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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: 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)

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.

#12017-09-28

I thought it was great, especially when compared to other dermatologists I have been to! Very professional and knowledgable.

#22018-05-24

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.

#32017-10-30

nope. i've been to a lot of dermas and i never felt so positive, hopeful. thank you!!!

#42017-11-28

The openness and friendliness. The doctor was very careful to make sure I understood. Thanks. The fact that you urged me to come back for an annual exam I consider very kind and caring.

#52010-11-29 11:47:11

Doctor took the time to asnswer questions; computer technology

#62017-12-28

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#72011-10-19 12:56:42

The reassurance that my concerns were addressed.

#82010-11-09 11:24:08

Fast, fun, very pretty office, excellent art works

#92010-12-07 10:07:04

I didn't have to wait at all to be shown to the back. The physician anticipated all of my questions and was very nice.

#102017-09-01

What can we do better?

(answers:373)

I do not like waiting long periods of time in either the reception area or exam room fort he Dr to come in. The exam with the Dr should be relatively close to the appointment time

#12017-10-17

Don't know, you guys did a great job.

#22018-07-19

Try to get enrolled as a provider in Tricare Prime!

#32018-08-18

Shorter wait

#42018-05-10

everything was great

#52018-02-03

Don't change a thing

#62010-12-14 13:17:28

Keep up the great work!

#72011-03-03 11:57:42

music in office was just okay

#82018-07-28

The only downside is parking!

#92011-11-17 12:08:50

I am new here, so I don't have any suggestions at this time

#102017-11-10
Customer Rating : 4.8

Based on 4 ratings