Atopic Dermatitis Treatment Algorithm PDF
Atopic Dermatitis Treatment Algorithm PDF
Atopic Dermatitis Treatment Algorithm PDF
Dermatology or Allergy/Immunology:
INFECTION
History
Physical Exam
Is there
evidence of infection?
YES
Severe infection
Hospital admission for intravenous antistaphylococcal antibiotic
therapy with clindamycin or vancomycin
NO
Is the AD
Mild, Moderate or
Severe?
Mild
Atopic
Dermatitis
Moderate
Atopic
Dermatitis
Face / Folds
Body
Severe
Atopic
Dermatitis
Face / Folds
Body
Face / Folds
Body
Class 6 topical
steroid BID for 2-4
weeks (4wks max)
or TCI BID
Class 5 topical
steroid BID for 1-2
weeks (4 wks max)
or TCI BID
Treatment
effective at follow
up visit
YES
NO
MAINTENANCE
Is adherence to
treatment plan
suboptimal?
Re-emphasize atopic skin care and continue emollient use 1-2 times daily
Therapy Choices:
Proactive Intermittent Therapy
Use treatment medication twice weekly
Proactive Continuous Therapy
Petrolatum mixed 1:1 by parent with hydrocortisone 2.5% ointment BID
OR
A-Mantle cream 454 grams mixed with hydrocortisone acetate powder 5 grams used BID
Calcineurin Inhibitor Maintenance
Pimecrolimus 1% cream or tacrolimus 0.03% or 0.1% ointment twice daily initially, tapering to
twice weekly
YES
NO
Reassess severity
Re-educate patient and
family and repeat
original treatment plan
for Mild/Moderate/
Severe Atopic
Dermatitis
NO
Does patient have
re-flares?
YES
Assess severity and reenter treatment
pathway for Mild/
Moderate/Severe
Atopic Dermatitis