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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: 3749
Last updated: 05/18/2017 4:45 PM,

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)

Everyone was very friendly

#12017-12-20

Everything was easy, transitions were smooth, staff was friendly, everyone smiled. It was a great experience

#22012-07-26 11:37:17

Overall I just appreciated the fact that my variety of issues were addressed, but of course there are always those questions that pop up after the fact. I appreciated the Dr & assistant's attentiveness. I also appreciated that the Dr was very conscience of what meds were pregnancy safe & not.

#32017-10-10

Dr. Ringpfeil is extremely professional and thorough. I appreciated her manner and knowledge and will definately refer her to friends and family.

#42018-01-27

Friendly treatment from all personal

#52018-02-18

For an embarrassing situation, medical assistant and doctor made me feel comfortable...

#62017-07-25

I called 6 different Dermatology offices (including 2 I had been to previously), and none were willing to fit me is as you were. Thank you for your compassion!

#72017-07-22

The professionalism was awesome.

#82012-07-03 15:04:31

I have al;ways liked the Doctor and the satff

#92010-11-17 15:23:04

We liked that Dr. Ringpfeil explained everything to us and made my daugther (almost 6 yo) feel very comfortable in the office. She was very friendly, kind and professional.

#102017-03-25

What can we do better?

(answers:373)

Top rate service. A great total experience.

#12018-01-16

NOPE; COULD NOT IMPROVE ON YOUR ARTISTRY IN HEALING ATMOSPHERE AND MEDICAL ATTENTIVENESS.

#22017-10-17

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.

#32010-08-23 17:00:56

clear directions to facility

#42018-02-06

I thought everyone was fantastic and very helpful-no suggestions had a great experience

#52018-01-02

Maybe directions as "across from the Lexus place." Have the assistant say there may be a name recall test later, as she introduces herself.

#62010-12-07 10:07:04

I couldn't find any parking.

#72017-02-23

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.

#82017-05-11

Everything was great.

#92017-06-02

Thank you

#102011-02-23 17:11:29
Customer Rating : 4.1

Based on 36 ratings