Impetigo Flashcards
True or false. Impetigo is a common contagious bacterial infection of the superficial layers of the skin.
True
Name the two forms of impetigo:
Non-bullous, and bullous
Impetigo is usually caused by what bacteria’s? Just
Streptococcus A,
Staphylococcus A
MRSA
What is the treatment for a minor case of impetigo
Topical antibiotics
What is the treatment for a more severe infection with impetigo?
Oral antibiotics such as amoxicillin clavulinate, cephalexin, cloxacillin, dicloxacillin, or clindamycin
Nonbullous impetigo accounts for more then 70% of the cases with which pathogen?
Staph aureus
Nonbullous Impetigo usually follows some kind of _____such as:
Skin trauma
Bites, abrasions, or varicella, atopic dermatitis
Occur sporadically on in tact skin and more common in infants and young children
Bullous impetigo
Begins is 1 to 2 mm reddened papules or pustuals That progresses to vesicles that rupture and leave honey colored crusty lesions
Nonbullous impetigo
For multiple lesions or non-bullous Impetigo infection what is the treatment of choice?
Treatment with oral antibiotics.
Antibiotics of choice for impetigo:
Cephalexin, 40 mg per kilogram per day for 7 to 10 days
Amoxicillin/clavulanate 50 to 90 mg/kg/day for 7-10days
Dicloxacillin 15-50 mg/kg/day for 7-10 days
If an infant has Bullis impetigo the treatment would be
Parenteral Beta lactamase resistant antistaphylococcal penicillin such as methicillin, oxacillin, or nafcillin
The Gram stain and culture should be done at what time?
7 days. Consider MRSA AND TREAT WITH CLINDAMYCIN
How long should the child with impetigo be out of school?
24 hours after anabiotic treatment is completed.
Name 3 complications of impetigo
Cellulitis
Lymphangitis
Scalded skin syndrome
