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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 waiting room had interesting products and information. The staff were professional, kind and had a nice process.

#12010-11-10 12:28:11

I thought everyone was very professional and nice.

#22016-12-20

Professionallism

#32017-11-12

everything

#42017-02-02

Friendliness of all staff.

#52017-06-10

Didn't feel rushed like most doctor's offices

#62011-04-12 08:58:12

every thing was great.

#72017-01-19

I did not have to wait to be seen at all. From the start of my visit until I walked out the door the doctor & staff were very professional & took the tim to answer my questions and listen to me also. I have been seen by other dermatologist and I was defibately impressed here.+++A+++ Higly recommended.

#82017-01-16

best waiting room decor ever enjoyed talking to doctor

#92011-01-12 08:19:57

Lovely environment, sunny, spotless and relaxing classical music

#102017-09-03

What can we do better?

(answers:373)

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

#12010-12-16 12:26:48

keep on doing excellent customer service skills

#22017-03-01

everything was fine

#32011-02-24 15:01:34

No Comments

#42017-12-10

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.

#52010-08-23 17:00:56

So glad I came. Always liked Dr. Kern and Ann Watson. He'd be so pleased with your entire professional setup

#62017-09-21

This visit was great.

#72017-03-01

Have the patient internet working

#82011-09-08 11:08:45

A follow up, even if its an email, after the apt. could help!

#92010-08-23 16:38:55

Completely satisfied

#102010-10-20 09:59:20
Customer Rating : 4.2

Based on 35 ratings