Impetigo Flashcards

1
Q

What is impetigo?

A

Superficial bacterial skin infection

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2
Q

What are the main causes of impetigo?

A

Staphylococcus aureus

Streptococcus pyogenes

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3
Q

How can Impetigo occur?

A

As a primary infection
or
Secondary to an existing skin condition

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4
Q

What can impetigo occur secondary to?

A
  • Eczema (in this case)
  • Scabies
  • Insect bites
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5
Q

Where on the body does impetigo tend to affect?

A

Face, flexures and limbs

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6
Q

How is impetigo spread?

A

By direct contact with discharges from the scabs of an infected person.

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7
Q

What is the intubation period for impetigo?

A

4-10 days

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8
Q

What are the main features of impetigo?

A

‘golden’, crusted skin lesions typically found around the mouth
very contagious

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9
Q

What are the 2 classifications of impetigo?

A

Bullous

Non-bullous

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10
Q

Where does non-bullous impetigo tend to occur?

A

Around the nose or mouth.

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11
Q

How does someone with non-bullous impetigo present?

A

lesions around the nose or mouth which dry and form a “golden crust”.
They are often unsightly but do not usually cause systemic symptoms or make the person unwell.

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12
Q

What is the management of localised non-bullous impetigo?

A

Antiseptic cream (hydrogen peroxide 1% cream)

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13
Q

Which Antiseptic cream can be used for localised non-bullous impetigo?

A

1% Hydrogen peroxide

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14
Q

What can be used for more widespread non-bullous impetigo?

A

Oral flucloxacillin

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15
Q

What is bullous impetigo always caused by?

A

Staphylococcus aureus infection

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16
Q

How does bullous impetigo progress?

A

1 – 2 cm fluid filled vesicles to form on the skin

These grow in size and then burst, forming a “golden crust”.

17
Q

How does bullous impetigo resolve?

A

Heals without scarring

18
Q

How does a patient with bullous impetigo usually present?

A

Systemically unwell
Painful, itchy lesions
Fluid filled vesicles
Golden crust

19
Q

What can occur in a more severe case of bullous impetigo where the lesions are widespread?

A

Staphylococcal scalded skin syndrome

20
Q

How can the diagnosis of impetigo be confirmed?

A

Swabs of the vesicles

21
Q

What is the management of bullous impetigo if the patient is severely unwell?

A

IV Flucloxacillin

22
Q

What might you need to do with a patient with bullous impetigo?

A

Isolate the patient- Very contagious

23
Q

What is the management of someone with severe bullous impetigo if the patient is penicillin allergic?

A

Erythromycin