Медицинский совет (Jan 2022)

Differentiated approach to the prescription of dexpanthenol drugs in the practice of a pediatrician

  • I. N. Zakharova,
  • T. M. Tvorogova,
  • I. V. Berezhnaya,
  • I. I. Pshenichnikova,
  • Yu. A. Dmitrieva,
  • A. N. Tsutsaeva,
  • E. B. Machneva,
  • A. E. Yudina,
  • V. V. Pupykina

DOI
https://doi.org/10.21518/2079-701X-2021-21-1-212-223
Journal volume & issue
Vol. 0, no. 21-1
pp. 212 – 223

Abstract

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The article provides information about the features of the structure, development and differentiated approach to the appointment of dexapanthenol preparations used for the prevention and complex treatment of skin diseases in children of wounded age. Regular use of leave-on cosmetic products including body creams and lotions is very high among children aged 0–4 years. However, in most cases, recommendations for the use of topical baby skin care medicinal products and/or cosmetic products are based not on scientific evidence, but on common sense, expert opinions, advertising, personal preferences of parents, pharmacists, dermatologists and/or pediatricians. For example, adsorbing properties of baby powders are insufficient, and after absorbing moisture, they actually turn to “urine compresses” that aggravate the epidermis injury. After swelling, the starch-containing powders represent an excellent growth media for pathogenic and opportunistic microflora. It is noted that only proper skin care for young children allows you to preserve its integrity and functional state. Special attention is paid to the preparations of the Bepanten® series in the form of cream and ointment, which meet all the criteria for topical products, and can be used for the prevention and treatment of skin diseases in young children, effectively protecting the skin from irritants, promoting its healing and recovery, having an anti-inflammatory effect, increasing its elasticity, elasticity and are recommended for use as a means of basic care. Their effectiveness has been repeatedly confirmed in the numerous domestic and foreign randomized controlled studies in new-born populations at different gestational ages, which provided the scientific justification for their common use in the ‘real-life’ practice of pediatricians, dermatologists and allergists.

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