantity of topical preparations is applied by outpatients in daily routine treatment over a 26-week period and to what extent this consumption is related to the course of the severity of patients' skin conditions. Methods: Thirty adult outpatients (20 female and 10 male) with atopic dermatitis were examined at four different times during 26 weeks. For treatment and skin care these patients were given a topical glucocorticoid preparation (prednicarbate) and the corresponding emollient. Results: The average severity rating (SCORAD) was 29.6 (before therapy 33.9, after 26 weeks 27.4). The SCORAD indices improved by a mean of 6.5 points (p&lt;0.05). 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subjects Administration, Topical
Adult
Adults
Biological and medical sciences
compliance
Dermatitis, Atopic - drug therapy
emollients
Emollients - administration & dosage
Female
glucocorticoids
Glucocorticoids - administration & dosage
Humans
Male
Medical sciences
Pharmacology. Drug treatments
Prednisolone - administration & dosage
Prednisolone - analogs & derivatives
Self Administration
Severity of Illness Index
skin disease
Skin, nail, hair, dermoskeleton
Time Factors
title Atopic dermatitis - topical therapy: Do patients apply much too little?
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