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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)

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

#12016-09-12

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#22017-02-09

The docotr was very nice and helpful!

#32016-07-16

That was the most thorough appointment I have had in a very long time. I was given numerous options that were tailored for my skin needs.

#42011-12-06 10:16:06

efficiency, carefulness, thoroughness very much in evidence.

#52017-02-18

Friendliness of all staff.

#62017-01-18

The doctor was extremely attentive and I did not feel rushed at all. This is by far the best experience I have had at the dermatologist

#72016-06-09

Quiet, on time, attentive, professional, organized, convenient, reasonably priced compared with others in the area.

#82011-01-31 10:42:48

speed of the apt. Dr. Took time to share thoughts

#92016-06-17

I loved the way Dr.Ringpfeil listened to my concerns and I also loved the fact that Dr. Ringpfeil very clearly expressed her views. I think she is an excellent doctor.

#102017-04-30

What can we do better?

(answers:373)

WINE AND CHEESE WOULD BE NICE IN THE WAITING AREA

#12011-02-09 12:32:20

your office was just as described to me, most impressive!

#22011-09-07 11:57:29

more than adequate service!

#32017-02-11

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

#42016-12-01

Complain to the insurance industry that they cove too little, complain to the product manufactures that they truely charge too much for the products. I feel that the industry in general is very slow to treat because of insurance allowances. Patients have busy work schedules and pay for monthly coverage that covers too little. In one hour or less could do what multiple appointments do to remove or treat small skin defects require many visits. Should provide payment better incentives.

#52010-11-10 12:28:11

The service was great I don't see anything better u can do!

#62017-02-07

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

#72016-09-07

Be on time for our appointments

#82011-11-16 13:56:14

no recommendations necessary

#92016-12-11

keep doing what you did.

#102011-03-11 14:14:27
Customer Rating : 4.50

Based on 31 ratings