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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: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
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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
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Overall doctor performance

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

Everyone was very nice! Thankyou for all your help!

#12024-02-29

I really appreciated how knowledgeable the doctor was about my condition. I also felt that she listened well and considered my opinion. Great job! Cant wait to come back.

#22012-06-14 15:35:48

I ejoyed the beauty of the office-a nice place to be. I was anxious to meet the Dr.-and I found her to be great-very thouough,friendly and professional

#32023-08-27

The concern and empathy of the doctor and all the office staff regarding my daughter. Thank you so much!

#42024-03-31

interaction with staff

#52024-04-10

I was very impressed by the patience and information the staff provided--I did not feel rushed at all and was able to ask many questions.

#62023-12-30

Was able to get an appointment on the same day. Staff worked deligently to assist with my referral

#72011-05-27 10:56:18

the doctor was very nice and all the staff was very nice and answered all my questions i had.

#82023-08-06

The reception was warm and welcoming. I felt like I had been here before and it was the first time.

#92024-02-04

nice music!

#102023-07-22

What can we do better?

(answers:373)

super happy with visit

#12024-01-23

Can't think of anything right now.

#22010-10-21 15:50:32

Shorter wait, but not much else.

#32023-10-01

Today I had to wait 45 min. to see the Doctor. I understand that sometimes other appointments run over but I took time off work to come here and I felt like I spent most of my time here waiting to see her.

#42023-10-25

wouldnt change nothing

#52024-01-14

WINE AND CHEESE WOULD BE NICE IN THE WAITING AREA

#62011-02-09 12:32:20

everything was great.

#72011-03-18 11:09:57

No complaints at all, but since you asked, receptionist today could have been "warmer"

#82010-08-25 10:41:35

There is a problem with availability of parking during busy week days.

#92024-02-21

Service was outstanding!

#102024-04-07

Customer Rating : 4.6

Based on 537 ratings
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