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ComPbms.Derm

Impetigo

QuestionAnswer
What? Superficial staphylococcus aureus and or streptococcus spp infection of the skin.
Presentation Bullous and non bullous. Starts as macules/papules which quickly progress to vesicle crusting in a typically hoey crusted appearance.
Epidemiology Occurs most often in children and infants. Non bullous occurs in children age 2-5 in warmer climates and is associated with poor hygiene.
Labs Labs are not needed. UA may be completed if acute nephritis is suspected.
Treatment Warm soaks and good hygiene to prevent spreading. No contact sports to prevent spreading. Bactroban (mupiricin) ointment for small areas tid X 10 days.
Treatment Altabax (retapumulin) is thought to still kill MRSA and may also be used alone or with abx. ORal abx include: augmentinn, dicloxacillin, cephalaxin, azithromycin in weight appropriate doses.
PEARLS Stress good hand washing, clean towels and good hygiene to precent cross infection of other family members.
Created by: DianaB
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