The purpose of this study is to determine if CLn BodyWash, a novel new gel cleanser formulated with surfactants and preserved with sodium hypochlorite, is effective at decreasing severity, body surface area and itching for patients with Atopic Dermatitis, or eczema.
Staphylococcus aureus colonization and potential infection represent a common clinical finding in patients with atopic dermatitis (AD) and may contribute to exacerbation of the disease. Atopic patients are commonly colonized with S. aureus on both lesional and non-lesional skin. Antibiotic treatment of clinically infected patients can often improve the bacterial infection as well as reduce the overall severity of AD. More recently, measures to reduce S. aureus colonization have been shown to decrease the clinical severity of Atopic Dermatitis in patients with clinical signs of secondary bacterial infection of the skin. Given the increasing incidence of recurrent skin infections caused by S. aureus, measures such as dilute sodium hypochlorite (bleach) baths have been adopted by many physicians in an effort to decrease infection rates and disease severity in patients with atopic dermatitis, recurrent impetigo, cellulitis, folliculitis, boils and abscesses. There is some controversy in the literature regarding the efficacy of anti-staphylococcal treatments in improving AD in patients without active clinical infection as one review noted limited benefit while another study showed that dilute bleach baths improved AD. Bleach baths are widely used in pediatrics and adult medicine. A common regimen consists of adding ½ cup of household bleach into ½ tub of warm bath water, resulting in a 0.009% sodium hypochlorite concentration. (www.bleachbath.com) CLn® BodyWash contains several common surfactants to clean the skin and 0.006% sodium hypochlorite concentration for preservation, and is further diluted when lathered onto the skin with water. This over the counter product is delivered in a sealed, easy to use dispenser, which can be used in the bath or shower, lathered on and rinsed off after 1-2 minutes of skin contact. CLn® BodyWash may be a convenient alternative to bleach baths.
Study Type
OBSERVATIONAL
Enrollment
50
Northwestern University, Department of Dermatology
Chicago, Illinois, United States
University of Texas Medical School - Houston
Houston, Texas, United States
Improvement in Health of Skin EASI
Change from baseline in Eczema Area Severity Index (EASI) Score.
Time frame: 6 weeks
Improvement in Health of Skin IGA
Change from baseline in Investigator Global Assessment (IGA) Score.
Time frame: 6 weeks
Improvement in Health of Skin BSA
Change from baseline in Body Surface Area (BSA) Score.
Time frame: 6 weeks
Patient satisfaction
Quality of Life Questionnaires will be reviewed for a patient and family satisfaction.
Time frame: 6 weeks
Decreased itching
Visual Analog Scale will be reviewed for decrease in pruritus.
Time frame: 6 weeks
Reduction of bacteria
Bacterial cultures will be evaluated for decreased quantitative numbers.
Time frame: 6 weeks
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