The 3 steps for eczema skin care

Eczema occurs in around 1 in 5 infants, but usually improves with age. Many people who have eczema, especially infants, either have, or will develop other allergies.  Although eczema can be effectively treated, no cures are currently available. 

 

1. Eczema under control - maintain the protective barrier function of the skin
The term 'emollient therapy' is the use of the wash/oil AND the application of moisturisers afterwards and this is recommended to maintain the protective barrier of the skin. Use a non-soap based wash or oil in the bath or shower. It helps replace the oil content of the skin and is an essential part of eczema management. Products should be purchased from a pharmacy. Soap and bubbly products damage and dry the skin further. Keep skin soft and supple (not red and itchy), by regular moisturising and avoidance of triggers and irritants.

 

2. Moderate eczema flare - protect and repair if skin is red, itchy, dry, flaking
Use emollient therapy, but include thicker moisturisers (applied regularly) Avoid triggers and irritants.  Reduce inflammation of eczema with corticosteroid creams or ointments, if needed.  Watch for signs of bacterial and/or fungal infection (weeping, oozing, crusting, pustules, unresponsive eczema, fever and malaise) as this may require antibiotics and/or antifungal cream, prescribed by a doctor.

 

3. Moderate to severe eczema flare - intensive treatment
When eczema is not responding to the above treatments a greasy cream will need to be applied several times throughout the day. Prescribed topical corticosteroids will be required. Wet wraps may be recommended, unless the child is unwell or the eczema is infected.