Impetiginised eczema Skin Condition : What Is It ? Treatment and Advice For Patient
Secondary infection, most commonly with Staphlococcus aureus or streptococcal isolates, can occur in the broken skin caused by scratching in atopic eczema.
Approximate age group
Childhood.
Presentation
It is important to establish if the patient has a history of atopic eczema. The diagnosis is made by the history of the preceding erythema and rash. The skin may be weeping with papules and crusts and be rapidly worsening despite using standard treatment for eczema
Treatment
Topical antibiotics should not be prescribed as the patient may be self medicating on an ad hoc basis, promoting antibiotic resistance. Localised areas may be treated with either a topical antiseptic (e.g. 1% hydrogen peroxide cream or chlorhexidine) or a topical antiseptic combined with a corticosteroid. If the lesions are widespread, treat with oral anti staphylococcal antibiotics such as flucloxacillin or clarithromycin.
Consider skin swab if non responsive.
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Impetiginised eczema Skin Condition, Natural Treatment, Skin Condition, Health Skin
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