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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) Patient Education

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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Spotlight on multidrug-resistant gram-negative infections: New developments for an old problem

Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021

Antimicrobial resistance has become increasingly dire as the rapid emergence of drug resistance, especially gram-negative pathogens, has outpaced the development of new antibiotics. At a recent virtual symposium, Dr Hsu Li Yang, Vice Dean (Global Health) and Programme Leader (Infectious Diseases), NUS Saw Swee Hock School of Public Health, presented epidemiological data on multidrug-resistant (MDR) gram-negative bacteria (GNB) in Asia, while Dr Tan Thuan Tong, Head and Senior Consultant, Department of Infectious Diseases, Singapore General Hospital (SGH), focused on the role of ceftazidime-avibactam in MDR GNB infections. Dr Andrea Kwa, Assistant Director of Research, Department of Pharmacy, SGH, joined the panel in an interactive fireside chat, to discuss challenges, practical considerations, and solutions in MDR gram-negative infections. This Pfizer-sponsored symposium was chaired by Dr Ng Shin Yi, Head and Senior Consultant of Surgical Intensive Care, SGH.