Impetigo

Revision as of 23:15, 7 October 2018 by Kxl328 (talk | contribs) (Clinical Features)

Background

Impetigo honey-colored scab

Clinical Features

  • 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
  • Uncommonly painful, but usually pruritic
  • Regional lymphadenopathy is common

Differential Diagnosis

Rash

Evaluation

  • Clinical diagnosis

Management

Antibiotics

Coverage for MSSA, MRSA, Group A Strep

Topical therapy

  • Mupirocin (Bactroban) 2% ointment q8hrs x 5 days
    • For nonbullous impetigo, topic antibiotics are as effective as oral antibiotics

Oral Therapy

Disposition

  • Outpatient

See Also

References