Daily Bolus of LR: Non-Bullous Impetigo

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September 14, 2011 by dailybolusoflr

Non-Bullous Impetigo


·         Non-bullous impetigo is the most common skin infection in children

o   The bullous form is a toxin mediated eryrthoderma with skin sloughing

·         It is a superficial skin infection characterized by vesicles, pustules and then honey colored crusts once these vesicles and pustules rupture

·         It can occur in follicular regions, but this is not characteristic of the disorder

·         It is highly contagious and is spread amongst the individual (usually by scratching) and between individuals

·         Is most commonly seen on the face (by the mouth and nose)

·         When found on the scalp (especially in children), one should search for lice as the inciting break in the skin

·         Most are caused by staph aureus, including MRSA

·         Treatment for most uncomplicated infections is topical mupirocin (Bactroban)

o   It should not be used around the eye

o   For extensive infection, consider systemic treatment with clindamycin or bactrim (to cover MRSA)

o   Good hygeine, washing sheets and towels, keeping areas covered




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