Impetigo
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U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Slučaj impetiga (impetigo) na bradi. Treba posumnjati na impetiga (impetigo) kod male djece koja nemaju povijest ozljeda, ali se lezije slične ranama šire.
Za razliku od atopijskog dermatitisa, impetigo zahtijeva liječenje antibioticima i može se pogoršati primjenom steroida.
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ReferencesImpetigo, najčešća bakterijska infekcija kože kod djece uzrasta od dvije do pet godina, dolazi u dvije glavne vrste: nebulozna (70 % slučajeva) i bulozna (30 % slučajeva). Nebulozni impetigo tipično je uzrokovan *Staphylococcus aureus* ili *Streptococcus pyogenes*. Prepoznaje se po koricama boje meda na licu i udovima i uglavnom zahvaća kožu, ali se može pojaviti i na mjestima uboda insekata, ekcema ili herpetičnih lezija. Bulozni impetigo, uzrokovan isključivo *S. aureusom*, dovodi do velikih, mlahavih bula i često zahvaća područja na kojima se koža trlja. Obje vrste obično nestanu u roku od dvije do tri sedmice bez ožiljaka; komplikacije su rijetke, a najteža je poststreptokokni glomerulonefritis. Liječenje uključuje lokalne antibiotike (mupirocin, retapamulin i fusidic acid). Oralni antibiotici mogu biti potrebni za impetigo s velikim bulama ili kada lokalno liječenje nije izvodljivo. Među oralnim antibioticima (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole i makrolidi) penicilin nije efikasan. Lokalna dezinfekcijska sredstva nisu toliko učinkovita kao antibiotici i treba ih izbjegavati. Fusidic acid, mupirocin i retapamulin su efikasni protiv *S. aureus* osjetljivog na meticilin i streptokoknih infekcija. Clindamycin je koristan za sumnjive methicillin‑resistant *S. aureus* infekcije. Trimethoprim/sulfamethoxazole djeluje protiv *S. aureus* otpornog na meticilin, ali nije dovoljno za streptokoknu infekciju.
Impetigo, the most common bacterial skin infection in children aged two to five, comes in two main types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo is typically caused by Staphylococcus aureus or Streptococcus pyogenes. It's recognized by honey-colored crusts on the face and limbs and mainly targets the skin or can infect insect bites, eczema, or herpetic lesions. Bullous impetigo, caused solely by S. aureus, leads to large, flaccid bullae and often affects areas where skin rubs together. Both types usually clear up within two to three weeks without scarring, and complications are rare, with poststreptococcal glomerulonephritis being the most severe. Treatment involves topical antibiotics (mupirocin, retapamulin, fusidic acid). Oral antibiotics might be necessary for impetigo with large bullae or when topical treatment isn't feasible. While several oral antibiotics (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) are options, penicillin isn't effective. Topical disinfectants aren't as good as antibiotics and should be avoided. Fusidic acid, mupirocin, retapamulin are effective against methicillin-susceptible S. aureus and streptococcal infections. Clindamycin is useful for suspected methicillin-resistant S. aureus infections. Trimethoprim/sulfamethoxazole works against methicillin-resistant S. aureus, but isn't enough for streptococcal infection.
Impetigo, the most common bacterial skin infection in children aged two to five, comes in two main types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo is typically caused by Staphylococcus aureus or Streptococcus pyogenes. It's recognized by honey-colored crusts on the face and limbs and mainly targets the skin or can infect insect bites, eczema, or herpetic lesions. Bullous impetigo, caused solely by S. aureus, leads to large, flaccid bullae and often affects areas where skin rubs together. Both types usually clear up within two to three weeks without scarring, and complications are rare, with poststreptococcal glomerulonephritis being the most severe. Treatment involves topical antibiotics (mupirocin, retapamulin, fusidic acid). Oral antibiotics might be necessary for impetigo with large bullae or when topical treatment isn't feasible. While several oral antibiotics (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) are options, penicillin isn't effective. Topical disinfectants aren't as good as antibiotics and should be avoided. Fusidic acid, mupirocin, retapamulin are effective against methicillin-susceptible S. aureus and streptococcal infections. Clindamycin is useful for suspected methicillin-resistant S. aureus infections. Trimethoprim/sulfamethoxazole works against methicillin-resistant S. aureus, but isn't enough for streptococcal infection.
Impetigo je uobičajena infekcija kože uzrokovana određenim bakterijama i lako se širi kontaktom. Obično se pojavljuje kao crvene mrlje prekrivene žućkastom korom te može izazvati svrab ili bol. Ova infekcija najčešće pogađa djecu koja žive u toplim i vlažnim područjima. Može se manifestirati kao plikovi ili bez njih. Iako često zahvaća lice, može se pojaviti bilo gdje na koži. Dijagnoza se uglavnom zasniva na simptomima i izgledu kožnih promjena. Liječenje obično uključuje antibiotike – topikalne i oralne – uz terapiju simptomatskih tegoba.
Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria. It most commonly presents as erythematous plaques with a yellow crust and may be itchy or painful. The lesions are highly contagious and spread easily. Impetigo is a disease of children who reside in hot humid climates. The infection may be bullous or nonbullous. The infection typically affects the face but can also occur in any other part of the body that has an abrasion, laceration, insect bite or other trauma. Diagnosis is typically based on the symptoms and clinical manifestations alone. Treatment involves topical and oral antibiotics and symptomatic care.
Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria. It most commonly presents as erythematous plaques with a yellow crust and may be itchy or painful. The lesions are highly contagious and spread easily. Impetigo is a disease of children who reside in hot humid climates. The infection may be bullous or nonbullous. The infection typically affects the face but can also occur in any other part of the body that has an abrasion, laceration, insect bite or other trauma. Diagnosis is typically based on the symptoms and clinical manifestations alone. Treatment involves topical and oral antibiotics and symptomatic care.
Impetigo je obično uzrokovan Staphylococcus aureus ili Streptococcus pyogenes. Kontaktom se može širiti s osobe na osobu. Kod djece je zarazna za braću i sestre.
Liječenje se najčešće provodi antibiotickim kremama, poput mupirocina ili fusidne kiseline. Antibiotici za usta, kao što je cefaleksin, mogu se koristiti ako su zahvaćena veća područja.
Impetigo je zabilježeno kod oko 140 miliona ljudi (2 % svjetske populacije) u 2010. godini. Može se pojaviti u bilo kojoj dobi, ali je najčešći kod male djece. Komplikacije mogu uključivati celulitis ili poststreptokokni glomerulonefritis.
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* Budući da je impetigo zarazna bolest, ne treba koristiti steriodne masti. Ako imate problema da razlikujete lezije impetiga od ekcema, uzmite OTC antihistaminike i izbjegavajte steriodne masti.
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* Nanesite OTC antibiotsku mast na leziju.
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