Impetigo

Question 1

Define

Answer 1

Common skin infection – Staphylococcus aureus, Streptococcus pneumonia

Question 2

Symptoms

Answer 2

Golden-yellow, crusted appearance

Heals without scarring

Flaccid fragile blisters

Face - around nose and mouth but can be anywhere

Check groin so you can get a swab to rule out MRSA

Question 3

Investigations

Answer 3

Swab to rule out MRSA

Question 4

Management

Answer 4

Management – explain hygiene measures for all forms:

 
Localised, non-bullous:

1st line: Topical H2O2 1% cream
2nd line: topical fusidic acid (2%) antibiotic

Widespread, non-bullous
* Oral flucloxacillin OR topical fusidic acid (2%) antibiotic

Bullous, systemically unwell
* Oral flucloxacillin

School exclusion (until lesions crusted over or 48 hours after ABx started)

Consider taking swabs before AB to rule out MRSA

Complications: post strep acute glomerulonephritis (18-21 dys after)