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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

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

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Overall doctor performance

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The doctor listened to you attentively

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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)

I have been to a number of derm docs....often it seems as though they have you try this or that but never seem to have a clear plan as to how they will treat ALL of the issues at hand. Thank you for taking the time to address each one of my concerns.

#12017-10-05

original paintings are wonderful

#22010-12-15 11:34:02

The full explanation of my possible condition and the best line of treatment.

#32010-12-16 12:26:48

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

#42017-07-14

The doctor and her Medical Assistant are very thorough and they take time to explain everything that you need to understand.

#52017-09-14

aNDREA AND DR RINGFEIL WERE ABS0LUTELY TERRIFIC AND VERY FRIENDLY

#62018-01-31

Having Alana accompany me from start to finish of the appt. It was comforting.

#72011-04-28 17:24:05

I was given sufficient time with the doctor and her assistant to ask questions and explain my skin history.

#82017-05-31

the music was marvelous!

#92018-04-19

Dr. Ringpfeil

#102017-12-07

What can we do better?

(answers:373)

My next appointment could not be scheduled for 6 weeks. I wish I could be seen sooner!

#12010-12-16 10:06:03

You can't improve upon excellence.

#22018-02-23

REDUCE WAIT TIME TO SEE DOCTOR

#32011-01-10 12:20:58

Everything was excellent

#42018-04-01

Only the 30 minute wait time really should be shortened.

#52017-10-24

can't think of anything.

#62018-01-14

Have some toys or children books in the waiting room

#72017-06-21

watercooler in waiting room.

#82017-08-02

Evening hours

#92017-05-14

I think that you should just mkae the vists a little bit quicker, and thats all.

#102010-10-27 08:46:34
Customer Rating : 4.1

Based on 36 ratings