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Impetigo

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 3 Oct 2025
Last updated: 27 Feb 2024

Summary

定义

病史和体格检查

关键诊断因素

  • presença de fatores de risco
  • vesículas/bolhas
  • crostas
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其他诊断因素

  • eritema
  • prurido
  • dor
  • exsudato mucopurulento
  • linfadenopatia
  • febre
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危险因素

  • umidade elevada
  • higiene deficiente, desnutrição e superpopulação
  • colonização crônica com Staphylococcus aureus - nasal, axilar, faríngea, perineal
  • doença cutânea concomitante
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诊断性检查

首要检查

  • diagnóstico clínico
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需考虑的检查

  • cultura bacteriana de pele
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治疗流程

急症处理

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

撰稿人

作者

Michael Freeman, MB BS, FACD, FRACGP

Dermatologist

Associate Professor

Bond University

Queensland

Australia

利益声明

MF declares that he has no competing interests.

鸣谢

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

利益声明

CDM declares that he has no competing interests.

同行评议者

Brian Swick, MD

Clinical Assistant Professor

University of Iowa College of Medicine

Iowa City

IA

利益声明

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

利益声明

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.

参考文献

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.

关键文献

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

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

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.全文  摘要

参考文献

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