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.

Patient Education

Parental Education

  • To prevent contagious spread, patient should avoid contact w/ noninfected persons & avoid sharing of towels, sheets, etc
  • Child must not return to daycare or school until there is no further crusting or until 48 hours after initiation of antibiotic treatment
  • Practice simple cleanliness (eg washing hands after contact w/ infected persons, daily baths)
  • Daily cleaning of the lesions w/ antiseptic soap & water may prevent recurrence at distant sites
  • Keep the child’s fingernails short & to avoid scratching the lesions
  • Improve nutritional status & treat underlying conditions
  • Return child for follow-up if condition did not improve 7 days after starting therapy or sooner if condition worsened
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