Impetigo

Question 1

What age of children does impetigo normally affect?

Answer 1

2-5 year olds

Question 2

What is impetigo?

Answer 2

Superficial skin infection

Question 3

What is the main cause of impetigo?

Answer 3

Staphylococcus aureus

Question 4

Where does impetigo usually occur?

Answer 4

Where there is a break in the skin

Question 5

What are the 2 types of impetigo?

Answer 5

Bullous

Non-bullous

Question 6

Where does non-bullous occur?

Answer 6

Around the nose and the mouth

Question 7

What type of crust does non-bullous form?

Answer 7

A golden crust

Question 8

What is bullous impetigo?

Answer 8

Fluid filled vesicles that burst forming golden crust

Question 9

How does a patient with bullous impetigo present?

Answer 9

Systemically unwell

Painful and itchy

Question 10

What can happen if the bullous impetigo becomes widespread?

Answer 10

It can cause staphylococcal scalded skin syndrome

Question 11

What is the main sign of impetigo?

Answer 11

Single golden crusty lesion (Honey coloured plaques)

Question 12

How is impetigo diagnosed?

Answer 12

Swab vesicle

Question 13

What is the management of non-bullous impetigo?

Answer 13

Topical Hydrogen peroxide 1% cream

Fusidic acid

Question 14

What is the management of bullous impetigo?

Answer 14

Oral Flucloxicillin

Question 15

What are possible complications of impetigo?

Answer 15

• Cellulitis
• Sepsis
• Scarring

Question 16

What oral medication can be given as an alternative to flucloxicillin?

Answer 16

Erythromycin

Question 17

Should children with impetigo be excluded from school?

Answer 17

Yes- until the lesions are crusted and healed or 48 hours after commencing antibiotic treatment

Question 18

For how long does a child with impetigo need to be excluded from school?

Answer 18

Until the lesions are crusted and healed or
48 hours after commencing antibiotic treatment

Question 19

Is impetigo contagious?

Answer 19

Yes

Question 20

When is impetigo more common?

Answer 20

During warm weather

Question 21

How can impetigo occur?

Answer 21

Either as a primary infection or a complication of an existing skin condition such as eczema

Question 22

Where on the body does impetigo typically affect?

Answer 22

Face
Flexures
Limbs not covered by clothing.

Question 23

How is impetigo spread?

Answer 23

Direct contact with discharges from the scabs of an infected person.

Question 24

What is the other less common bacterial cause of impetigo?

Answer 24

Streptococcus pyogenes