Impetigo - Impétigo
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Un caso de impétigo no queixo. Débese sospeitar de impétigo se un neno pequeno non ten antecedentes de lesións, pero se estenden lesións similares a feridas.
A diferenza da dermatite atópica, o impétigo require tratamento con antibióticos e pode empeorar co uso de esteroides.
References
Impetigo , a infección bacteriana da pel máis común en nenos de 2 a 5 anos, vén en dous tipos principais: non bullosa (70% dos casos) e bullosa (30% dos casos) . O impétigo non bulloso adoita ser causado por Staphylococcus aureus ou Streptococcus pyogenes. Recoñécese polas codias de cor mel na cara e nas extremidades e diríxese principalmente á pel ou pode infectar picaduras de insectos, eccema ou lesións herpéticas. O impétigo ampolloso, causado unicamente por S. Aureus, orixina ampollas grandes e flácidas e adoita afectar as zonas onde se roza a pel. Ambos tipos adoitan desaparecer en dúas ou tres semanas sen deixar cicatrices, e as complicacións son raras, sendo a glomerulonefrite postestreptocócica a máis grave. O tratamento implica antibióticos tópicos (mupirocin, retapamulin, fusidic acid) . Os antibióticos orais poden ser necesarios para o impétigo con grandes bulas ou cando o tratamento tópico non é factible. Aínda que varios antibióticos orais (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) son opcións, a penicilina non é eficaz. Os desinfectantes tópicos non son tan bos como os antibióticos e deben evitarse. Fusidic acid, mupirocin, retapamulin son eficaces contra S. Aureus susceptible á meticilina e infeccións estreptocócicas. Clindamycin é útil para as infeccións sospeitosas de methicillin-resistant S. Aureus. Trimethoprim/sulfamethoxazole funciona contra S. Aureus resistente á meticilina, pero non é suficiente para a infección por estreptococos.
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 é unha infección cutánea común causada por certas bacterias, que se propaga facilmente polo contacto. Adoita aparecer como manchas vermellas cubertas cunha codia amarelada e pode causar comezón ou dor. Esta infección é máis común nos nenos que viven en zonas cálidas e húmidas. Pode aparecer como burbullas ou sen elas. Aínda que adoita afectar a cara, pode ocorrer en calquera lugar onde haxa unha rotura na pel. O diagnóstico depende principalmente dos síntomas e do seu aspecto. O tratamento adoita incluír antibióticos, tanto tópicos como orais, xunto co tratamento dos síntomas.
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.
O impétigo (impetigo) adoita ser debido a Staphylococcus aureus ou Streptococcus pyogenes. Co contacto pode estenderse ao redor ou entre as persoas. No caso dos nenos, é contaxioso para os seus irmáns.
O tratamento é normalmente con cremas antibióticas como a mupirocina ou o ácido fusídico. Pódense usar antibióticos por vía oral, como a cefalexina, se se ven afectadas grandes áreas.
O impétigo (impetigo) afectou a uns 140 millóns de persoas (o 2% da poboación mundial) en 2010. Pode ocorrer a calquera idade, pero é máis común nos nenos pequenos. As complicacións poden incluír celulite ou glomerulonefrite postestreptocócica.
○ Tratamento - Medicamentos OTC
* Debido a que o impétigo é unha enfermidade infecciosa, non se deben usar pomadas esteroides. Se ten problemas para distinguir as lesións de impétigo dos eczemas, tome un antihistamínico sen usar os ungüentos esteroides.
#OTC antihistamine
* Aplique un ungüento antibiótico OTC á lesión.
#Bacitracin
#Polysporin