Chapter 30: Impetigo (Children) Flashcards
1
Q
Impetigo
A
a bacterial infection of the skin
- found on and around the mouth and nose; or elsewhere on face
- very contagious
2
Q
Who is at Greatest Risk?
A
infants and children less than 5
3
Q
Impetigo is Causes but what Bacteria?
A
staphylococcus aureus
4
Q
How Impetigo Presents
A
- lesions begin as a vesicle or pustule surrounded by edema (swelling) and erythema (redness)
- later lesions erupt, leaving honey-colored exudate; exudate becomes crusty in appearance and sticky to the touch
- pruritis (itching) that is not painful
5
Q
Signs and Symptoms
A
-vesicles, pustules >upon rupture, lesion with honey-colored exudates; exudate dries into a crusty, sticky residue -mild edema -erythema -pruritic (itchy)
6
Q
Diagnosis
A
-diagnosed through assessment
7
Q
Prevention
A
- very contagious and passed by touch from the infected children to others
- good hand washing
- keep child at home for 24 hours after the induction of the antibiotic will decrease the spread
8
Q
Nursing Care
A
-some providers may allow for spontaneous resolution by encouraging strict hygiene measures if the child is home and not requiring day-care or school involvement
9
Q
Medical Care
A
- Topical antibiotics: mupirocin (Bactroban) if skin lesions are limited
- Oral Antibiotics: given for widespread infections; amoxicillin/clavulanate (Augmentin), dicloxacillin, or erythromycin
10
Q
Common Medications
A
- mupirocin (Bactroban); topical
- dicloxacillin (Dycill); oral
- cephalexin (Keflex); oral
- clindamycin (Cleocin); oral
- amoxicillin/clavulanate (Augmentin); oral
- erythromycin; oral
11
Q
“What To Say”: Teaching about Impetigo
A
- “do not be embarrassed, this occurs quite commonly”
- “it is very important to wash your hands”
- “try not to scratch the lesions”
- “change pillowcases nightly until the lesions are no longer oozing or flaking”
