Child and Youth Eczema Clinical Network - Te Rōpū Kiripai Hapori
Purpose of the Network
The purpose of Te Rōpū Kiripai Hapori is to establish a national multi-disciplinary network that will support clinicians working across community, primary, secondary and tertiary services to deliver high quality, cost effective and integrated eczema treatment programmes for children, youth and their whanau.
If you are a health professional interested in joining Te Rōpū Kiripai Hapori, please email email@example.com
For an overview, please see an interview with Dr Diana Purvis, paediatric dermatologist, at the 2019 Goodfellow Symposium.
Clinical Guidelines developed by Te Rōpū Kiripai Hapori can be found in the Starship Guidelines. These are:
See also the Starship Clinical Guideline 'Eczema - Management of Acute Flares'
Resources for Health Professionals
Handouts for families
Eczema Action Plan
Also for management of acute flares < 1 year of age, 1-4 years of age and > 5 years
Recommendations on prescribing emollients and topical steroids
Funded emollients and plain steroid creams in New Zealand 2020. Please note that this poster content is not exhaustive and is subject to funding and brand changes. This documents is currently under review (2021). Please refer to the PHARMAC schedule for current information.
Safer Healthy Prescribing - Eczema: http://www.saferx.co.nz/assets/Documents/full/e8cb388a3c/eczema.pdf
BPAC paper ‘Childhood eczema: improving adherence to treatment basics’ 2017 (D. Purvis) https://bpac.org.nz/2016/childhood-eczema.aspx
BPAC paper ‘Topical corticosteroids for childhood eczema: clearing up the confusion’: https://bpac.org.nz/2016/topical-corticosteroids.aspx
The Australasian College of Dermatologists Consensus Statement: Topical corticosteroids in paediatric eczema (https://www.dermcoll.edu.au/wp-content/uploads/ACD-Consensus-Statement-Topical-Corticosteroids-and-Eczema-Feb-2017.pdf)
NICE Guidelines https://www.nice.org.uk/guidance/CG57
Eczema Severity Score.
A patient-oriented eczema measure for childhood eczema from the University of Nottingham can be downloaded here.
Eczema Management and Prevention of Allergy
The Australian National Allergy Strategy has launched this website with practical information and education resources for both health professionals and parents about how to introduce the common food allergens and how to optimise eczema management: https://preventallergies.org.au/healthcare-professionals/
Please advise parents/patients that phone numbers, brands and some advice is different in New Zealand. Eg adding oil and salt to baths.
Eczema Myths and the Facts
The majority of children with eczema can be managed in an outpatient setting. However, it is often under-treated, with fear of topical corticosteroids a major factor. The compilation of this & other published Myths & Facts is to help health professionals in advising patients & their families.
• Eczema Myths & The Facts | KidsHealth NZ (by Te Rōpū Kiripai Hapori). A pdf version can be downloaded here
• Eczema and Food Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA)
• Patient Fact Sheet for use of Topical Corticosteroids (by the Australasian College of Dermatologists)
Education and training for Health Professionals
The following links are to education and training for health professionals in primary and community care including for GPs and nurses (RNZCGP CME endorsed).
Atopic Eczema in Children https://goodfellowunit.org/courses/atopic-eczema-children
Innovations in managing childhood eczema https://www.goodfellowunit.org/events/webinar-innovations-managing-childhood-eczema
Pharmac Seminars (RNZCGP CME endorsed)
Practical management of eczema: http://pharmac.health.nz/seminars/seminar-resources/eczema/
Prevention, diagnosis and treatment of food allergy and eczema: https://www.pharmac.govt.nz/seminars/seminar-resources/allergy-and-eczema/
ASCIA Paediatric atopic dermatitis (eczema) e-training for health professionals: https://etraininghp.ascia.org.au/mod/page/view.php?id=135
Model of Care for Childhood Eczema
View the Model of Care for Childhood Eczema via this link.
Family Information and Handouts
Videos: These were developed by Te Rōpū Kiripai Hapori and are useful to show parents/carers. eg Eczema care: Three Easy Steps (https://www.kidshealth.org.nz/eczema-care-3-easy-steps?language=zh-hans)
View a video of a Plunket Facebook Live event with Dr Diana Purvis discussing eczema, below:
More Facebook Live events can be viewed here:
Skin Series Part 1: What is Eczema
Skin Series Part 2: Steroids and Eczema
Skin Series Part 3: Bleach baths and top tips for Eczema
Skin Series Part 4: Anxiety and the emotional burden of Eczema
Kidshealth website: https://www.kidshealth.org.nz/eczema
Allergy Prevention including Eczema Care and Infant Feeding: The Australian National Allergy Strategy has launched the pilot phase of ‘Nip Allergies in the Bub’. https://preventallergies.org.au/eczema/
The website contains practical information for parents about how to introduce the common food allergens and how to optimise eczema management. Please note that contacts e.g. emergency numbers; and brands, products or advice such as for bleach products, adding oil or salt, and use of wet wraps, may be different in New Zealand.
It is also recommended in New Zealand, that unless a clinical diagnosis of food allergy is made, food not be delayed or withdrawn from a child’s diet.