Sunday, March 22, 2015


Impetigo is a disease characterized by the formation of surface bubble-pustular rash.
What is impetigo?
Impetigo usually begins with the appearance of painful red spots that become bubbles through a stage full of sores, scabs type of honey.Occurs more frequently in children; adults are usually infected men shaving; often occurs as a complication of other diseases (itching, and so on. d.).
There are several forms of impetigo: streptococcal, staphylococcal, vulgar (mixed).
The disease is very contagious.
Impetigo often becomes the scourge of children's groups, most often it occurs in small teams, nursery children. Often there is a home and school outbreaks. Impetigo is dangerous because it can give complication of the internal organs, so that any outbreak of the disease is thoroughly investigated, and children are being treated.

The reasons leading to the formation of impetigo
More than 80% of the pathogen Staphylococcus aureus impetigo presented or beta-hemolytic streptococcus. Pathogen penetrates through the cracks and abrasions of the skin, mouth of the hair follicles.
Impetigo can occur as a primary disease or a complication of an existing dermatoses, such as eczema, neurodermatitis (secondary impetigo). Risk factors for impetigo:
1) Tropical or subtropical climate (warm humid conditions).2) Summer or rainy season.3) Slight damage the skin, insect bites, et al. (Microtrauma).4) Poor hygienic conditions, epidemics, war and others.5) The presence of impetigo in the family.6) Poor health due to anemia and malnutrition, hypovitaminosis.7) metabolic disorders (diabetes).8) Impetigo may develop as a complication of pediculosis, scabies, chicken pox, eczema.9) Contact dermatitis.
Manifestations of impetigo
Streptococcal impetigo appear on the skin painful red mottled rash Bugorkova. The latter is converted into small bubbles to 0.51 cm in diameter, filled with lighter gradually mutneyuschim contents, and further bubbles are usually painless. Eruptions are scattered or crowded groups, surrounded by a narrow rim reddened skin .. They quickly opened. After the break bubbles appear moist surface red sores, and later they are covered with honey-colored crusts fall away after 57 days.The most frequent lesions appear on exposed parts of the body the face, legs, hands, but there may be other areas of the skin at the site of skin damage.
The rash may develop quickly or slowly.
In children, most often affects the corners of the mouth strep Zayed, the wings of the nose, the skin folds of the auricles. They begin to appear in the corner of the mouth bubble with sluggish thin skin in its place quickly formed slit-like erosion, after the removal of which is detected by a red wet easily bleeding surface with a crack down the middle. After 1-2 hours again Zayed crusts. The process may be accompanied by a small soreness when opening the mouth. The process often spreads to the oral mucosa. Sometimes impetigo occurs in isolation in the mouth, where in place quickly reveals painful bubbles formed erosion, covers purulent coating.Atypical variant of streptococcal impetigo is a simple deprive a person or dry pyoderma, in which the skin (usually in children) appear pink spots of various sizes from small scales; in place to resolve the rash is temporary depigmentation (skin discoloration).
A variety of cystic impetigo is a felon and a surface at which the bubble appears on the nail ridges arched around the nail in place burrs trauma (for example, during a manicure) Needlestick etc. When such a conflict of injuries opened and formed moist erosion in a large number of streptococci in the discharge.
When staphylococcal impetigo (folliculitis) in the mouths of sebaceous hair follicles appear pustules (pustules), reaches the value of a pea.
Folliculitis may be superficial or deep.
Superficial folliculitis is characterized by the formation of multiple small (1-2 mm, the individual may reach 5 mm) pustules, pierced in the center of hair and surrounded by a narrow pink border. 3-4 day their contents dries, yellow crusts appear after falling which, on the skin without leaving marks.
With deep folliculitis on the skin formed painful red nodules the size of 5 mm or more in diameter, sometimes with abscess in the middle. A few days later the knot dissolves or abscesses, and then opened. After healing of the nodule is often left hem.
With the combination of streptococcal and staphylococcal infection develops mixed (vulgar) impetigo, where the contents of the bubbles is purulent and peel - massive. Vulgar impetigo usually occurs on the face, trunk and extremities less. Eruptions are multiple. Without treatment, a number of former eruptions or in remote areas of the skin rash there are new, the process often takes widespread. When removing the crusts exposed wet eroded surface. Has a value of transmission of infection to new areas through the hands and clothes. Regional lymph nodes are painful on palpation and a few puffy.
Most often, the disease ends without consequences, but there may be complications. One of the most unpleasant complications are complications of the kidneys (nephritis) and the heart (myocarditis).
Staphylococcal impetigo may be complicated by widespread purulent processes - abscesses and phlegmon.
Prevention is the treatment of diseases that contribute to the development of impetigo in personal hygiene, processing microtraumas antiseptic, sick children should not be led to the kindergarten. In child care requires systematic sanitary and epidemiological supervision.Course and prognosis in impetigo
Full recovery for 7-10 days during the treatment.
What can your doctor do?
Diagnosis is made on clinical grounds.
Treatment of impetigo is usually performed in the clinic (outpatient).
Patient or mother (if the child is sick) explain that the affected and surrounding skin should not be washed with water, they should be cleaned twice a day disinfectants (eg, salicylic or camphor spirit). Individual vials opened and treated zelenkoj (Brilliant Green), then coated with antibiotic ointment (e.g., erythromycin). Such treatment is carried out 3-4 times a day for 7-10 days, without imposing on the skin dressing. After treatment for 1-2 weeks, rub the affected area with alcohol.
In severe infections in young children are assigned antibiotics (oral or intramuscular).
Diagnosis of impetigo is based on abjection. Collection of material for the study produced by the ulcer after removing the crust.
What can you do?
Assess the severity of the patient's condition and determine the amount of required therapeutic measures can only be a doctor. Therefore, when the appearance of the first symptoms should see a doctor for advice in order to avoid unwanted complications.
You can not kiss patients enjoy its dishes, linens, toiletries; child with impetigo can not attend schools, kindergartens, nurseries and others.