Book
Appt

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.

How can we help you?

SKIN

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

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
0%

What WE DID WELL

(Answers:674)

Doctor is extremely efficient and knowledgeable, and even discussed treatment for another condition -- my oral canker sores -- which nobody had ever mentioned previously. Also, the office is really lovely with nice music, rather than pical office music.

#12019-05-26

The Dr treated me as a Person, not a commodity. She talked to me so I could understand what needed to be done and what possible courses of actions needed to be taken. I enjoyed the fact that the Dr. took time to listen to me & took action considering my desires as well.

#22019-07-25

Everything

#32019-01-09

Talking with the Physician

#42018-11-23

The time the Doctor spent talking to me about my problem. She did not rush.

#52011-12-15 12:54:52

Doctor was very friendly & knowledgable. I especially appreciated that she seemed unrushed and focused on me. I am hopeful that the procedure she recommended will improve my condition (facial scar).

#62019-05-01

Using a computer to fill out the new patient forms!

#72019-06-06

Loved the doctor. She was very friendly and it was refreshing to see someone who actually enjoys their job!

#82010-11-11 09:48:40

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

#92019-07-26

Doctor was very knowledgable.

#102019-08-10

What can we do better?

(answers:373)

Foodcoffe

#12018-12-04

u r awesome, make everything FREE!, haha jk, worth every penny!

#22011-12-21 17:29:36

Couldn't be better!

#32019-01-31

Have an accessible examining table!!!

#42011-08-31 14:28:17

It was a perfect experioence, I wouldn't change a thing!

#52018-12-19

Keep up the good work!

#62018-11-20

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

#72019-01-21

couldnt be any better

#82019-06-26

I was more than pleased with my first visit; a very warm and professional office

#92011-03-09 09:12:38

maybe offering a bit more evaluation of options -that I haven't already thought of or asked about- for skin care and amelioration, as I am not certain what exists

#102019-07-07
Customer Rating : 4.5

Based on 110 ratings