Impetigo
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Slučaj impetiga na bradi. Na impetigo treba posumnjati ako malo dijete nema ozljede u anamnezi, ali se lezije poput rana šire.
Za razliku od atopijskog dermatitisa, impetigo zahtijeva antibiotsko liječenje i može se pogoršati primjenom steroida.
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ReferencesImpetigo, najčešća bakterijska infekcija kože kod djece u dobi od dvije do pet godina, dolazi u dva glavna tipa: nebulozni (70 % slučajeva) i bulozni (30 % slučajeva). Nebulozni impetigo najčešće uzrokuju Staphylococcus aureus ili Streptococcus pyogenes. Prepoznaje se po krustama boje meda na licu i udovima, a najčešće zahvaća kožu; može se pojaviti i na mjestima oštećenim ugrizom insekata, ekcemom ili herpetičkim lezijama. Bulozni impetigo, uzrokovan isključivo S. aureusom, dovodi do velikih, mlahavih bula i često zahvaća područja gdje se koža trlja jedna o drugu. Oba tipa obično nestanu unutar dva do tri tjedna bez ožiljaka; komplikacije su rijetke, a najteža je poststreptokokni glomerulonefritis. Liječenje uključuje lokalne antibiotike (mupirocin, retapamulin i fusidic acid). Oralni antibiotici mogu biti potrebni kod impetiga s velikim bulama ili kada lokalno liječenje nije moguće. Dostupni oralni antibiotici su amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole i makrolidi; penicilin nije učinkovit. Lokalna dezinfekcijska sredstva nisu jednako učinkovita kao antibiotici i treba ih izbjegavati. Fusidic acid, mupirocin i retapamulin su učinkoviti protiv meticilin‑osjetljivog S. aureusa i streptokoknih infekcija. Clindamycin je koristan kod sumnje na meticilin‑rezistentni S. aureus (MRSA). Trimethoprim/sulfamethoxazole djeluje protiv meticilin‑rezistentnog S. aureusa, 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 prenosi kontaktom. Obično se pojavljuje kao crvene mrlje prekrivene žućkastom korom, a može izazvati svrbež ili bol. Ova infekcija je najčešća kod djece koja žive u toplim, vlažnim područjima. Može se manifestirati mjehurićima ili bez njih. Iako često zahvaća lice, može se pojaviti bilo gdje gdje postoji pukotina na koži. Dijagnoza se uglavnom temelji na simptomima i izgledu kožnih promjena. Liječenje obično uključuje antibiotike – topikalne i oralne – te simptomatsku terapiju.
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 najčešće uzrokovan Staphylococcus aureus ili Streptococcus pyogenes. Prenosi se kontaktom s osobama ili među njima. Kod djece je zarazna za braću i sestre.
Liječenje se obično provodi antibiotickim kremama poput mupirocin ili fusidic acid. Oralni antibiotici, poput cefalexin, mogu se koristiti ako su zahvaćena velika područja.
Impetigo je zabilježio oko 140 milijuna slučajeva (2 % svjetske populacije) u 2010. godini. Može se pojaviti u bilo kojoj dobi, ali najčešće pogađa malu djecu. Komplikacije mogu uključivati celulitis ili poststreptokokni glomerulonefritis.
○ Liječenje ― OTC lijekovi
* Budući da je impetigo zarazna bolest, ne smiju se koristiti steroidi u mastima. Ako imate problema s razlikovanjem lezija impetiga od ekcema, koristite OTC antihistaminike i izbjegavajte steroide.
#OTC antihistamine
* Nanesite OTC antibiotik mast na leziju.
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