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| IMPETIGO
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| ==Medical Therapy==
| | ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Tuberculin Rection}} |
| | | ! style="background: #4479BA; width: 450px;" | {{fontcolor|#FFF|Considered a Positive Result in:}} |
| * The treatment of [[impetigo]] depends on the location and number of lesions. Antibiotic therapy could be administered topically or orally.
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| * Topical therapy is preferred for patients with small amount of lesions and without any bullae. <ref>{{Cite journal
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| | author = [[Sander Koning]], [[Renske van der Sande]], [[Arianne P. Verhagen]], [[Lisette W. A. van Suijlekom-Smit]], [[Andrew D. Morris]], [[Christopher C. Butler]], [[Marjolein Berger]] & [[Johannes C. van der Wouden]]
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| | title = Interventions for impetigo
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| | journal = [[The Cochrane database of systematic reviews]]
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| | volume = 1
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| | pages = CD003261
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| | year = 2012
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| | month =
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| | doi = 10.1002/14651858.CD003261.pub3
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| | pmid = 22258953
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| }}</ref>
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| * Oral regimens are used for patients with several lesions and patients with bullous [[impetigo]].
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| * Non-medical therapy involves washing the lesions and the rest of the body with soap and water, and letting the impetigo dry in the air.
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| * It is very important to remove the crusts before applying ointment, as the [[bacteria]] that cause the disease are located underneath them.
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| <SMALL><font color="#FF4C4C">'''▸ Click on the following categories to expand treatment regimens.'''</font></SMALL>
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| <div style="border-radius: 5px 5px 0 0; border: solid 1px #20538D; border-bottom: 0px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #A1BCDD; text-align: center;">
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| <font color="#FFF">
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| '''Bullous Impetigo'''
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| </font>
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| </div>
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| <div class="mw-customtoggle-table01" style="cursor: pointer; border-radius: 0 0 0 0; border: solid 1px #20538D; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #4479BA;">
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| <font color="#FFF">
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| ▸ '''Adults'''
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| </font>
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| </div>
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| <div class="mw-customtoggle-table02" style="cursor: pointer; border-radius: 0 0 0 0; border: solid 1px #20538D; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #4479BA;">
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| <font color="#FFF">
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| ▸ '''Children'''
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| </font>
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| </div>
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| <div style="border-radius: 0 0 0 0; border: solid 1px #20538D; border-bottom: 0px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #A1BCDD; text-align: center;">
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| <font color="#FFF">
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| '''Non-Bullous Impetigo'''
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| </font>
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| </div>
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| <div class="mw-customtoggle-table03" style="cursor: pointer; border-radius: 0 0 0 0; border: solid 1px #20538D; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #4479BA;">
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| <font color="#FFF">
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| ▸ '''Adults'''
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| </font>
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| </div>
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| <div class="mw-customtoggle-table04" style="cursor: pointer; border-radius: 0 0 5px 5px; border: solid 1px #20538D; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: inset 0 1px 1px rgba(255, 255, 255, 0.5), 0 1px 1px rgba(0, 0, 0, 0.5); height: 30px; line-height: 30px; width: 225px; background: #4479BA;">
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| <font color="#FFF">
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| ▸ '''Children'''
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| </font>
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| </div>
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| {| class="mw-collapsible mw-collapsed" id="mw-customcollapsible-table01" style="background: #FFFFFF;" | |
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| {| style="float: left; cellpadding=0; cellspacing= 0; width: 400px;"
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| ! style="height: 30px; line-height: 30px; background: #4479BA; border: 0px; font-size: 100%; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5);" align=center | {{fontcolor|#FFF|Bullous Impetigo - Adults}} | |
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Preferred Regimen | | | style="padding: 5px 5px; background: #DCDCDC;" | '''≥ 5 mm ''' |
| | | style="padding: 5px 5px; background: #F5F5F5;" | |
| | *HIV-positive person |
| | *Recent contacts of TB case |
| | *Persons with nodular or fibrotic changes on CXR consistent with old healed TB |
| | *Patients with organ transplants and other immunosuppressed patients |
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸ '''''[[Mupirocin]] 2% apply to lesions q8h x 7 days''''' | | | style="padding: 5px 5px; background: #DCDCDC;" | '''≥ 10 mm ''' |
| | | style="padding: 5px 5px; background: #F5F5F5;" | |
| | *Recent arrivals (less than 5 years) from high-prevalent countries |
| | *Injection drug users |
| | *Residents and employees of high-risk congregate settings (e.g., prisons, nursing homes, hospitals, homeless shelters, etc.) |
| | *Mycobacteriology lab personnel |
| | *Persons with clinical conditions that place them at high risk (e.g., diabetes, prolonged corticosteroid therapy, leukemia, end-stage renal disease, chronic malabsorption syndromes, low body weight, etc) |
| | *Children less than 4 years of age, or children and adolescents exposed to adults in high-risk categories |
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Alternative Regimen | | | style="padding: 5px 5px; background: #DCDCDC;" | '''≥ 15 mm ''' |
| | | style="padding: 5px 5px; background: #F5F5F5;" | |
| | *Persons with no known risk factors for TB |
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸'''''[[Fusidic acid]] 2% apply to lesions q8h''''' <br> OR <br> ▸ '''''[[Retapamulin]] 1% apply to lesions q12h x 5 days'''''
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| |}
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| |}
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| {| class="mw-collapsible mw-collapsed" id="mw-customcollapsible-table02" style="background: #FFFFFF;"
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| {| style="float: left; cellpadding=0; cellspacing= 0; width: 400px;"
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| ! style="height: 30px; line-height: 30px; background: #4479BA; border: 0px; font-size: 100%; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5);" align=center | {{fontcolor|#FFF|Bullous Impetigo - Children}}
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Preferred Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | PLUS
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Alternative Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸ ''
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| |}
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| |}
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| {| class="mw-collapsible mw-collapsed" id="mw-customcollapsible-table03" style="background: #FFFFFF;"
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| | valign=top |
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| {| style="float: left; cellpadding=0; cellspacing= 0; width: 400px;"
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| ! style="height: 30px; line-height: 30px; background: #4479BA; border: 0px; font-size: 100%; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5);" align=center | {{fontcolor|#FFF|Non-Bullous Impetigo - Adults}}
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Preferred Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | PLUS
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Alternative Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| |}
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| |}
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| {| class="mw-collapsible mw-collapsed" id="mw-customcollapsible-table04" style="background: #FFFFFF;"
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| {| style="float: left; cellpadding=0; cellspacing= 0; width: 400px;"
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| ! style="height: 30px; line-height: 30px; background: #4479BA; border: 0px; font-size: 100%; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5);" align=center | {{fontcolor|#FFF|Non-Bullous Impetigo - Children}}
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Preferred Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | PLUS
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸
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| | style="padding: 0 5px; font-size: 90%; background: #F5F5F5; font-weight: bold; font-style: italic;" align=center | Alternative Regimen
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| | style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | ▸ ''
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| |}
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| |}
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| |} | | |} |