Impetigo - 膿皰瘡
https://en.wikipedia.org/wiki/Impetigo
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References
Impetigo: Diagnosis and Treatment 25250996Impetigo 是 2 至 5 歲兒童中最常見的細菌性皮膚感染,主要有兩種類型:非大皰性(70% 的病例)和大皰性(30% 的病例)。非大皰性膿皰病通常由 Staphylococcus aureus 或 Streptococcus pyogenes 引起。它透過臉部和四肢上的蜂蜜色結痂來識別,主要針對皮膚或可感染昆蟲叮咬、濕疹或皰疹病灶。大皰性膿皰病僅由金黃色葡萄球菌引起,會導致大而鬆弛的大皰,並經常影響皮膚相互摩擦的區域。這兩種類型通常會在兩到三週內消失,不會留下疤痕,併發症也很少見,其中鏈球菌感染後腎絲球腎炎最為嚴重。治療包括局部使用抗生素( mupirocin, retapamulin, and fusidic acid )。對於大皰性膿皰瘡或局部治療不可行時,可能需要口服抗生素。雖然可以選擇幾種口服抗生素( amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, and macrolides ),但青黴素無效。外用消毒劑的效果不如抗生素,應避免使用。 Fusidic acid, mupirocin, and retapamulin 可有效對抗甲氧西林敏感的金黃色葡萄球菌和鏈球菌感染。 Clindamycin 對於疑似 methicillin-resistant S. Aureus 感染很有用。 Trimethoprim/sulfamethoxazole 可對抗抗甲氧西林金黃色葡萄球菌,但不足以對抗鏈球菌感染。
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 28613693 NIH
Impetigo 是由某些細菌引起的常見皮膚感染,很容易透過接觸傳播。它通常表現為紅色斑塊,上面覆蓋著黃色的痂,可能會引起搔癢或疼痛。這種感染最常見於生活在溫暖潮濕地區的兒童。它可能表現為水泡,也可能沒有水泡。雖然它經常影響臉部,但它也可能發生在皮膚破損的任何地方。診斷主要依靠症狀和外觀。治療通常包括局部和口服抗生素以及症狀管理。
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.
膿皰瘡 (impetigo) 通常是由金黃色葡萄球菌或化膿性鏈球菌引起。透過接觸,它可以在人與人之間或人與人之間傳播。就兒童而言,它會傳染給他們的兄弟姊妹。
治療通常使用抗生素乳膏,例如莫匹羅星或夫西地酸。如果大面積受影響,可以使用口服抗生素,例如頭孢氨芐。
2010 年, 膿皰瘡 (impetigo) 影響了約 1.4 億人(佔世界人口的 2%)。併發症可能包括蜂窩性組織炎或鏈球菌感染後腎絲球腎炎。
○ 治療 - 非處方藥
* 由於膿皰病是一種傳染性疾病,因此不應使用類固醇藥膏。如果您無法區分膿皰瘡和濕疹,請服用非處方抗組織胺藥,不要使用類固醇藥膏。
#OTC antihistamine
* 請在患處塗抹非處方抗生素藥膏。
#Bacitracin
#Polysporin