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Medically reviewed by Oghenefejiro Okifo | MD, Harvard Medical School | Henry Ford Hospital - Detroit, MI on April 19th, 2024.
Two bacteria cause the infection: Staphylococcus aureus (most common) and group A Streptococcus, with S. aureus cases often being methicillin-resistant (MRSA) requiring specific antibiotics.
Sores begin as small red bumps that rapidly progress to fluid-filled blisters, then burst within 2-3 days to form the characteristic honey-colored crusts that are 1-2cm in diameter.
Peak transmission occurs in children ages 2-5 years during warm, humid months when minor skin breaks from insect bites, eczema, or cuts provide bacterial entry points.
Topical mupirocin ointment applied 3 times daily for 7-10 days treats localized cases, while oral antibiotics like cephalexin (25-50mg/kg/day) are needed for widespread infection.
Patients become non-contagious within 24-48 hours of starting antibiotics and can return to school/daycare once sores are covered or beginning to heal.
Impetigo is a common bacterial skin infection that can affect people of all ages, but is most often seen in babies and young children. It causes itchy sores or blisters to form on exposed skin, typically around the nose or mouth. If you or your child develops red sores, it's important to understand the causes, symptoms, and treatment options for impetigo.
There are three main types of impetigo:
Non-bullous impetigo: This is the most common type, causing tiny blisters around the nose and mouth that itch and eventually form crusty, golden scabs.
Bullous impetigo: This type causes large, fluid-filled blisters that appear from the neck to the waist and can spread quickly.
Ecthyma: If left untreated, impetigo can develop into this more serious form that causes painful sores and ulcers.
Impetigo is caused by bacteria, most commonly Staphylococcus aureus or group A streptococcus. The infection occurs when these bacteria enter the body through a break in the skin, such as a cut, scrape, or insect bite. Certain factors can increase the risk of developing impetigo, including:
Age (most common in children ages 2-5)
Warm, humid climates
Crowded living conditions (e.g., schools, daycares)
Weakened immune system
Other skin conditions (e.g., eczema, scabies)
The symptoms of impetigo can vary depending on the type and the individual's skin tone. Common signs and symptoms include:
Red, itchy sores that burst and leave behind a yellow, crusty scab
Fluid-filled blisters that may be painful
Swollen lymph nodes
Fever (in more severe cases)
If you suspect that you or your child has impetigo, it's important to see a doctor for a proper diagnosis. In most cases, a physical exam is sufficient, but your doctor may take a sample of the fluid from the sores to determine the best course of treatment.
Treatment for impetigo typically involves antibiotics, either in the form of a topical cream or oral medication. It's important to complete the full course of antibiotics as prescribed, even if the sores begin to heal before the medication is finished.
Impetigo is highly contagious, so it's important to take steps to prevent the spread of the infection. Some tips include:
Keeping the sores covered with a bandage
Washing hands frequently
Avoiding close contact with others until the sores have healed
Not sharing personal items (e.g., towels, clothing)
Disinfecting toys and other surfaces that may have come into contact with the sores
By understanding the causes, symptoms, and treatment options for impetigo, you can take steps to protect yourself and your family from this common skin infection. If you have concerns about impetigo or any other skin condition, don't hesitate to consult with a dermatologist or other healthcare provider for personalized advice and treatment options.
For more information about impetigo and other common skin conditions, visit the National Institute of Allergy and Infectious Diseases website.
This highly contagious bacterial infection requires prompt antibiotic treatment to prevent spread and complications like cellulitis or kidney problems. Most cases resolve completely within 7-10 days with proper treatment and hygiene measures. If you notice red sores developing golden crusts or have concerns about skin infections, Doctronic can help you determine the best treatment approach.
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