Division of Allergy-Immunology, Department of Pediatrics, National Jewish Health and University of Colorado School of Medicine, Denver, Colorado.
Section of Allergy and Immunology, NYU Winthrop Hospital, Mineola, New York.
Ann Allergy Asthma Immunol. 2018 Jan;120(1):10-22.e2. doi: 10.1016/j.anai.2017.10.039.
The implementation of treatment guidelines for atopic dermatitis is challenging, in part because of different guidance documents being used by different groups of specialists and in part because the language of guidelines often reflects the evidence base rather than the practical "how to." The Atopic Dermatitis Yardstick is part of a series developed in response to the need to proactively address the loss of disease control for atopic illnesses at all levels of severity. It presents a comprehensive update on how to conduct a sustained step-up in therapy for the patient with inadequately controlled or poorly controlled atopic dermatitis. Patient profiles, based on current guidelines and the authors' combined clinical experience, provide a practical and clinically meaningful guide to aid physicians in helping their patients achieve the goal of clear to almost clear. The intent is not to replace guidelines but to complement their recommendations incorporating the latest research and therapies.
特应性皮炎治疗指南的实施具有挑战性,部分原因是不同专业组使用的指导文件不同,部分原因是指南的语言通常反映的是证据基础,而不是实际的“如何做”。特应性皮炎标准是为了积极应对各个严重程度的特应性疾病控制丧失而开发的一系列标准之一。它全面更新了如何为治疗控制不足或控制不佳的特应性皮炎患者进行持续升级治疗。基于当前指南和作者的综合临床经验的患者特征为医生帮助患者实现清除至几乎清除的目标提供了实用且具有临床意义的指导。其目的不是替代指南,而是补充其建议,纳入最新的研究和治疗方法。