Revisión sistemática sobre 10 intervenciones en dermatitis. Un documento de la Sociedad Latinoamericana de Alergia Asma e Inmunología

Jorge Sánchez, Mario Roberto Sánchez, Alejandra Macías-Weinmann, Bruno Barreto, Luis Felipe Ensina, Silvia Antonieta Uriarte-Obando, Raúl Lázaro Castro-Almarales, Romina Adorni, Milagros Lázaro, Ariel Callero-Viera, Iris Ale, Leidy Álvarez

Resumen


La Sociedad Latinoamericana de Asma, Alergia e Inmunología realizó una búsqueda sistemática en la base de datos de Medline y LILACS para obtener artículos relacionados con 10 preguntas actuales sobre dermatitis. La evaluación de la calidad de la evidencia y la fuerza de las recomendaciones se realizaron a través del sistema GRADE. La integridad y la transparencia de las recomendaciones se evaluaron con la lista de verificación de informes AGREE. El documento final se compartió con médicos, alergólogos, dermatólogos y pediatras, pacientes e instituciones académicas, como universidades y sociedades médicas científicas, para su evaluación externa. Conforme a la revisión, se debe usar escalas clínicas para evaluar la gravedad de la dermatitis; algunas intervenciones como el uso de probióticos pueden beneficiar al paciente, sin embargo, se requieren más estudios antes de utilizarlas en la práctica diaria. La restricción de la dieta y el uso de antihistamínicos parecen tener fundamento solo en casos particulares y no deben indicarse a todos los pacientes. Esta guía práctica presenta recomendaciones para el tratamiento de la dermatitis atópica que pueden ser útiles para el personal médico, los pacientes y los sistemas de salud.

 


Palabras clave


Alergia; Alérgeno; Atopia; Dermatits; Eccema; Probióticos; Antihistamínicos; Dupilumab; Microbiota

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Referencias


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DOI: http://dx.doi.org/10.29262/ram.v66i4.636

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