Book
Appt
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.

How can we help you?

SKIN

# of surveys: 3903
Last updated: 10/13/2021 5:43 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)

Everything was easy, transitions were smooth, staff was friendly, everyone smiled. It was a great experience

#12012-07-26 11:37:17

Physician was very excellant in explaining treatment and cause of skin problem.

#22021-06-30

This is one of the best medical offices that I have visited. I see doctors in the Penn and Bryn Mawr systems and this is by far much better than any of those offices. The entire staff is friendly and accommodating. Both doctors are awesome! I have recommended you to family and friends. Keep up the great work!

#32012-12-03 17:05:27

I LOVE the art work!

#42010-12-13 11:51:50

I enjoyed being seen in a timely fashion...Left my last dermatologist because of hours long wait times. Thank you for valuing my time.

#52021-07-19

Everyone staff, doctor and assistant, were very nice and helpful.

#62021-10-12

Friendly!

#72021-04-25

The Dr. is very personable.

#82021-01-04

Dr. Ringpfeil is extremely knowledgeable about her field. She also put me at ease immediatley and made me feel quite at home. I will definatley return once a year for her to check me. Her assistant and the receptionists were most helpful and very nice and more than happy to comply with their patients' wishes. Should anyone be searching for a dermatologist, I highly recommend Dr. Ringpfeil.

#92021-09-28

very professional

#102021-05-14

What can we do better?

(answers:373)

Friday appointments with Dr. Ringpfiel

#12011-01-17 16:36:22

Nothing, Thank you so much.

#22011-03-04 10:10:02

can't think of anything.

#32021-02-13

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

#42020-10-27

No major suggestions. I got all the answers I needed.

#52021-10-17

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

#62011-09-07 11:57:29

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#72010-12-13 11:23:03

I really am not sure how you could improve. The visit was actually relaxing.

#82021-08-15

I would like to get in with the doctor. I also would like more than one option presented to me. Also, it would be nice to be offered more natural alternatives, or integrative treatments.

#92011-08-10 15:47:37

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

#102010-12-16 10:06:03
Customer Rating : 4.5

Based on 275 ratings
Send us a message!

Enter your information, and we will text you shortly.