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Perceptions on Management of Atopic Dermatitis in Children Under 2 Years by Community Pediatricians: A Focus Group

Noor Hamideh1, Pooja Venkatesh2, Sharon Zhao3

  • 1NYU Langone Grossman School of Medicine, New York, NY, USA.

Clinical Pediatrics
|February 17, 2023
PubMed

Insights

Pediatricians face challenges treating atopic dermatitis (AD) in young children due to concerns about topical corticosteroid (TCS) use and adherence. Improved education and guidelines are needed for better AD management in infants and toddlers.

Area of Science:

  • Pediatric dermatology
  • Clinical practice research
  • Qualitative health research

Background:

  • Atopic dermatitis (AD) is prevalent in children under 2 years.
  • Specific management guidelines for this age group are lacking.
  • Undertreatment of AD in young children is a significant concern.

Purpose of the Study:

  • To identify barriers to atopic dermatitis treatment in children under 2 years.
  • To explore primary care pediatricians' (PCPs) suggested solutions for improving AD management.
  • To understand the reasons behind the perceived undertreatment of AD in this vulnerable population.

Main Methods:

  • Semi-structured focus groups were conducted with 17 primary care pediatricians.
  • Qualitative data analysis employed an inductive approach.
  • Discussions centered on addressing the undertreatment of atopic dermatitis in young children.

Main Results:

  • Key barriers identified include hesitancy in using topical corticosteroids (TCS), poor caregiver adherence to recommendations, and under-documentation in electronic medical records (EMR).
  • Pediatricians suggested enhanced education on TCS safety for caregivers and PCPs.
  • Development of stepwise management guidelines and EMR aids were proposed solutions.

Conclusions:

  • Addressing undertreatment of atopic dermatitis in children under 2 requires tackling TCS hesitancy and improving adherence.
  • Further research is needed to develop and disseminate practical AD management guidelines for this age group.
  • Educational initiatives and improved documentation tools are crucial for optimizing pediatric AD care.

Keywords:
atopic dermatitiseczemafocus groupsphysicians’ practice patternsprimary health care

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