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==
# --> bacitracin
+
*Mupirocin ointment 2% TID x 7-14d
# --> Bactroban
+
*Consider oral therapy for large areas or if topical tx is impractical
# spread or immunomp --> keflex
+
**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
  • 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