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April 14, 2026British Journal of Dermatology1 citations

Translating the Eczema Bathing Study: why context and infection burden matter

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TNTristen T W NgABA. B. BowenJWJacinta Walton

Key Points

  • The aim is to discuss the implications of bathing frequency on eczema management in the context of infection burdens.
  • Critique the Eczema Bathing Study's findings on bathing frequency and eczema symptoms.
  • Highlight the importance of context in translating findings to different settings.
  • Propose inclusion of infection-related endpoints in future trials.
  • No clinically important difference in eczema symptoms between weekly and daily bathing was found.
  • Caution is advised when recommending bathing frequency in settings with high skin infection burdens.
  • Call for future guidance to balance symptom management with infection control.

Abstract

We respond to Bradshaw et al.'s Eczema Bathing Study and its commentary, which report no clinically important difference in eczema symptoms between weekly and daily bathing over four weeks. We highlight that translating a “preference-led bathing frequency” message requires caution in settings with high burdens of skin infection, where bathing also serves infection-control goals. We propose future trials and guidance incorporate infection-related endpoints alongside symptom measures to support equity-sensitive implementation.

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Cite This Study

Ng et al. (2026) studied this question.

synapsesocial.com/papers/69ddd9cae195c95cdefd7351https://doi.org/10.1093/bjd/ljag138
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