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  • 1
    Language: English
    In: Asia Pacific allergy, October 2014, Vol.4(4), pp.230-40
    Description: The skin of individuals with atopic dermatitis has a susceptibility to be colonized with Staphylococcus aureus. This has been associated with increased frequency and severity of exacerbations of atopic dermatitis. Therefore, there is a growing interest in the use of antiseptic agents to target primary bacterial colonization and infection. Antiseptic agents have been found to be better tolerated and less likely to induce bacterial resistance as compared to antibiotics. There is also a wide variety of antiseptic agents available. The efficacy of antiseptic agents has yet to be established as the studies reviewed previously have been small and of suboptimal quality. This review discusses the rationale behind targeting S. aureus with antiseptic agents and presents findings from a review of studies assessing the efficacy of antiseptics in atopic dermatitis in the last five years. Four studies were found, including a bleach bath study which has already been reviewed elsewhere. The remaining 3 studies assessed the efficacy of sodium hypochlorite containing cleansing body wash, sodium hypochlorite baths and 1% triclosan in leave on emollient. These studies suggested some benefit for the inclusion of antiseptic use with the mainstay management of atopic dermatitis, including a potential steroid sparring effect. However, there are many limitations to these studies which therefore warrant further investigation on the impact of antiseptic use in atopic dermatitis.
    Keywords: Anti-Infective Agents, Local ; Atopic Dermatitis ; Staphylococcus Aureus
    ISSN: 2233-8276
    E-ISSN: 22338268
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  • 2
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.157-164
    Description: Many factors come into play when controlling the different types of eczema. What has been covered in this book will assist parents, caregivers, and physicians in approaching eczema, from its diagnosis to avoiding the known triggers for eczema, and applying the appropriate skincare and treatment. However, given that eczema is a chronic condition that is not curable, there are patients and parents who try alternative treatments in the hope of curing eczema. From experience, certain possible reasons that motivate patients to try other treatments are…
    Keywords: Part 3 Eczema And Beyond
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 3
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.147-155
    Description: Eczema is a group of diseases or a syndrome with chronic, itchy skin inflammation as its common feature…
    Keywords: Part 3 Eczema And Beyond
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 4
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.137-144
    Description: A lot of the features of atopic dermatitis (AD) in children count for adults. These include features of symptoms, mechanisms, triggers and treatment. AD is mainly a disease of childhood, with the highest prevalence in young children. Most children grow out of AD, dependent on severity and triggers (allergy induces more persistent lesions). Allergic reactions, mainly to house dust mites, seem to be the major maintaining factor, leading to persistence of AD into adulthood. Therefore, AD in adulthood is mainly AD that persisted through childhood, through puberty and into adulthood. Usually adults with AD were former children with severe AD, house dust mite allergy and severe colonisation of the skin with Staphylococcus aureus . Other types of AD in adults are late onset AD, which is uncommon, and contact dermatitis, which is more common in adults than in children. Taken together, AD in adults is characterised by severe bacterial colonisation and by an underlying house dust mite allergy. Food allergy is by far less common. Moreover, skin lesions are mainly consequences of past bacterial infection and scarring, resulting in pigment abnormalities (hypo- and hyperpigmentation).
    Keywords: Part 2 Living With Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 5
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.115-136
    Description: In this chapter, skin care and treatment options are covered. It is important to note that although there is no cure for eczema, eczema can be controlled. The approach to the treatment of AD should be a holistic approach . This not only means that medication is prescribed, but also that advice is given on many aspects of lifestyle, including diet (for children with an underlying food allergy), school and sports activity. In general, it advisable to swim regularly in chlorinated water, followed by extensive moisturising. In children with an underlying house dust mite allergy (common in older children with AD) they are advised to be outdoors as much as possible, and to stay in the bedroom as short as possible (only for sleeping)…
    Keywords: Part 2 Living With Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 6
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.99-113
    Description: In the previous chapter, triggers of eczema were discussed and it was emphasised that avoiding known triggers helps in controlling eczema. However, as eczema is a condition that significantly lowers the quality of life of children and adults, the question parents frequently ask is whether there is a way to prevent its onset altogether (also known as primary prevention). Till now, despite many studies on primary prevention, it seems impossible to prevent eczema completely. This is mainly due to (i) a strong genetic predisposition, and (ii) the multi-factorial conditioning of eczema, involving a wide spectrum of triggering factors. There are, however, certain areas in primary prevention that have been more extensively studied. These areas will be discussed in further detail in this chapter.
    Keywords: Part 2 Living With Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 7
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.69-98
    Description: The following sections are included: Understanding Triggers Food Allergens Inhaled Allergens Contact Allergens Bacterial Colonisation of Skin Stress Infections Hormonal Changes Irritant Substances Heat Cold Climate Pollutant Mechanical Irritation Alcohol
    Keywords: Part 2 Living With Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 8
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.39-67
    Description: The following sections are included: Common Diagnosis Methods Family History Past Medical History Examination of the Skin Allergy Testing Patient's Observations Diagnostic Criteria for AD
    Keywords: Part 2 Living With Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 9
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.17-35
    Description: The following sections are included: Introduction The Structure of Normal Skin in Children and Adults Functions of the Skin The Normal Skin at Birth The Role of Skin Microbiota in Health and in Eczema The Skin in Children with Eczema Other Mechanisms Involved and a Hypothetical Model of Eczema Conclusion: A Hypothetical Model of Onset of AD in Early Infancy
    Keywords: Part 1 Learning About Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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  • 10
    Book chapter
    Book chapter
    World Scientific Publishing Co. Pte. Ltd.
    Language: English
    In: Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.3-16
    Description: The following sections are included: Definition Other Types of Eczema Seborrhoeic Eczema Contact Eczema or Contact Dermatitis Epidemiology, Symptoms and Prognosis of AD
    Keywords: Part 1 Learning About Eczema
    ISBN: 9789814579520
    Source: World Scientific Books (World Scientific Publishing Co.)
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