impetigo
golden crust means waht
characteristic of a staphylococcus skin infection
non bullous impetigo
the exudate from the lesions dries to form a "golden crust". They are often unsightly but do not usually cause systemic symptoms or make the person unwell.
impetigo pathology
when bacteria enters via a break in the skin may be otherwise heathy skin or may be related to eczema or dermatitis
investigation for bullous impetigo
can swab vesicles and confirm and get bacteria and antibiotic sensitivities
bullous impetigo cause
always by staph aureus
management of non bullous impetigo
antibiotics avoid spreading- not scratch or touch, hand hygiene, avoid sharing face tools and cuttlery off school until lesions healed or been treated with antibiotics for 48h
treatment of non bullous impetigo
antiseptic cream if localised topical fusidic acid if localised oral flucloxacillin if more wide spread or severe
non bullous impetigo where usually
around mouth or nose
bullous impetigo features
1-2cm fluid formed vesicles on skin can grow and burst forming a golden crust eventually heal without scarring can be painful and itchy systemic symptoms- feverish, generally unwell
complications of impetigo
Cellulitis if the infection gets deeper in the skin Sepsis Scarring Post streptococcal glomerulonephritis Staphylococcus scalded skin syndrome Scarlet fever
cause of impetigo
Staph aureus
which one is more likely to have systemic symptoms
bullous
antibiotic if staphylococcal infection
flucloxacillin
treatment of bullous impetigo
flucloxacillin may be given orally or IV if very unwell isolate as very contagious
is impetigo contagious
is contagious and children should be kept off school during the infection.
bullous impetigo more common in who
neonates and kids under 2
staphylococcus scalded skin syndrome.
severe infections when the lesions are widespread bullous impetigo
bullous impetigo pathology
staph aureus produce epidermolytic toxins that break down proteins that hold skin cells together cause 1-2cm fluid filled vesicles to form on skin
less common cause of impetigo
streptococcus pyogenes
impetigo
superficial bacterial skin infection, usually caused by the staphylococcus aureus bacteria