Adjuvant basic therapy plays a central role in the therapeutic approac
h to atopic eczema in childhood. It involves the regular use of emolli
ents and oil baths according to the clinical picture. Emollients conta
ining urea may cause problems when used in younger children due to the
ir stinging effect. Glucocorticosteroids still form the mainstay of an
ti-inflammatory thera py and are superior to other topical drugs with
anti-inflammatory effects. Antihistamines preferably of the sedative t
ype can be used successfully during periods of exacerbation. Systemic
use of antibiotics is essential in cases of impetiginized atopic eczem
a. In cases of bacterial triggered eczema, the topical use of antibiot
ics in cases of limited or of antiseptics in generalized disease may b
e helpful.