Impetigo is a superficial skin infection seen frequently in children.
It is one of the most common skin and soft tissue infections observed in pediatrics.
Pyoderma and impetigo contagi...
Patients with impetigo may report a history of minor trauma, insect bites, scabies, herpes simplex virus infection, varicella infection, or eczema before the development of the infect...
Clipping fingernails short to minimize effects of scratching is recommended.
Hand washing is important for reducing spread among children, as is covering the lesions.
Treatment...
Duration of therapy
The duration of antimicrobial therapy should be tailored to clinical improvement.
7 days of treatment is usually adequate.
Children should be exc...
Koning S, van der Sande R, Verhagen AP, et al. Interventions for impetigo. Cochrane Database Syst Rev. 2012;(1):CD003261. [View Abstract on OvidInsights]
Stevens DL, Bisno AL, ...
684 Impetigo
L01.00 Impetigo, unspecified
L01.01 Non-bullous impetigo
L01.09 Other impetigo
L01.03 Bullous impetigo
48277006 Impetigo (disorder)
238374001 Non-bullous impetigo
359751003 ...
Q: Which is the more effective treatment for impetigo—oral or topical antibiotics?
A: In general, if there are a few localized lesions, topical therapy is preferred. If there is more diffuse involv...
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Streptococcal impetigo. The lower extremities exhibit numerous erythematous papules, with central ulceration and the formation of crusts.
FIGURE 52.1 Impetigo of the nostril.
FIG. 11.30. Bullous impetigo. This 6-year-old girl developed widespread impetigo after a visit to Central America. Lesions appear crusted, scabbed, bullous, or covered with calamine lotion. Staphylococcus aureus causes almost all cases of bullous impetigo.
FIG. 11.30. Bullous impetigo. This 6-year-old girl developed widespread impetigo after a visit to Central America. Lesions appear crusted,...
FIG. 11.31. Impetigo. This child has primarily crusted and scabbed as opposed to bullous lesions. Both group A streptococci and staphylococci may produce lesions with this morphology.
FIG. 11.31. Impetigo. This child has primarily crusted and scabbed as opposed to bullous lesions. Both group A streptococci and staphyloco...
FIG. 11.32. Facial impetigo in an infant. This infant has a single patch of impetigo on her cheek. Because of the circular appearance of the lesion, it was thought to be a cigarette burn from child abuse on initial evaluation. Gram stain yielded abundant segmented neutrophils and Gram-positive cocci, followed by the isolation of Staphylococcus aureus in culture.
FIG. 11.32. Facial impetigo in an infant. This infant has a single patch of impetigo on her cheek. Because of the circular appearance of t...
<bold>FIGURE 45-5</bold> Impetigo of the face. (Abner Kurten, <i>Folia Dermatologica.</i> No. 2. Geigy Pharmaceuticals.) (From Sauer G. C., Hall J. C. [1996]. <i>Manual of skin diseases</i> [7th ed.]. Philadelphia: Lippincott-Raven.)
<bold>FIGURE 45-5</bold> Impetigo of the face. (Abner Kurten, <i>Folia Dermatologica.</i> No. 2. Geigy Pharmaceuti...
<bold><italic>Figure 14.80.</bold></bold> Bullous impetigo.
impetigo elementary-school student with nasal and perioral papulovesicles and crusting
Impetigo involving mouth and shoulder area
genital bullous impetigo: diaper-area bullae
<bold><italic>Figure 24-21</bold> Impetigo.</bold> The confluent erythematous patches of denuded vesicles (small) and bullae (large) have crusted rims.
<bold><italic>Figure 24-21</bold> Impetigo.</bold> The confluent erythematous patches of denuded vesicles (small) ...
<bold>FIGURE 24-42. Impetigo contagiosa.</bold> Honey-colored crusts secondary to rupture of vesicopustules are seen in the nasal area of a child, an area commonly colonized by <bold><i>Staphylococcus aureus</i></bold>.
<bold>FIGURE 24-42. Impetigo contagiosa.</bold> Honey-colored crusts secondary to rupture of vesicopustules are seen in the na...