Staphylococcal and Streptococcal Infections

Question 1

What is impetigo?

Answer 1

Localised, highly-contagious Staph/Strep infection of skin

Question 2

Clinical features of impetigo

Answer 2

More common in pre-existing skin disease e.g. eczema

Begin as erythematous macules that may become vesicular/pustular, and then into crusted eruptions

Question 3

Management of impetigo

Answer 3

Topical antibiotics (Mupirocin) for mild cases

Narrow-spectrum systemic antibiotics (Flucoxacillin) for more severe infections

Broad-spectrum have easier regimens and ‘taste better’

Affected children should not attend nursery or school until lesions dry

Question 4

What organisms causes boils?

Answer 4

Staphylococcus aureus

Question 5

What are boils?

Answer 5

Infections of hair follicles or sweat glands

Question 6

What is staphylococcal scalded skin syndrome?

Answer 6

Separation of epidermal skin through granular cell layers

Question 7

Sign of staphylococcal scalded skin syndrome

Answer 7

Nikolsky sign (separation on gentle pressure)

Question 8

Management of staphylococcal scalded skin syndrome

Answer 8

IV antibiotics, analgesia, monitor hydration and fluid balance