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Friday 24 June 2011

IMPETIGO


This is a very common bacterial skin infection, usually caused by
staphylococci and/or streptococci. It presents with superficial pustules or
blisters which become oozing erosions with yellow crusts as it spreads.
Impetigo is contagious and may even spread through the shared use of
jars of vaseline. Vaseline application makes it worse.
Management of impetigo
- Dress or bathe affected areas with potassium permanganate, GV paint, betadine
solution or saline or wash with betadine shampoo.
- Prevent spread to others: do not share towels or ointments, change clothes, towels
and sheets frequently.
- Do not use vaseline, use aqueous cream instead.
- If severe give cloxacillin 250-500 mg 4 times daily for 7-10 days in adults,
50-100 mg/kg/24 hours divided in 4 doses for 7-10 days in children or erythromycin
250-500 mg 4 times daily for 7-10 days in adults, 25-50 mg/kg/24 hours divided in
4 doses for 7-10 days in children.

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