localized areas, use of a topical antibiotic that covers gram-positive organisms is important Empiric oral antibiotic or antiviral treatments may be needed in more involved cases Dilute bleach baths are helpful in decreasing skin bacterial colonization and infections in atopic dermatitis and may help minimize flares Atopic dermatitis on the cheeks of infants is best managed by applying petrolatum-based ointments as a barrier prior to feeding and sleeping, avoidance of irritants (e.g., wet wipes, drool, food, pacifiers), and low- to mid-potency topical corticosteroids as needed Topical corticosteroids are the mainstay of treatment for most patients with atopic dermatitis One approach to minimize recurrences of localized atopic dermatitis after flares is to use topical corticosteroids twice daily during flares and then twice weekly for prevention Alternatively, for more diffuse atopic dermatitis, a more practical maintenance therapy may include twice daily use of a low-potency topical steroid compounded into a thick emollient (e.g., hydrocortisone 2.5% ointment mixed 1:1 with petrolatum) Referral to dermatology and/or allergy may be helpful to further manage moderate or severe atopic dermatitis Particularly severe or persistent dermatitis should prompt consideration of an underlying systemic disorder associated with eczematous eruptions, such as immunodeficiencies or nutritional deficiencies