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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: 3767
Last updated: 01/21/2019 6:59 PM

PATIENT RATINGS

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definitely
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probably
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maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
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good
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poor
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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
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

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
0.08%

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)

The whole visit

#12019-08-09

Linda was very thorough and took time with me rather than rush me like she couldn't wait to get to the next patient. I've had that experience before so I appreciated that.

#22011-06-02 14:59:00

taken promptly for appointment

#32010-11-08 14:14:51

I was very impressed that Dr. Ringpfeil took the time out to talk to me and treat me like an individual. I am completely comfotable here and I will be coming here for my treatment.

#42011-05-04 14:47:50

Little to no waiting

#52012-09-19 10:54:21

dr. ringpfiel's fabulous jewelry.

#62011-01-20 10:35:40

Everyone is so warm and welcoming! great ambience, great music The lovely doctor is perfect- highly skilled, warm and a great mother!

#72019-04-22

The thorough exam that Dr. Ringpfeil gave me. The professionalism of the entire staff. Everything from the ambience to the music.

#82019-11-15

The doctor was very clear and extremely thorough along with being pleasant. She makes her patients comfortable.

#92019-12-26

Very nice medical assistant and doctor.

#102011-05-25 11:22:06

What can we do better?

(answers:373)

Nothing that I could think of would be better.

#12019-04-10

No recommendations - very satisfied/pleased with everything about the visit and the office and the Doctor and her assistants. thank you to everybody for makinng me feel so comfortable (i was verrrrrry nerous)!!

#22020-01-08

move closer to home

#32010-11-08 09:51:29

nothing just keep up the good work.

#42019-11-18

Nothing, Thank you so much.

#52011-03-04 10:10:02

Always laugh at my jokes.

#62019-09-06

Only the 30 minute wait time really should be shortened.

#72019-04-03

Service was great, wouldn't change a thing.

#82010-10-06 09:19:36

Complimentary BMW with first visit

#92019-06-17

Everything was great! and everyone was very nice.

#102010-10-19 10:16:48
Customer Rating : 4.5

Based on 122 ratings