Impetigo: Difference between revisions
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==Background== | ==Background== | ||
*Superficial infection | *Superficial epidermal infection characterized by amber crusts (nonbullous) or vesicles (bullous) | ||
*May be super-infection or primary infection | *May be super-infection or primary infection | ||
*Fever and systemic signs are uncommon | *Fever and systemic signs are uncommon | ||
==Diagnosis== | ==Diagnosis== | ||
* | *Nonbullous | ||
**Erythematous macules/papules develop into vesicles which become pustular and rupture | **Erythematous macules/papules develop into vesicles which become pustular and rupture | ||
***As rupture release yellow fluid which dries to form stratified golden crust | ***As rupture release yellow fluid which dries to form stratified golden crust | ||
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==Treatment== | ==Treatment== | ||
*Mupirocin ointment 2% TID x 7-14d | *Topical abx | ||
*Consider | **Mupirocin ointment 2% TID x 7-14d | ||
** | *Oral abx | ||
**Consider for large areas or if topical tx is impractical or for bullous impetigo | |||
**Clindamycin 24mg/kg/d in 3 doses x7-10d | |||
==Source== | ==Source== | ||
Revision as of 17:47, 6 November 2011
Background
- Superficial epidermal infection characterized by amber crusts (nonbullous) or vesicles (bullous)
- May be super-infection 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
- Topical abx
- Mupirocin ointment 2% TID x 7-14d
- Oral abx
- Consider for large areas or if topical tx is impractical or for bullous impetigo
- Clindamycin 24mg/kg/d in 3 doses x7-10d
Source
Tintinalli