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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

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Last updated: 5/3/2021 12:54 PM

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Compare our service to other similar practices

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Overall doctor performance

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4.89%
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The doctor listened to you attentively

excellent
93.9%
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good
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The doctor took time to answer your questions

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good
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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

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good
3.66%
poor
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Aesthetician performance

excellent
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Office comfort

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Parking

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Friendliness of the staff during appointment

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What WE DID WELL

(Answers:674)

colors and plants

#12010-12-13 11:23:03

Beautiful offfice. Doctor was thorough but quick, which was great

#22011-04-04 11:16:27

Friendliness

#32020-07-31

everything was wonderful.

#42021-02-20

Everyone was very pleasant and I very much appreciated the fact that there was no waiting for either the medical assistant or the doctor. Thank you!

#52020-05-08

Lovely environment, sunny, spotless and relaxing classical music

#62020-10-19

Everything

#72020-10-24

How great everyone treats you here!

#82021-03-15

The doctor was very nice and seemed to care about the patient. She asked me many questions. Office is very clean and professional looking.

#92021-01-17

the music and decor of the facility

#102020-12-11

What can we do better?

(answers:373)

Parking was a little tight.

#12011-06-09 15:52:46

super happy with visit

#22021-04-25

The service is wonderful nothing needs to be changed.

#32020-12-07

cannot be improved

#42021-02-22

Nothing - excellent.

#52011-01-25 12:57:52

You often have a long wait time in the room for the doctor. When she does come in it is not for a very long time.

#62010-08-23 17:00:56

Keep doing the same thing.

#72020-05-16

No Comments

#82020-05-12

Can't think of a thing

#92020-07-08

everything was fine

#102011-02-24 15:01:34
Customer Rating : 4.5

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