Behandlung des akut exazerbierten atopischen ekzems mit fett-feuchten verbanden und topischem chlorhexidin

Six patients (3 children and 3 adults) with acute exacerbated atopic eczema were treated with basic emollients in combination with chlorhexidine- soaked dressings over a period of three days using the 'wet-pyjama' technique. Improvement of eczema was documented with the severity score 'Scoring of Atopic Dermatitis' (SCORAD); most pronounced changes were found for the subjective parameters itch and sleep loss. Paralleling skin improvement a reduction of Staphylococcus aureus colonisation was noted. Improvement of skin changes lasted beyond the active treatment period. Wet- wrap dressings are an effective treatment modality for atopic eczema without use of corticosteroids and can be used easily on an outpatient basis when manufactured dressings are used.