Sandbox/Alejandro: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
Line 20: Line 20:


* 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.
* 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.
* Hand-washing and daily bathing is considered a method to prevent impetigo in children.<ref>{{Cite journal
| author = [[Stephen P. Luby]], [[Mubina Agboatwalla]], [[Daniel R. Feikin]], [[John Painter]], [[Ward Billhimer]], [[Arshad Altaf]] & [[Robert M. Hoekstra]]
| title = Effect of handwashing on child health: a randomised controlled trial
| journal = [[Lancet]]
| volume = 366
| issue = 9481
| pages = 225–233
| year = 2005
| month = July
| doi = 10.1016/S0140-6736(05)66912-7
| pmid = 16023513
}}</ref>


* It is very important to remove the crusts before applying ointment, as the [[bacteria]] that cause the disease are located underneath them.
* It is very important to remove the crusts before applying ointment, as the [[bacteria]] that cause the disease are located underneath them.

Revision as of 20:26, 29 May 2014

IMPETIGO

Medical Therapy

  • The treatment of impetigo depends on the location and number of lesions. Antibiotic therapy could be administered topically or orally.
  • Topical therapy is preferred for patients with small amount of lesions and without any bullae. [1]
  • Oral regimens are used for patients with several lesions and patients with bullous impetigo.
  • 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.
  • Hand-washing and daily bathing is considered a method to prevent impetigo in children.[2]
  • It is very important to remove the crusts before applying ointment, as the bacteria that cause the disease are located underneath them.
  • The recommended duration of therapy is 7 days but will depend on the clinical response.


▸ Click on the following categories to expand treatment regimens.

Bullous Impetigo

  ▸  Adults

  ▸  Children

Non-Bullous Impetigo

  ▸  Adults

  ▸  Children

Bullous Impetigo - Adults
Preferred Regimen
▸ Dicloxacillin 250 mg PO q6h
OR
▸ Cephalexin 250 mg PO q6h
OR
▸ Erythromycin 250 mg PO q6h
Adapted from Guidelines for Skin and Soft-Tissue Infections CID 2005[3]
Bullous Impetigo - Children
Preferred Regimen
▸ Dicloxacillin 12 mg/kg/day PO divided q6h
OR
▸ Cephalexin 25 mg /kg/day PO divided q6h
OR
▸ Erythromycin 40 mg/ kg/day divided PO q6h
Adapted from Guidelines for Skin and Soft-Tissue Infections CID 2005[4]
Non-Bullous Impetigo - Adults
Topical Regimen
▸ Mupirocin 2% apply to lesions q8h x 7 days
OR
▸Fusidic acid 2% apply to lesions q8h x 7 days
OR
▸ Retapamulin 1% apply to lesions q12h x 5 days
Oral Regimen
▸ 'Dicloxacillin 250 mg PO q6h
OR
▸ Cephalexin 250 mg PO q6h
OR
▸ Erythromycin 250 mg PO q6h
Adapted from Guidelines for Skin and Soft-Tissue Infections CID 2005[5]
Non-Bullous Impetigo - Children
Topical Regimen
▸ Mupirocin 2% apply to lesions q8h x 7 days
OR
▸Fusidic acid 2% apply to lesions q8h x 7 days
OR
▸ Retapamulin 1% apply to lesions q12h x 5 days
Oral Regimen
▸ Dicloxacillin 12 mg/kg/day PO divided q6h
OR
▸ Cephalexin 25 mg /kg/day PO divided q6h
OR
▸ Erythromycin 40 mg/ kg/day divided PO q6h
Adapted from Guidelines for Skin and Soft-Tissue Infections CID 2005[6]
  1. ↑ 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 (2012). "Interventions for impetigo". The Cochrane database of systematic reviews. 1: CD003261. doi:10.1002/14651858.CD003261.pub3. PMID 22258953.
  2. ↑ Stephen P. Luby, Mubina Agboatwalla, Daniel R. Feikin, John Painter, Ward Billhimer, Arshad Altaf & Robert M. Hoekstra (2005). "Effect of handwashing on child health: a randomised controlled trial". Lancet. 366 (9481): 225–233. doi:10.1016/S0140-6736(05)66912-7. PMID 16023513. Unknown parameter |month= ignored (help)
  3. ↑ Dennis L. Stevens, Alan L. Bisno, Henry F. Chambers, E. Dale Everett, Patchen Dellinger, Ellie J. C. Goldstein, Sherwood L. Gorbach, Jan V. Hirschmann, Edward L. Kaplan, Jose G. Montoya & James C. Wade (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 41 (10): 1373–1406. doi:10.1086/497143. PMID 16231249. Unknown parameter |month= ignored (help)
  4. ↑ Dennis L. Stevens, Alan L. Bisno, Henry F. Chambers, E. Dale Everett, Patchen Dellinger, Ellie J. C. Goldstein, Sherwood L. Gorbach, Jan V. Hirschmann, Edward L. Kaplan, Jose G. Montoya & James C. Wade (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 41 (10): 1373–1406. doi:10.1086/497143. PMID 16231249. Unknown parameter |month= ignored (help)
  5. ↑ Dennis L. Stevens, Alan L. Bisno, Henry F. Chambers, E. Dale Everett, Patchen Dellinger, Ellie J. C. Goldstein, Sherwood L. Gorbach, Jan V. Hirschmann, Edward L. Kaplan, Jose G. Montoya & James C. Wade (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 41 (10): 1373–1406. doi:10.1086/497143. PMID 16231249. Unknown parameter |month= ignored (help)
  6. ↑ Dennis L. Stevens, Alan L. Bisno, Henry F. Chambers, E. Dale Everett, Patchen Dellinger, Ellie J. C. Goldstein, Sherwood L. Gorbach, Jan V. Hirschmann, Edward L. Kaplan, Jose G. Montoya & James C. Wade (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 41 (10): 1373–1406. doi:10.1086/497143. PMID 16231249. Unknown parameter |month= ignored (help)
Retrieved from "https://www.wikidoc.org/index.php?title=Sandbox/Alejandro&oldid=974347"