Garg Swati, Zhao Jeffrey, Tegtmeyer Kyle, Shah Parth, Lio Peter A
Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Pediatr Dermatol. 2021 Jan;38(1):324-326. doi: 10.1111/pde.14445. Epub 2020 Nov 27.
Antihistamine use for primary treatment of atopic dermatitis (AD) is not recommended, but current guidelines state that sedating antihistamines are favored over non-sedating antihistamines for relief of burdensome pruritus. We analyzed the National Ambulatory Medical Care Survey data to compare use of antihistamines between dermatologists and non-dermatologists. Overall, dermatologists are more likely to prescribe sedating than non-sedating antihistamines when compared to non-dermatologists (P < .001, δ = 0.45). Patients under 21 years old (P = .03, δ = 0.10) and Black patients (P < .001, δ = 0.19) were also more likely to receive sedating antihistamines than non-sedating antihistamines. These findings highlight the differential prescribing practices for atopic dermatitis among physicians.
不推荐使用抗组胺药作为特应性皮炎（AD）的主要治疗方法，但当前指南指出，在缓解严重瘙痒方面，镇静性抗组胺药比非镇静性抗组胺药更受青睐。我们分析了国家门诊医疗调查数据，以比较皮肤科医生和非皮肤科医生对抗组胺药的使用情况。总体而言，与非皮肤科医生相比，皮肤科医生更有可能开具镇静性抗组胺药而非非镇静性抗组胺药（P <.001，δ = 0.45）。21岁以下的患者（P = 0.03，δ = 0.10）和黑人患者（P <.001，δ = 0.19）也比非镇静性抗组胺药更有可能接受镇静性抗组胺药。这些发现突出了医生在特应性皮炎处方方面的差异。
