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.
If you are a health professional interested in joining the Eczema Clinical Network, please email kaleen@healthnetworks.co.nz.
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:
See also the Starship Clinical Guideline 'Eczema - Inpatient and Outpatient Management'
Resources for Health Professionals
Handouts for families
Recommendations on prescribing emollients and topical steroids
Safer Healthy Prescribing - Eczema: http://www.saferx.co.nz/assets/Documents/full/e8cb388a3c/eczema.pdf
BPAC paper ‘Childhood eczema: improving adherence to treatment basics’ 2017 (D. Purvis) https://bpac.org.nz/2016/childhood-eczema.aspx
BPAC paper ‘Topical corticosteroids for childhood eczema: clearing up the confusion’: https://bpac.org.nz/2016/topical-corticosteroids.aspx
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)
NICE Guidelines https://www.nice.org.uk/guidance/CG57
Eczema Severity Score.
A patient-oriented eczema measure for childhood eczema from the University of Nottingham can be downloaded here.Eczema Management and Prevention of Allergy
The Australian National Allergy Strategy has launched this website with 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: https://preventallergies.org.au/healthcare-professionals/
Please advise parents/patients that phone numbers, brands and some advice is different in New Zealand. Eg adding oil and salt to baths.
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 (RNZCGP CME endorsed).
Goodfellow Unit:
Atopic Eczema in Children https://goodfellowunit.org/courses/atopic-eczema-children
Innovations in managing childhood eczema https://www.goodfellowunit.org/events/webinar-innovations-managing-childhood-eczema
Pharmac Seminars (RNZCGP CME endorsed)
Practical management of eczema: http://pharmac.health.nz/seminars/seminar-resources/eczema/
Prevention, diagnosis and treatment of food allergy and eczema: https://www.pharmac.govt.nz/seminars/seminar-resources/allergy-and-eczema/
ASCIA Paediatric atopic dermatitis (eczema) e-training for health professionals: https://etraininghp.ascia.org.au/mod/page/view.php?id=135
Model of Care for Childhood Eczema
View the Model of Care for Childhood Eczema via this link.
Family Information and Handouts
Videos: These were developed by the Child and Youth Eczema Clinical Network and are useful to show parents/carers. eg Eczema care: Three Easy Steps (https://www.kidshealth.org.nz/eczema-care-3-easy-steps?language=zh-hans)
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’. https://preventallergies.org.au/eczema/
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.