July 2024

‘Back to square one’: Experiences influencing topical corticosteroid use in paediatric eczema

Christabel Hoe, Yasin Shahab, Phyllis Lau
 

School of Medicine, Western Sydney University, Sydney, NSW

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Background and objectives

Atopic dermatitis (AD) is a chronic inflammatory skin condition that negatively impacts quality of life. Topical corticosteroids (TCSs) remain the first-line management and effective TCSs use is associated with improved holistic wellbeing. However, TCSs self-withdrawal and ‘no-moisture’ method discussions have emerged. The aim of this study is to understand the experiences causing parents to deviate from traditional TCSs use in paediatric AD management.

Methods

One-on-one, semi-structured interviews were undertaken and focused on parental experiences surrounding eczema and TCSs use.

Results

Our preliminary findings show that the fear of TCSs use affects health practitioners alongside the general population. Mismatched expectations within therapeutic relationships were identified, with participants reporting the chronicity of AD was not established early.

Discussion

Our findings reinforce the need for more effective primary care-level patient information. Final project findings are anticipated to be established soon and hoped to assist with future strategies to improve primary care AD counselling.