Impetigo Treatment

Impetigo is a common, highly transmissible, bacterial skin infection that particularly affects infants and young children. It is crucial for parents and caregivers to understand this condition, including its causes, symptoms, and treatments.

Our team of board-certified dermatologists understands the discomfort and distress that impetigo can cause, particularly in infants and young children. We prioritize creating a supportive and caring environment for our patients, ensuring that each individual feels heard and cared for throughout their treatment journey.

What is Impetigo?

Impetigo is a highly infectious skin condition caused by bacteria, most often Staphylococcus aureus or Streptococcus pyogenes. It manifests as red sores or blisters that can quickly burst, leaving a brownish or amber-colored scab.

While impetigo can occur anywhere on the body, it commonly appears on the face, especially around the mouth and nose, as well as on the arms and legs. It’s important to note that this condition is easily treatable, but early diagnosis and intervention are vital to prevent its spread and complications.

There are two types of impetigo:

Non-bullous Impetigo: This is the more common form, accounting for about 70% of cases. It starts as small blisters that quickly burst and leave behind the characteristic, amber-colored crusts.
Bullous Impetigo: This form is less common and is characterized by larger fluid-filled blisters that appear clear and then cloudy. These blisters take longer to burst and can be found on the trunk, arms, and legs.

Symptoms of Impetigo

The symptoms of impetigo can vary depending on the type, but generally include the following:

Red sores: Round, red papules that most often appear around the nose and mouth but can also be found on other parts of the face, hands, and feet.
Blisters: In bullous impetigo, larger fluid-filled blisters form and eventually burst.
Amber-colored crusts: After the sores burst, they leave behind a distinctive yellow-brown crust.
Itching and soreness: The affected areas may be itchy and sore, leading to scratching which can spread the infection.
Swollen lymph nodes: In some instances, adjacent lymph nodes can become swollen and tender.

Causes of Impetigo

What triggers impetigo?

Impetigo is an infection caused by bacteria, commonly Staphylococcus aureus or Streptococcus pyogenes. The bacteria can enter the body through a break in the skin, such as a cut, scratch, insect bite, or rash. Factors that increase the risk of impetigo include the following:

Warm, humid environments: The bacteria thrive in warm, moist conditions.
Crowded living conditions: Close contact with others increases the risk of transmission.
Poor hygiene: Lack of proper hygiene can facilitate the spread of bacteria.
Pre-existing skin conditions: Conditions like eczema can create breaks in the skin, making it easier for bacteria to enter.

Is Impetigo Contagious?

Impetigo is highly contagious. It spreads through physical exposure to the sores or with items that have been in contact with the infected skin, such as towels, clothing, or toys. Children are particularly susceptible due to their close physical contact in settings like schools and daycare centers.

To minimize the spread of impetigo, practice the following:

Avoid touching the sores: Encourage children not to scratch or pick at the sores.
Practice good hygiene: Vigorous hand washing, laundering, and bathing can help prevent the spread of bacteria.
Keep the sores covered: Use bandages or dressings to cover the sores until they heal.
Avoid sharing personal items: Do not share towels, clothing, or other personal items with someone who has impetigo.

Best Treatment Options for Impetigo

Effective treatment of impetigo typically involves antibiotics, which can be prescribed as a topical solution or oral medication, depending on the severity of the infection. Here are the best treatment options:

Topical Antibiotics: For mild cases, topical antibiotics such as mupirocin or retapamulin can be applied directly to the sores. This treatment is usually effective and helps prevent the spread of the infection.
Oral Antibiotics: For more severe or widespread infections, oral antibiotics like amoxicillin-clavulanate, cephalosporins, or clindamycin may be prescribed. These medications help clear the infection from within.
Proper Wound Care: Keeping the affected areas clean and covered can promote healing and prevent the spread of infection. Gently wash the sores with soap and water, apply antibiotic ointment, and cover with a clean bandage.
Hygiene Practices: Ensure that the infected person uses separate towels, clothing, and bedding. Wash these items in hot water and detergent to kill any bacteria.
Avoid Contact Sports: Children with impetigo should avoid contact sports until the infection has healed to prevent spreading it to others.

Preventive Measures

Preventing impetigo involves maintaining good hygiene and taking steps to avoid the spread of bacteria. Here are some preventive measures:

Regular Hand Washing: Encourage frequent hand washing with soap and water, especially after playing outside or coming into contact with someone who has impetigo.
Keep Nails Short: Short nails reduce the risk of skin damage from scratching, which can introduce bacteria.
Clean and Cover Wounds: Promptly clean and dress any wounds or insect bites to prevent bacteria from entering the skin.
Avoid Sharing Personal Items: Teach children not to share towels, clothing, or other personal items that can carry bacteria.

At Advanced Dermatology, P.C., we are committed to delivering compassionate, dedicated care that addresses both the practical and emotional aspects of skin conditions like impetigo. Our goal is to empower our patients and their families with the knowledge and tools needed to effectively manage impetigo and maintain healthy skin.

If you suspect your child has impetigo, contact us today to schedule an appointment at one of our convenient locations.