Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Supportive care measures for a patient diagnosed with Stevens-Johnson Syndrome (SJS) or Toxic Epidermal Necrolysis (TEN) in a general practice environment include:
- Immediate referral to hospital: Patients with SJS or TEN require urgent specialist care due to the severity of the condition and risk of complications; general practice should focus on prompt recognition and urgent referral rather than definitive management NICE CG183.
- Stop the suspected causative drug immediately: Discontinue any drug suspected to have caused the reaction and advise the patient to avoid this drug in the future NICE CG183.
- Document the suspected drug allergy clearly in the medical records: This ensures continuity of care and prevents re-exposure NICE CG183.
- Provide the patient and carers with information: Explain the nature of the reaction, the suspected causative drug, and the importance of avoiding this drug and related drug classes in the future; advise them to carry this information at all times and share it with healthcare professionals NICE CG183.
- Symptomatic treatment in the acute phase if needed: While definitive treatment is hospital-based, initial symptom relief (e.g., pain management) may be provided if safe and appropriate NICE CG183.
In summary, supportive care in general practice is primarily focused on early recognition, stopping the offending drug, urgent referral to specialist care, documentation, and patient education NICE CG183.