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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

# of surveys: 3885
Last updated: 7/21/2021 11:52 AM

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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
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The doctor took time to answer your questions

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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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Aesthetician performance

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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)

Explanation by both DR. and assistant Thanks!

#12021-02-16

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

#22020-09-03

The doctor was very thorough and pleasant. Having Melissa take notes was an excellent strategy for covering so much information in a short amount of time.

#32021-03-17

colors and plants

#42010-12-13 11:23:03

I like that everything was fully explained to me than before from previous doctors.

#52020-09-13

I really liked how personable the doctor was during my appointment. She really made me fee confident about her ability.

#62020-12-29

The entire staff was very attentive.

#72020-10-01

The Dr. saw us on time. No waiting.

#82021-02-05

I was made to feel comfortable and was happy that I felt listened to and as though my needs were addressed. I feel confident that the doctor is determined to assist me with my multiple issues. The medical assistant and receptionist were also very helpful and welcoming. Thank you.

#92020-10-08

The treatments that are on display in the lobby. Also, the fact that the dermatologist told me the truth about commercial face cleansers.

#102020-09-15

What can we do better?

(answers:373)

Just continue to be as thorough and caring as my experience today. Quite like a breath of fresh air!

#12020-07-30

I have no suggestions. I am very pleased with ever aspect of my care

#22010-10-18 16:25:51

I was impressed with every step of making the appointment to seeing the physician.

#32010-12-16 12:26:48

I am perfectly happy, which is why i keep returning.

#42011-10-03 12:18:59

Service was excellent!

#52010-09-30 13:09:12

nothing just keep up the good work.

#62021-04-21

don't change a thing, you guys are the best! Please send me Real Estate Referrals, thanks

#72010-09-30 09:51:55

give me choices of what type of medicines that i can take

#82021-03-22

shorter wait time for new patient appointment.

#92021-02-07

Everything was great! No further suggestion at this time.

#102020-09-13
Customer Rating : 4.5

Based on 238 ratings
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