IMPETIGO
IMPETIGO CAUSES
• A common, highly contagious
TYPES
• Staphylococcus aureus
bacterial skin infection
• Streptococcus pyogene
• More common in children than in
adults.
NONBULLOUS BULLOUS
• Most common form of impetigo • Seen in children <2 yrs. Old
• Affects skin on the face and • Occurs in intact skin or skin
extremities that has been with integritous area such as
disrupted by minor trauma neck, the axillary, but may
such as insect bites, cuts,
DIAGNOSTIC TEST abrasion and thermal burns
appear on the face and
anywhere on the body
• Impetigo is usually diagnosed based
on its appearance. Lab test aren’t
necessary
• Sometimes your doctor will gently
remove a small piece of a sore to
send to a lab to identify the INCUBATION CLINICAL
bacteria.
• The incubation period is the time
MANIFESTATION
between being exposed to the • Begin as red sore near the nose
bacteria and the development of and mouth which soon breaks,
signs and symptoms. leaking pus or fluid and forms
• one to three days for streptococcal honey-colored scab,
infections and four to 10 days for • Sores are not painful but may be
staphylococcal infections. itchy
NURSING MGT.
PREVENTION MEDICAL MGT.
• Promote good hygiene.
• If you know someone who has
• Teach regular and effective hand Mild impetigo can be handled by gentle
impetigo, try to avoid close contact
washing cleansing of the sores, removing crusts
with that person until his or her
• Advise patient to keep fingernails cut from the infected person, and applying
infection has gone away.
short the prescription-strength antibiotic
• The skin should be kept clean and ointment mupirocin (Bactroban).
• Instruct the client to bathe at least any wounds cleansed and covered
daily with bactericidal soap. Injured with a clean dressing.
skin areas should be kept clean and
covered with clean gauze to prevent
• Avoid sharing towels
infection.
To avoid spreading infection
• Inform the client and families that
impetigo is a contagious disease. • Wash hands, linens, and affected
Cleanliness is a priority. areas
• Encourage the use of separate towels • Sores should be covered with a
for family members. bandage
• Apply agents for nonbullous and • Do not scratch the affected area
bullous impetigo • keeping nails short will reduce the
• IV fluids, fever sponges, and other chances of spreading
supportive treatments, are indicated
for clients who are very ill or suffering
with toxicity.
• Apply warm, moist compresses to
increase vascularization and help with
resolution of the furuncle or
carbuncle.