Impetigo
exp date isn't null, but text field is
ICD10 CODE: L01
A very superficial bacterial infection of the epidermis (upper/outer layer of skin) bullous and non bullous impetigo
Cause
- Streptococcus or staphylococcus infection, or both
Clinical features
- Common in children, although it can also occur in adults
- Lesions usually on face, head, and hands as bullae, or small brown crusts on an erythematous base
- In some cases, large flaccid bullae containing pus and serum are formed commonly in the axilla and groin
Differential diagnosis
- Pemphigus foliaceus
Investigations
- Pus swab for Gram stain
- Culture and sensitivity (exudate from unroofed lesion)
Management
Treatment | LOC |
Cleaning
Antiseptic: if infection mild and localised (<5 lesions)
Antiseptic: if infection mild and localised (<5 lesions)
Systemic antibacterial: if signs of regional or systemic spread, e.g., pyrexia, >5 lesions
|
HC2 |
Note: Impetigo is contagious until the lesions have dried up Isolate/ separate from other patients – in case of admission |
Prevention
- Proper hygiene with use of antiseptic soap