Health
GPs shouldn’t prescribe bath salts to children under 12, NICE suggests
NICE recommends that GPs not prescribe bath salts to children under the age of 12 in draft new guidelines released today.
updated guidance, Under discussion until April 4comes after NICE’s independent guidelines committee considers new evidence Randomized controlled BATHE trial first published in 2018.
The study found that children who used emollient bath salts in addition to other standard treatments for atopic dermatitis were no more effective than children who did not use the additives.
As such, the NICE Committee believed that prescribing an ineffective product places an unnecessary burden on patients and caregivers regarding the acquisition and use of the product.
If a child benefits from or enjoys using bath salts, the NICE committee suggests that parents purchase the product over-the-counter.
The updated draft guidelines call for prescribing affected children with a “choice of unscented emollients for daily use to moisturize and cleanse” and making this available “in bulk.” It is said that there is
The family doctor should explain to the child and their parent or caregiver that while bath salts do not work for eczema, they do not worsen the condition and can be purchased over-the-counter if needed.
A guideline panel considered whether alternative recommendations should be made for children with sensory processing disorders who cannot tolerate leave-on emollients applied directly to the skin.
However, “because there was no evidence to suggest that emollient bath salts were effective in this group,” “because leave-on emollients can be diluted with hot water and added to bath salts, alternative options are already available.” Since it is available, I have decided not to use it.” ‘.
The guidelines emphasize Existing NHS England recommendations GPs avoid prescribing bath salts because they are cost-effective and available over-the-counter. NICE said its clinical recommendations “should further reduce bath additive prescribing”, “saving costs for the NHS and reducing geographic differences”.
About 1 in 5 children suffer from atopic eczema. Atopic eczema is a chronic, inflammatory, itchy skin condition that usually begins in early childhood. According to NICE, the condition can have a profound psychological/psychosocial impact on the lives of children and their caregivers, impacting quality of life in many ways.
Conventional management of atopic eczema includes advice to avoid what aggravates the condition, use of emollients to cleanse and moisturize the skin, and topical corticosteroids to reduce irritation and inflammation. (corticosteroids applied to the skin).
Draft NICE Guidance on Treatment of Childhood Eczema
1.5.1.4 Select a fragrance-free emollient for children with atopic eczema for daily moisturizing and cleansing. This may be a combination of products or her one product for all purposes. Prescribe bulk leave-on emollient (250g to 500g weekly) for easy use in daycare, preschool, or school. [2007, amended 2023]
1.5.1.10 If a child with atopic eczema uses emollients or other topical products at the same time of day, explain:
- You should apply one product at a time and wait a few minutes before applying the next product.
- You can choose which product to apply first. [2007, amended 2023]
1.5.1.11 Do not offer emollient bath salts to children with atopic eczema. [2023]
1.5.1.12 Explain to children with atopic eczema and their parents or guardians that:
- Emollient bath salts do not work for atopic eczema
- However, it does not make eczema worse. It is available over-the-counter for use by children and their parents or caregivers. [2023]
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