CLINICAL GUIDELINESWORK AT STARSHIPCONTACTS
Information for
Health Professionals

Child and Youth Eczema Clinical Network

Purpose of the Network

The purpose of the New Zealand Child and Youth Eczema Clinical Network is to establish a national multi-disciplinary network that will support clinicians working across community, primary, secondary and tertiary services to deliver high quality, cost effective and integrated eczema treatment programmes for children, youth and their whanau.

Eczema affects over 25% of New Zealand children and care is delivered in a wide range of settings. The Network aims to foster co-ordinated management across the entire continuum of care. A key part of this workforce is education and development.

For an overview, please see an interview with Dr Diana Purvis, paediatric dermatologist, at the 2019 Goodfellow Symposium.

 

Clinical Guidelines

Clinical Guidelines developed by the Child and Youth Eczema Clinical Network can be found in the Starship Guidelines. These are:

Additional information is as below:

Model of Care for Childhood Eczema

View the Model of Care for Childhood Eczema via this link.

Eczema Severity Score

A patient-oriented eczema measure for childhood eczema from the University of Nottingham can be downloaded here.

Education and training for Health Professionals

The following links are to education and training for health professionals in primary and community care including for GPs and nurses.

  1. Pharmac Seminars (RNZCGP CME endorsed)

    1. Practical management of eczema: http://pharmac.health.nz/seminars/seminar-resources/eczema/

    2. Prevention, diagnosis and treatment of food allergy and eczema: https://www.pharmac.govt.nz/seminars/seminar-resources/allergy-and-eczema/

  2. ASCIA Paediatric atopic dermatitis (eczema) e-training for health professionals: https://etraininghp.ascia.org.au/mod/page/view.php?id=135

  3. Goodfellow Unit on Innovations in managing childhood eczema https://www.goodfellowunit.org/events/webinar-innovations-managing-childhood-eczema

  4. Professional Certificate in Allergy Nursing
    Online course in association with the Australasian Society of Clinical Immunology and Allergy (ASCIA); includes eczema component https://www.unisa.edu.au/Health-Sciences/Programs-and-Courses/Short-courses/Allergy/

Resources for Health Professionals

  1. Recommendations on prescribing emollients and topical steroids

    1. BPAC paper ‘Childhood eczema: improving adherence to treatment basics’ 2017 (D. Purvis)

      https://bpac.org.nz/2016/childhood-eczema.aspx

    2. BPAC paper ‘Topical corticosteroids for childhood eczema:
      clearing up the confusion’: https://bpac.org.nz/2016/topical-corticosteroids.aspx

    3. The Australasian College of Dermatologists Consensus
      Statement: Topical corticosteroids in paediatric eczema (https://www.dermcoll.edu.au/wp-content/uploads/ACD-Consensus-Statement-Topical-Corticosteroids-and-Eczema-Feb-2017.pdf)

    4. NICE Guidelines https://www.nice.org.uk/guidance/CG57

  2. Resources re: Bleach Baths and Eczema Care Plans
    See Family Information and Handouts Below

  3. Prevention of Allergy and Eczema
    The Australian National Allergy Strategy (including ASCIA) has launched the pilot phase of ‘Nip Allergies in the Bub’. This food allergy prevention projected is funded by the Australian Federal Government.

    The website contains practical information and education resources for both health professionals and parents about how to introduce the common food allergens and how to optimise eczema management.

    Please advise parents/patients that contacts e.g. emergency numbers for NZ are different; and that brands, products or advice may be different in New Zealand e.g. in regard to bleach products, adding oil, salt, and use of wet wraps. It is also recommended, unless a clinical diagnosis of food allergy is made, food not be delayed or withdrawn from a child’s diet. https://preventallergies.org.au/healthcare-professionals/

Family Information and Handouts

Action plans

Videos

These were developed by the Child and Youth Eczema Clinical Network and are useful to show parents/carers.

Other resources

Kidshealth website: https://www.kidshealth.org.nz/eczema

Allergy Prevention including Eczema Care and Infant Feeding:

The Australian National Allergy Strategy has launched the pilot phase of ‘Nip Allergies in the Bub’. This food allergy prevention projected is funded by the Australian Federal Government.

The website contains practical information for parents about how to introduce the common food allergens and how to optimise eczema management. Please note that contacts e.g. emergency numbers; and brands, products or advice such as for bleach products, adding oil or salt, and use of wet wraps, may be different in New Zealand.

It is also recommended in New Zealand, that unless a clinical diagnosis of food allergy is made, food not be delayed or withdrawn from a child’s diet. https://preventallergies.org.au/eczema/