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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Impetigo

Impetigo is a superficial bacterial infection of the skin caused by Staphylococcus aureus, group A Streptococcus or a mixture of both. Staphylococcus aureus is the most common causative agent. The infection can either be primary, developing within minor breaks in the skin, or secondary to another inflammatory skin condition. Common inflammatory skin conditions that can become secondarily impetiginized are atopic dermatitis, contact dermatitis and less commonly psoriasis. Chronic scratching causes disruption in the skin surface which can invite bacteria to invade. There are two types of impetigo: blistering (bullous) and not blistering. The non-blistering variety is by far more common and is characterized by the appearance of honey-colored crusts. It is often seen on the face but can occur on any part of the body. Bullous impetigo is characterized by blisters which occur on normal appearing skin. Bullous impetigo is seen primarily in children. Both forms are contagious and can quickly spread through skin-to-skin contact.

Diagnosis

Impetigo can be diagnosed by its characteristic appearance but a bacterial culture can be performed to confirm the diagnosis if needed. In older individuals, a biopsy of bullous impetigo may be necessary to differentiate it from other blistering diseases.

Management

Topical treatment includes cleansing of the affected area with an antibacterial cleanser several times daily. In children, a mild antibacterial cleanser such as Cetaphil antibacterial is preferred. In localized disease, this should be followed by application of petrolatum, zinc paste, over-the-counter or prescription strength topical antibiotic several times daily. If the infection is widespread an oral antibiotic may be necessary. Due to the contagious nature of the infection, affected individuals should be cautious to avoid skin-to-skin contact with others and should not share personal hygiene products such as razors and towels.

Coping

Impetigo is usually asymptomatic but may be occasionally itchy. It is not painful. Treatment will usually eradicate the rash within days.

Prevention

Primary infection can be prevented by avoidance of close contacts that have impetigo. Sharing of towels, washcloths, clothing, bed linens and razors should be avoided. Secondary impetigo can be prevented through management of underlying skin conditions such as atopic dermatitis and psoriasis and the avoidance of scratching. People who get recurrent episodes of impetigo may be carriers of staphylococcus aureus bacterium in their nostrils or in skin folds. Eradication of the bacteria from this location may prevent future outbreaks. This may be accomplished by applying mupirocin cream to the inner nares for 7 to 10 day period.

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SKIN

# of surveys: 3921
Last updated: 1/13/2021 4:54 PM

PATIENT RATINGS

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definitely
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probably
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maybe
0.58%
not likely
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no
0.02%

Compare our service to other similar practices

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very good
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good
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
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The doctor explained treatment options

excellent
94.3%
very good
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good
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
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Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
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What WE DID WELL

(Answers:674)

Friendly, well educated

#12021-09-29

Very efficient, quiet, and clean.

#22021-09-03

i would like to think more about that

#32021-02-03

Friendliness of the staff.

#42022-01-07

I thought the staff and the Doctor was extremely proffesional and courteous. I had a positive first experience and will continue to visit.

#52021-03-05

I WAS VERY COMFORTABLE WITH THE VISIT

#62021-12-14

Did not have to wait at all. Other places I would wait 4 hours or more.

#72010-11-10 08:57:14

dr was very nice and easy to talk with

#82022-01-17

I like the knowledge and confident in Dr Ringpfeil.

#92010-12-16 12:15:00

Everyone is very nice.

#102021-02-22

What can we do better?

(answers:373)

nothing everything is fine as is.

#12021-12-28

keep on doing excellent customer service skills

#22021-07-08

Keep doing what you are doing now..make sure no one slips, then I will make sure I write about it.

#32021-06-08

No changes recommended at this time.

#42021-04-23

I do not believe there is a need to improve.

#52010-11-01 14:00:26

NO COMMENT AT THIS TIME.

#62022-01-04

Everything was great!

#72021-02-19

Send the paperwork to my home address in advance of appointment. Provide better reading material in the reception area.

#82021-06-06

I would have liked to pay in cash but the receptionist had no change.

#92021-09-19

Have the patient internet working

#102011-09-08 11:08:45

Customer Rating : 4.5

Based on 275 ratings
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