impetigo%20-and-%20ecthyma%20(pediatric)
IMPETIGO & ECTHYMA (PEDIATRIC)
Impetigo is a very contagious, superficial, bacterial skin infection that easily spreads among people in close contact.
Most cases resolve spontaneously without scarring in approximately 14 days without treatment.
Ecthyma is deeply ulcerated form of impetigo that extends to the dermis. The ulcers are "punched-out" with yellow crust and elevated violaceous margins.
It may be an infection de novo or a superinfection.

Impetigo%20-and-%20ecthyma%20(pediatric) Management

Prevention

  • Prompt attention to minor wounds eg keeping them clean & applying topical antibiotic
  • Use of insect repellant to prevent insect bites

Specialist Referral

Referral

  • A referral to a pediatrician or dermatologist may be considered when:
    • Diagnosis is unclear
    • Infection is extensive, severe, or unresponsive to maximal therapy in primary care setting
    • Recurrence is frequent
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