Impetigo Skin Condition : What Is It ? Treatment and Advice For Patient
A superficial infection of the epidermis caused by Staphlococcus aureus, a group A beta-haemolitic streptococcus or a mixture of both. Entrance is gained through broken skin such as cuts and grazes. The condition is highly contagious.
Approximate age group
Childhood.
Presentation
Typically starts as vesicles which rapidly break down to form honeycoloured crusts; less commonly, there may be just a glazed erythema. Sites usually involved are the face and neck but it can spread extensively over the body.
Treatment
Impetigo can be a self-limiting condition but antimicrobials are usually prescribed to hasten a clinical cure and to interrupt spread to other areas. Topical antibiotics (e.g. fusidic acid) are as effective as systemic antibiotics, but where there is concern about fusidic acid resistance, topical 1% hydrogen peroxide cream is an alternative.
If there is a thick crust, this can be removed by applying oil for 20 minutes. This will soften crusting so it can be gently removed. Once the crust has been removed, apply the topical treatment to the affected area, ensuring that the treatment is applied to the nares at the same time.
If the patient has widespread lesions or impetiginised eczema, systemic antibiotics, such as flucloxacillin or erythromycin if allergic to penicillin, are advised.
Advice to parent/carer
Encourage good basic hygiene practices to limit contact and spread of the condition: this includes advice to avoid sharing towels and facecloths and encouraging good handwashing technique after contact. As scratching may spread the lesions, keeping the nails short is advisable.
Traffic light
Impetigo can occur as a secondary infection in excoriated skin such as in eczema, impetiginised eczema and scabies.
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Impetigo Skin Condition, Natural Treatment, Advisor, Skin Condition
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