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Wet Wrap Therapy in Moderate to Severe Atopic Dermatitis
Noreen Heer Nicol1, Mark Boguniewicz2
1College of Nursing, University of Colorado, 13120 East 19th Avenue, Mail Stop C288-18, Aurora, CO 80045, USA.
Immunology and Allergy Clinics of North America
|November 26, 2016
Summary
Wet wrap therapy (WWT) offers a simpler, cost-effective treatment for moderate to severe atopic dermatitis (AD). This method, using clothing instead of bandages, should be considered before systemic therapies for patients unresponsive to conventional treatments.
Area of Science:
- Dermatology
- Clinical Therapeutics
Background:
- Atopic dermatitis (AD) management follows national and international guidelines.
- Wet wrap therapy (WWT) is a key intervention for moderate to severe AD.
- Current WWT methods can be time-intensive and costly.
Purpose of the Study:
- To evaluate the efficacy and practicality of using clothing for WWT in atopic dermatitis.
- To advocate for standardized WWT protocols and patient education.
- To position WWT as a viable alternative to systemic immunosuppressants.
Main Methods:
- Utilized clothing instead of traditional bandages for wet wrap application.
- Focused on simplifying the WWT procedure for patients and caregivers.
- Emphasized the need for standardized methodology in future research.
Main Results:
- Clothing-based WWT is simpler, less time-consuming, and more economical.
- Patient and caregiver education is crucial for successful implementation.
- Standardized procedures and validated outcomes tools are needed for better interpretation.
Conclusions:
- Wet wrap therapy using clothing is a practical and effective acute treatment for moderate to severe atopic dermatitis.
- WWT should be strongly considered before resorting to systemic immunosuppressive therapies for refractory cases.
- Further research with detailed methodology and validated outcomes is recommended.
