Bathing Additives in Pediatric Atopic Dermatitis

Mayo Clinic10 enrolled

Overview

The current clinical guidelines for management of atopic dermatitis now recommend bleach baths. This requires simply the addition of regular household bleach to twice-weekly baths. At the Mayo Clinic, dilute acetic acid (vinegar) has been recommended for decades in wet wraps to treat patients hospitalized for their atopic dermatitis. However, this practice has not been widely adopted in the pediatric dermatology community. Will the use of dilute acetic acid (vinegar) in twice weekly baths help manage atopic dermatitis in pediatric patients as well as, or better than, the current accepted guidelines?

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Dermatitis, Atopic

Interventions

Bathing AdditiveOTHER

Eligibility

Sex: ALLMin age: 6 MonthsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients from 6 months to 17 years of age 2. Currently residing in US. 3. Follow up visits at 1 month, 3 months and 6 months after initiation of treatment in study (Figure 1). 4. Last follow-up at 1 year in clinic or via written mailed-out survey. 5. Diagnosis of atopic dermatitis AND 1. Have active signs of bacterial skin infection OR 2. Any documented suspected history of bacterial skin infection (weeping, crusting, and/or pustules on exam), OR 3. Prescription for oral antibiotics for skin infection in the past 6 months from any provider). OR 4. Have been prescribed bleach baths as part of an atopic dermatitis skin care regimen. Exclusion Criteria: 1. Superficial skin infection without diagnosis of atopic dermatitis 2. Lack of in-clinic follow up assessment at 6 months

Locations (1)

Mayo Clinic in Rochester

Rochester, Minnesota, United States

Outcomes

Primary Outcomes

EASI score at 6 months

Time frame: 6 months

Secondary Outcomes

Courses of antibiotics required

Time frame: 1 year

Data from ClinicalTrials.gov

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