NZ Child & Youth Clinical Network

Child and Youth Eczema Clinical Network

Te Rōpū Kiripai Hapori
Supporting whānau and clinicians across Aotearoa to better understand, manage, and treat eczema—improving outcomes through equity, education, and connection.

Overview

Eczema affects approximately 15-25% of tamariki, depending on their age, across Aotearoa. Although it is a very common condition, it is poorly understood and managed by health professionals and whānau alike throughout the motu. Te Rōpū Kiripai Hapori is the Child and Youth Clinical Network for Eczema. Our clinical reference group for this network is made up of a small number of passionate health professionals from primary care, community, secondary and tertiary paediatrics. We are keen to spread the word about managing and treating eczema effectively. 

Network priorities

Education Our network’s biggest concern is the equity of access to knowledge, resources, and appropriate treatment for eczema. Despite being a chronic condition, most childhood eczema is mild and can be easily managed with simple education, prescribed creams, and whānau support. Unfortunately, this basic education and support is often lacking, leading to thousands of children and their families suffering unnecessarily from abnormal skin, poor quality of life, and significant sleep disturbance.

Primary Care Support Primary care providers are some of the most time-pressed health professionals, often seeing children with eczema only during acute flares in short appointments without routine follow-up. On the other hand, we know that nurse-led clinics can successfully manage these children, resulting in more empowered whānau and better long-term outcomes. However, current funding models do not prioritise these services in primary care settings.

Reducing Health Disparities Recent population research reveals high rates of eczema among our youngest and most vulnerable tamariki, particularly in Pasifika and low socioeconomic groups, which are the very communities that face the greatest barriers to accessing healthcare. Hospitalisation rates for eczema also highlight significant ethnic and socioeconomic disparities, with most admissions being almost entirely preventable with appropriate primary and secondary care. This further underscores the need to prioritise eczema care and how it is funded in our healthcare system.

 

Contact

If you are a health professional interested in receiving our newsletter, please email us at eczemacn@paediatrics.org.nz to join Te Rōpū Kiripai Hapori Extended Network.

 

Clinical Resources and Guidelines

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'

​​​​​​Handouts for families

  1. Eczema Action Plan. See also Samoan Translation (NEW)

  2. Eczema Flare Plans: 
    < 1 year of age
    1-4 years of age
    > 5 years

  3. Bleach bath instructions

  4. Caring for your child's eczema
     

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 document is currently under review (2024). Please refer to the PHARMAC schedule for current information.  Pharmaceutical Schedule - Pharmac | New Zealand Government

- BPAC paper ‘Childhood eczema: improving adherence to treatment basics’ updated 2024 (D. Purvis)  Childhood eczema: improving adherence to treatment basics - Best Practice Advocacy Centre New Zealand (bpac.org.nz)

- BPAC paper ‘Topical corticosteroids for childhood eczema: clearing up the confusion’: 2021 (D Purvis): Topical corticosteroids for childhood eczema: clearing up the confusion - Best Practice Advocacy Centre New Zealand (bpac.org.nz)

- Eczema Severity Score - A POEM (patient-oriented eczema measure) for childhood eczema from the University of Nottingham can be downloaded via this link

- The Australasian College of Dermatologists Consensus Statement: Topical corticosteroids in paediatric eczema https://www.dermcoll.edu.au/wp-content/uploads/2022/09/ACD-Consensus-Statement-Topical-Corticosteroids-September-2022-.pdf

- SafeRx Healthy Prescribing - Eczema: http://www.saferx.co.nz/assets/Documents/full/e8cb388a3c/eczema.pdf

- Western Australia Managing eczema in children: a guide for clinicians: https://pch.health.wa.gov.au/~/media/Files/Hospitals/PCH/General-documents/Health-professionals/PRGs/Eczema-Algorithm_PCH_0422.pdf

- NICE Guidelines (updated 2023) https://www.nice.org.uk/guidance/CG57

 

Education and training

(CME points may be available for some of these)

1. 'What is eczema and how do we treat it - a pathway to success in managing eczema'. Lydia Snell, Paediatric Homecare Nurse, Eczema Clinical Network: What is Eczema & How Do We Treat It on Vimeo

2. ASCIA Paediatric atopic dermatitis (eczema) e-training for health professionals.

3. Nottingham - Childhood eczema Q&A event for pharmacy staff (March 25th 2021)

4. Pharmac seminar presentation - 'Diagnosis and treatment (2017) on: Prevention of paediatric food allergy and eczema - Pharmac | New Zealand Government.

Eczema News Edition #1 2022 (resources are available)

Eczema News Edition #2 - Winter Edition 2022 (winter wellness, and choosing an emollient)

Eczema News Edition #3 - Summer Time Edition 2022/23 (eczema and suncare)

Eczema News Edition #4 - Autumn Edition  2023 (prescribing tacrolimus and pimecrolimus)

Eczema News Edition #5 - Spring Edition   2023 (use of steroids, and steroid withdrawal concerns)

 

Whanau Resources

KidsHealth is the go-to source for whanau seeking trusted health information – we have a main page with links to lots of info on Eczema in children.

 

 

 

 

​​​​​​Handouts for families

  1. Eczema Action Plan. See also Samoan Translation (NEW)

  2. Eczema Flare Plans: 
    < 1 year of age
    1-4 years of age
    > 5 years

  3. Bleach bath instructions

  4. Caring for your child's eczema
     

  1. These videos 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). See also the other 3 videos on this site.

  1. View a video of a Plunket Facebook Live event with Dr Diana Purvis discussing eczema, (2022): Eczema & Skin Conditions - Questions & Answers With An Expert | KidsHealth NZ

  2. See the Plunket Live Eczema Expert Advice - 4 Part live Chat video Series of '1. what is Eczema', '2. Steroids and Eczema', '3. Bleach baths and top tips for Eczema' and '4. Anxiety and the emotional burden of Eczema' at https://www.kidshealth.org.nz/eczema-expert-advice-4-part-live-chat-video-series

Help prevent food allergy, give your baby the common allergy-causing foods before they turn one - www.preventallergies.org.au

Model of Care

Name Role Location
Angela Craig Chair Hastings
Aimee Mackey Member Christchurch
Anna Gilmour Member Dunedin
Carolyn Cordes Member Auckland
Diana Purvis Member Auckland
Faasoa Aupaau Member Auckland
Lydia Snell Member Whakatāne
Tom Townend Member Christchurch
Rosalie Hornung Project Coordinator Auckland

Network News and Updates