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.
References
Impetigo , najpogostejša bakterijska okužba kože pri otrocih, starih od 2 do 5 let, obstaja v dveh glavnih vrstah: nebulozna (70 % primerov) in bulozna (30 % primerov) . Nebulozni impetigo je običajno posledica Staphylococcus aureus ali Streptococcus pyogenes. Prepoznamo ga po medeno obarvanih skorjicah na obrazu in okončinah, prizadene pa predvsem kožo ali lahko okuži pike insektov, ekcem ali herpetične lezije. Bulozni impetigo, ki ga povzroča izključno S. Aureus, vodi do velikih, ohlapnih bul in pogosto prizadene področja, kjer se koža drgne skupaj. Obe vrsti običajno izzvenita v dveh do treh tednih brez brazgotin, zapleti pa so redki, pri čemer je najhujši poststreptokokni glomerulonefritis. Zdravljenje vključuje lokalne antibiotike (mupirocin, retapamulin, and fusidic acid) . Peroralni antibiotiki so morda potrebni pri impetigu z velikimi bulami ali kadar lokalno zdravljenje ni izvedljivo. Čeprav obstaja več peroralnih antibiotikov (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, and macrolides) , penicilin ni učinkovit. Lokalna razkužila niso tako dobra kot antibiotiki in se jim je treba izogibati. Fusidic acid, mupirocin, and retapamulin so učinkoviti proti za meticilin občutljivim S. Aureus in streptokoknim okužbam. Clindamycin je uporaben pri domnevnih methicillin-resistant S. Aureus okužbah. Trimethoprim/sulfamethoxazole deluje proti na meticilin odpornemu S. Aureusu, vendar ni dovolj za okužbo 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 okužba kože, ki jo povzročajo nekatere bakterije in se zlahka prenaša s stikom. Običajno se kaže kot rdeče lise, prekrite z rumenkasto skorjo, in lahko povzroči srbenje ali bolečino. Ta okužba je najpogostejša pri otrocih, ki živijo v toplih in vlažnih območjih. Lahko se pojavi kot mehurji ali brez njih. Čeprav pogosto prizadene obraz, se lahko pojavi povsod, kjer je poškodovana koža. Diagnoza se v glavnem opira na simptome in kako izgleda. Zdravljenje običajno vključuje antibiotike, lokalne in peroralne, skupaj z obvladovanjem 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. S stikom se lahko širi okoli ali med ljudmi. V primeru otrok je nalezljiva za njihove brate in sestre.
Zdravljenje je običajno z antibiotičnimi kremami, kot sta mupirocin ali fusidna kislina. Če so prizadeta velika območja, se lahko uporabljajo peroralni antibiotiki, kot je cefaleksin.
Impetigo je leta 2010 prizadel približno 140 milijonov ljudi (2 % svetovnega prebivalstva). Pojavi se lahko v kateri koli starosti, vendar je najpogostejši pri majhnih otrocih. Zapleti lahko vključujejo celulitis ali poststreptokokni glomerulonefritis.
○ Zdravljenje – OTC zdravila
* Ker je impetigo nalezljiva bolezen, se ne sme uporabljati steroidnih mazil. Če imate težave z razlikovanjem lezij impetiga od ekcemov, vzemite antihistaminike brez recepta brez uporabe steroidnih mazil.
#OTC antihistamine
* Na lezijo nanesite OTC mazilo z antibiotiki.
#Bacitracin
#Polysporin