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Impetigo

Последний просмотренный: 20 Aug 2025
Last updated: 27 Feb 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • vesículas/bolhas
  • crostas
Полная информация

Другие диагностические факторы

  • eritema
  • prurido
  • dor
  • exsudato mucopurulento
  • linfadenopatia
  • febre
Полная информация

Факторы риска

  • umidade elevada
  • higiene deficiente, desnutrição e superpopulação
  • colonização crônica com Staphylococcus aureus - nasal, axilar, faríngea, perineal
  • doença cutânea concomitante
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • diagnóstico clínico
Полная информация

Исследования, проведение которых нужно рассмотреть

  • cultura bacteriana de pele
Полная информация

Алгоритм лечения

Острый

neonatos: impetigo não bolhoso

neonatos: impetigo bolhoso

adultos, crianças e lactentes: infecção superficial ou limitada

adultos, crianças e lactentes: lesões cutâneas disseminadas

adultos, crianças e lactentes: infecção de tecidos moles profundos ou disseminação hematogênica

Составители

Авторы

Michael Freeman, MB BS, FACD, FRACGP

Dermatologist

Associate Professor

Bond University

Queensland

Australia

Раскрытие информации

MF declares that he has no competing interests.

Выражение благодарностей

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

Раскрытие информации

CDM declares that he has no competing interests.

Рецензенты

Brian Swick, MD

Clinical Assistant Professor

University of Iowa College of Medicine

Iowa City

IA

Раскрытие информации

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

Раскрытие информации

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.

Список литературы

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.

Основные статьи

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

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

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.Полный текст  Аннотация

Статьи, указанные как источники

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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