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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 that 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 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 can 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 towels, washcloths, clothing, bed linens, and razors should be avoided. Secondary impetigo can be prevented through the 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. Removing the bacteria from this location may prevent future outbreaks. This may be accomplished by applying mupirocin cream to the inner nares for a 7 to 10-day period.

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SKIN

# of surveys: 3977
Last updated: 11/10/2022 8:45 PM

PATIENT RATINGS

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definitely
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probably
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0.58%
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0.02%

Compare our service to other similar practices

excellent
87.9%
very good
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good
1.8%
poor
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very 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%
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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
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What WE DID WELL

(Answers:674)

not a crowded office

#12022-01-19

The doctor was very explainative and very friendly and precise.

#22010-11-22 10:46:33

The friendliness. professionalism and knowledge of all staff members.

#32022-06-07

I really liked all aspects of my visist. I feel as though I have finally found a dermatologist. She and her staff were willingly to listen and give me their professional opinion and hopefully find a treament that will work longterm.

#42021-12-21

Knowledgeable and friendly staff...very short wait

#52010-12-22 11:56:01

the service, and the timely manner i was seen

#62011-03-29 10:26:45

Quickness of service, friendliness of staff

#72022-05-31

I loved how friendly and nice everyone was. It was the greatest doctore visit I have ever had.

#82022-07-16

appreciated the thorough explanation from the doctor and the instant research on a product I wanted to know more about

#92022-10-25

Dr. Ringpfeil

#102022-03-03

What can we do better?

(answers:373)

I checked off compimentary consultation with aesthetician on the intake forms, but it wasn't mentioned and I forgot to ask during the examination.

#12022-01-01

I have an unusual challenge getting to and from the office. Your practice is doing a great job; I will deal with the transportation issues.

#22011-03-21 10:03:43

receptioist is a little stiff and unwelcoming, but attentive proffessional.

#32022-10-09

Service was excellent, keep up your service as is.

#42022-08-09

all good

#52010-10-14 12:21:49

nothing everything is fine as is.

#62022-12-01

keep on on trying to do your best

#72022-11-26

u guys r great here ,very professional, n kind .love coming here ...

#82011-09-26 14:29:08

relocate to our area (just kidding)

#92022-11-22

No room for improvement. You have a first-rate, exceptional staff Dr. Ringpfeil! Everyone especially Linda Heckman is so professional. Jessie makes a great first impression and is an asset to your team!

#102010-12-15 19:35:32

Customer Rating : 4.6

Based on 351 ratings
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