Impetigo
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Kes impetigo di dagu. Impetigo harus disyaki jika kanak-kanak kecil tidak mempunyai sejarah kecederaan, tetapi luka seperti luka merebak.
Tidak seperti dermatitis atopik, impetigo memerlukan rawatan antibiotik dan mungkin bertambah teruk dengan penggunaan steroid.
relevance score : -100.0%
ReferencesImpetigo, jangkitan kulit bakteria yang paling biasa pada kanak‑kanak berumur dua hingga lima tahun, terdapat dalam dua jenis utama: nonbulous (70 % daripada kes) dan bullous (30 % daripada kes). Impetigo nonbulous biasanya disebabkan oleh *Staphylococcus aureus* atau *Streptococcus pyogenes*. Ia dikenali oleh kerak berwarna madu pada muka dan anggota badan serta terutamanya menjejaki kulit yang rosak, seperti gigitan serangga, ekzema atau lesi herpetik. Impetigo bullous, yang disebabkan semata‑mata oleh *S. aureus*, menghasilkan bula yang besar dan lembik serta sering menjejaki kawasan kulit yang bergesel. Kedua‑dua jenis biasanya hilang dalam masa dua hingga tiga minggu tanpa parut, dan komplikasi jarang berlaku; glomerulonefritis post‑streptokokus adalah yang paling teruk. Rawatan melibatkan antibiotik topikal (mupirocin, retapamulin, dan fusidic acid). Antibiotik oral mungkin diperlukan untuk impetigo dengan bula besar atau apabila rawatan topikal tidak dapat diberikan. Walaupun beberapa antibiotik oral (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, dan macrolides) adalah pilihan, penisilin tidak berkesan. Pembasmian kuman topikal tidak sebaik antibiotik dan harus dielakkan. Fusidic acid, mupirocin, dan retapamulin berkesan terhadap jangkitan *S. aureus* dan streptokokus yang sensitif kepada methicillin. Clindamycin berguna untuk jangkitan methicillin‑resistant *S. aureus*. Trimethoprim/sulfamethoxazole berkesan terhadap *S. aureus* yang tahan methicillin, tetapi tidak mencukupi untuk jangkitan streptokokus.
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 ialah jangkitan kulit biasa yang disebabkan oleh bakteria tertentu dan mudah merebak melalui sentuhan. Ia biasanya muncul sebagai tompok merah yang ditutup dengan kerak kekuningan serta boleh menyebabkan kegatalan atau kesakitan. Jangkitan ini paling kerap berlaku pada kanak‑kanak yang tinggal di kawasan panas dan lembap. Ia boleh muncul sebagai lepuh atau tanpa lepuh. Walaupun ia sering menjejaskan muka, ia boleh berlaku di mana‑mana sahaja terdapat pecah pada kulit. Diagnosis terutamanya bergantung pada gejala dan penampilannya. Rawatan biasanya termasuk antibiotik, kedua‑duanya topikal dan oral, bersama‑sama dengan pengurusan gejala.
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 biasanya disebabkan oleh Staphylococcus aureus atau Streptococcus pyogenes. Dengan sentuhan, ia boleh merebak kepada orang lain. Dalam kes kanak‑kanak, ia mudah menular kepada adik‑beradik mereka.
Rawatan biasanya melibatkan krim antibiotik seperti mupirocin atau asid fusidic. Antibiotik melalui mulut, seperti cefalexin, boleh digunakan jika kawasan yang terjejas luas.
Impetigo menjejaskan kira‑kira 140 juta orang (2 % daripada populasi dunia) pada tahun 2010. Ia boleh berlaku pada mana‑mana umur, tetapi paling biasa pada kanak‑kanak kecil. Komplikasi mungkin termasuk selulitis atau glomerulonephritis poststreptokokus.
○ Rawatan – Ubat OTC
* Kerana impetigo adalah penyakit berjangkit, salap steroid tidak boleh digunakan. Jika anda menghadapi kesukaran membezakan lesi impetigo daripada ekzema, sila ambil antihistamin OTC tanpa menggunakan salap steroid.
#OTC antihistamine
* Sila sapukan salap antibiotik OTC pada lesi.
#Bacitracin
#Polysporin