Difference between revisions of "Impetigo"
(→Treatment) |
|||
Line 1: | Line 1: | ||
+ | ==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