Impetigo
☆ V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
Primer impetiga na bradi. Na impetigo je treba posumiti, če majhen otrok nima zgodovine poškodb, vendar se ranam podobne lezije širijo.
V nasprotju z atopičnim dermatitisom je za impetigo potrebno zdravljenje z antibiotiki in se lahko poslabša z uporabo steroidov.
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ReferencesImpetigo, najpogostejša bakterijska okužba kože pri otrocih, starih od 2 do 5 let, obstaja v dveh glavnih oblikah: nebulozna (70 % primerov) in bulozna (30 % primerov). Nebulozni impetigo je običajno posledica Staphylococcus aureus ali Streptococcus pyogenes. Prepoznamo ga po medenih, obarvanih skorjicah na obrazu in okončinah; prizadene predvsem kožo, lahko pa se razširi na pike po ugrizu insektov, ekcem ali herpetične lezije. Bulozni impetigo, ki ga povzroča izključno Staphylococcus aureus, povzroča velike, ohlapne bule in pogosto prizadene področja, kjer se koža drgne. Obe vrsti običajno izginejo v dveh do treh tednih brez brazgotin; zapleti so redki, najhujši pa je poststreptokokni glomerulonefritis. Zdravljenje vključuje lokalne antibiotike (mupirocin, retapamulin, fusidic acid). Peroralni antibiotiki so morda potrebni pri impetigu z velikimi bulemi ali kadar lokalno zdravljenje ni izvedljivo. Čeprav obstaja več peroralnih antibiotikov (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolidi), penicilin ni učinkovit. Lokalna razkužila niso tako učinkovita kot antibiotiki in se jim je treba izogibati. Fusidic acid, mupirocin in retapamulin so učinkoviti proti meticilin občutljivemu Staphylococcus aureus in streptokoknim okužbam. Clindamycin je uporaben pri domnevnih meticilin‑rezistentnih Staphylococcus aureus okužbah. Trimethoprim/sulfamethoxazole deluje proti meticilin‑rezistentnemu Staphylococcus aureus, vendar ni zadosten za okužbe s streptokoki.
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 pogosta kožna okužba, ki jo povzročajo bakterije in se zlahka prenaša s stikom. Običajno se kaže kot rdeče lise, prekrite z rumenkasto skorjo, in lahko povzroči srbenje ali bolečino. Najpogosteje se pojavlja pri otrocih, ki živijo v toplih in vlažnih okoljih. Lahko se razvije kot mehurji ali brez njih. Čeprav pogosto prizadene obraz, se lahko pojavi povsod, kjer je koža poškodovana. Diagnoza se v glavnem opira na videz in simptome. Zdravljenje običajno vključuje antibiotike – tako lokalne kot peroralne – ter obvladovanje simptomov.
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 običajno posledica Staphylococcus aureus ali Streptococcus pyogenes. Z neposrednim stikom se lahko širi med ljudmi. Pri otrocih je nalezljiva za brate in sestre.
Zdravljenje je običajno z antibiotiki v kremah, kot sta mupirocin ali fusidna kislina. Če so prizadeta velika območja, se lahko uporabljajo peroralni antibiotiki, kot je cefaleksin.
Impetigo je leta 2010 prizadelo približno 140 milijonov ljudi (2 % svetovnega prebivalstva). Pojavi se lahko v kateri koli starosti, vendar je najpogostejša pri majhnih otrocih. Zapleti lahko vključujejo celulitis ali poststreptokokni glomerulonefritis.
○ Zdravljenje – OTC zdravila
* Ker je impetigo nalezljiva bolezen, se ne smejo uporabljati steriodna mazila. Če imate težave z razlikovanjem lezij impetiga od ekcemov, vzemite antihistaminike brez recepta in se izogibajte uporabi steriodnih mazil.
#OTC antihistamine
* Na lezijo nanesite OTC mazilo z antibiotiki.
#Bacitracin
#Polysporin