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Impetigo

ბოლო მიმოხილვა: 19 Aug 2025
ბოლო განახლება: 27 Feb 2024

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

ძირითადი დიაგნოსტიკური ფაქტორები

  • presence of risk factors
  • vesicles/bullae
  • crusting
სრული ტექსტი

სხვა დიაგნოსტიკური ფაქტორები

  • erythema
  • pruritus
  • pain
  • mucopurulent exudate
  • lymphadenopathy
  • fever
სრული ტექსტი

რისკფაქტორები

  • increased humidity
  • poor hygiene, malnutrition, and overcrowding
  • chronic colonisation with Staphylococcus aureus - nasal, axillary, pharyngeal, perineal
  • concomitant skin disease
სრული ტექსტი

დიაგნოსტიკური კვლევები

1-ად შესაკვეთი გამოკვლევები

  • clinical diagnosis
სრული ტექსტი

გასათვალისწინებელი კვლევები

  • bacterial skin culture
სრული ტექსტი

მკურნალობის ალგორითმი

მწვავე

neonates: non-bullous impetigo

neonates: bullous impetigo

adults, children, and infants: superficial or limited infection

adults, children, and infants: widespread cutaneous lesions

adults, children, and infants: deep soft tissue infection or haematogenous spread

კონტრიბუტორები

ავტორები

Michael Freeman, MB BS, FACD, FRACGP

Dermatologist

Associate Professor

Bond University

Queensland

Australia

Disclosures

MF declares that he has no competing interests.

Acknowledgements

Dr Michael Freeman would like to gratefully acknowledge Dr Chris Del Mar, a previous contributor to this topic.

Disclosures

CDM declares that he has no competing interests.

Peer reviewers

Brian Swick, MD

Clinical Assistant Professor

University of Iowa College of Medicine

Iowa City

IA

Disclosures

BS declares that he has no competing interests.

Julian Trevino, MD

Associate Professor of Dermatology and Dermatology Residency Program Director

Boonshoft School of Medicine

Wright State University

Dayton

OH

Disclosures

Speaker's Bureau, Stiefel; Consultant, Abbott.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Hartman-Adams H, Banvard C, Juckett G. Impetigo: diagnosis and treatment. Am Fam Physician. 2014 Aug 15;90(4):229-35.Full text  Abstract

Koning S, van der Sande R, Verhagen AP, et al. Interventions for impetigo. Cochrane Database Syst Rev. 2012 Jan 18;(1):CD003261.Full text  Abstract

Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jul 15;59(2):e10-52.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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  • Patient information

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