The I.M. Sechenov First Moscow State Medical University, Moscow, Russia
This article analyzes the medical profession’s (allergologists, pediatricians) awareness of severe atopic dermatitis treatment. Dermatologists and allergologists are known to observe patients with severe atopic dermatitis. Pediatricians often take over the already prescribed course and observe patients with AD in general pediatric local departments. We have analyzed 193 forms to assess the medical profession’s awareness. It has been established that 73% of hospital-based doctors undergo difficulties in treating AD patients as compared to 57% of neighborhood doctors. About 70% of allergologists indicate AD clinical and morphological form in contrast with 40% of hospital-based doctors and 10% of neighborhood doctors. 62% of neighborhood pediatricians don’t fix disease severity in the patient’s diagnosis. In dietary therapy practically all doctors apply extensively hydrolyzed milk protein-based formulas. 40% of pediatricians eagerly assign such formulas to children with any AD severity. And 30% believe that AD and food allergy are highly associated. It has been established that many specialists, pediatricians and allergologists prescribe external glucocorticosteroid therapy; all doctors are aware of the necessary assessment of dietary therapy effectiveness in 2-4-week time and the majority are ready to follow the prescribed therapy for a longer period of time even at the lack of its efficacy. Some doctors are not well-informed about AD systemic therapy: the permissible dose of glucocorticosteroid drugs and the position of cyclosporine A in treatment classification. We have therefore come to the conclusion that working out methodological recommendations on severe AD treatment in children and youngsters will keep doctors informed about possible AD therapies and assist them in maintaining disease remission and enhancing the quality of life for children and their families.
Keywords: interview, physicians, atopic dermatitis, severe, treatment.