Impetigo: Difference between revisions
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==Background== | |||
*Superficial infection caused by staph or strep | |||
*May be superinfection or primary infection | |||
*Fever and systemic signs are uncommon | |||
==Diagnosis== | |||
*Nonbullous | |||
**Erythematous macules/papules develop into vesicles which become pustular and rupture | |||
***As rupture release yellow fluid which dries to form stratified golden crust | |||
*Bullous | |||
**Bullae form as result of staph toxin | |||
**Some cases caused by MRSA | |||
==Treatment== | ==Treatment== | ||
*Mupirocin ointment 2% TID x 7-14d | |||
*Consider oral therapy for large areas or if topical tx is impractical | |||
**Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d | |||
--> cover MRSA if RF | --> cover MRSA if RF | ||
Revision as of 22:24, 27 June 2011
Background
- Superficial infection caused by staph or strep
- May be superinfection or primary infection
- Fever and systemic signs are uncommon
Diagnosis
- Nonbullous
- Erythematous macules/papules develop into vesicles which become pustular and rupture
- As rupture release yellow fluid which dries to form stratified golden crust
- Erythematous macules/papules develop into vesicles which become pustular and rupture
- Bullous
- Bullae form as result of staph toxin
- Some cases caused by MRSA
Treatment
- Mupirocin ointment 2% TID x 7-14d
- Consider oral therapy for large areas or if topical tx is impractical
- Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d
--> cover MRSA if RF