Understanding Impetigo

A Patient's Guide to Bacterial Skin Infections

Dermatology

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Last updated: Mar 24, 2025

What is Impetigo?

Impetigo is a common and highly contagious bacterial skin infection that primarily affects children. It's caused by either Staphylococcus aureus or Streptococcus pyogenes bacteria.

Key Symptoms

  • Red sores that quickly rupture and develop honey-colored crusts
  • Itchy, fluid-filled blisters
  • Reddish, irritated skin
  • Most commonly affects the face, particularly around nose and mouth
  • Can also appear on hands, feet, and trunk

Types of Impetigo

Non-bullous Impetigo

  • Most common form (70% of cases)
  • Characterized by honey-colored crusts
  • Usually appears around the nose and mouth

Bullous Impetigo

  • Causes larger fluid-filled blisters
  • More common in newborns and infants
  • Usually appears on the trunk and extremities

Treatment Options

  1. Topical Antibiotics

    • Mupirocin ointment
    • Applied directly to affected areas
  2. Oral Antibiotics

    • Used for severe or widespread cases
    • Common options include cephalexin or dicloxacillin

Prevention Methods

  • Regular hand washing
  • Keeping fingernails short and clean
  • Avoiding touching or scratching sores
  • Using separate towels and washcloths
  • Cleaning and covering any cuts or scrapes

When to Seek Medical Care

  • If sores don't heal within a week
  • If the infection appears to spread
  • If fever develops
  • If sores are painful

Important Notes

  • Highly contagious until treated
  • Children should stay home from school until 24 hours after starting antibiotics
  • Complete entire course of prescribed antibiotics
  • Usually clears completely within 7-10 days with treatment

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