مدیریت دانش - knowledge management
عنوان انگلیسی مقاله:
Management of Pediatric Atopic Dermatitis by Primary Care Providers: A Systematic Review
ترجمه فارسی عنوان مقاله:
مدیریت درماتیت آتوپیک اطفال توسط ارائه دهندگان مراقبت های اولیه: مرور سیستماتیک
ScienceDirect- Elsevier- Academic Pediatrics, 21 (2021) 1318-1327: doi:10:1016/j:acap:2021:07:008
Trevor K. Young MD
BACKGROUND: Primary care providers (PCPs), including
pediatricians and general practitioners, are often the first to see
children with eczema/atopic dermatitis (AD). Little is known
about management of pediatric AD by PCPs and adherence to
OBJECTIVE: To review existing literature examining management components of pediatric AD (topical corticosteroids
[TCS], topical calcineurin inhibitors [TCIs], antihistamines,
bathing, emollients, and diet) by PCPs.
DATA SOURCES: PubMed/Medline and Embase.
STUDY ELIGIBILITY CRITERIA: English-language articles dated
2015 to 2020 reporting outcomes addressing management of
pediatric AD by PCPs.
STUDY APPRAISAL AND SYNTHESIS METHODS: Two authors
independently screened titles/abstracts, reviewed full-text
articles, extracted relevant data, and evaluated study quality.
Disagreements were resolved by a third author.
RESULTS: Twenty articles were included. Surveys and
national database analyses were the most common methodologies (n = 7 each). PCPs commonly prescribed TCS but had a
preference for low-potency agents, overprescribed nonsedating
antihistamines, and avoided TCIs. PCPs commonly recommended emollients, although this was not universal. Data characterizing nonmedication management were limited.
LIMITATIONS: Most studies did not examine individual patient
encounters, but rather relied on providers reporting their general behaviors. Provider behavior may vary based on country
CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: Knowledge and management gaps exist among PCPs in treating pediatric AD in key areas including knowledge of TCS safety
profiles and prescribing of TCIs. The current literature is
largely limited to small studies that evaluate prescribing
behaviors with limited data characterizing nonmedication
management, highlighting the need for future research in this
KEYWORDS: atopic dermatitis | eczema | health care delivery | primary care provider | pediatric
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