Frequency of bathing in the management of atopic dermatitis: to bathe or not to bathe?

Clin Pediatr (Phila). 2014 Jun;53(7):677-81. doi: 10.1177/0009922814526980. Epub 2014 Mar 14.

Abstract

Background: Atopic dermatitis prevalence has increased in the developed world in recent decades, and effective management is vital to improve patients' quality of life.

Methods: A prospective, randomized, case-control study with a purposive sample of 28 children, aged 6 months to 10 years, diagnosed with atopic dermatitis. Participants received bathing instructions to be followed either daily or twice a week, with a follow-up duration of 2 weeks. Improvement of symptoms over time was measured using the SCORAD (SCORing Atopic Dermatitis) tool.

Results: Overall symptoms decreased significantly at follow-up compared with baseline (difference = 5.0938, confidence interval = 0.2116 to 9.9759) but the differences in scores before and after interventions were not statistically significant between the groups (difference = -1.0937, confidence interval = -5.9759 to 3.7884).

Conclusions: The frequency of bathing did not seem to play an important role in the management of atopic dermatitis. Clinicians should focus on the need for adequate skin hydration.

Keywords: atopic dermatitis; bathing; eczema; frequency.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Baths*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Dermatitis, Atopic / therapy*
  • Female
  • Humans
  • Infant
  • Male
  • Prospective Studies
  • Quality of Life
  • Skin Care / methods*
  • Treatment Outcome