Impetigo

Impetigo is a contagious bacterial skin infection that occurs most commonly in children, but it can also affect adults.

Symptoms

Red sores or blisters on the skin.
The blisters rupture and form characteristic yellowish (“honey-colored”) crusts.
It commonly appears around the nose and mouth, but it can occur anywhere on the body.
It may cause itching or mild discomfort.

Cause

Impetigo is usually caused by the following bacteria:

Staphylococcus aureus
Streptococcus pyogenes

These bacteria often enter the skin through minor cuts, insect bites, or areas of irritated skin.

Transmission

Impetigo spreads easily:

Through direct contact with the lesions.
Through sharing towels, clothing, or other personal items.

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Treatment

1. Clean the lesions thoroughly with gauze and Octenset spray 3–4 times daily for 10 days.
2. After cleaning, apply Mupiderm ointment to the affected areas 3–4 times daily for 10 days.
3. Daily bathing with Octenisan wash lotion is recommended if the lesions are widespread or involve multiple areas of the body.
4. Keep fingernails trimmed short.
5. Wash hands frequently and thoroughly throughout the day.
6. Avoid touching or scratching the lesions.
7. Avoid swimming in the sea or in swimming pools for 10 days.

Notes

For lesions located near the eye, the physician may prescribe Tobrex eye ointment 3 times daily for 5–6 days.
The use of antiseptics on the face is not recommended unless specifically advised by a physician.

When Are Oral Antibiotics Needed?

Oral antibiotic treatment may be required when:

Blisters (bullae) are present.
The lesions are numerous, extensive, or widespread.

The need for systemic antibiotic therapy should be determined by the treating physician.

When Can the Child Return to School?

The child may return to school 24 hours after starting appropriate antibiotic treatment, provided that their clinical condition allows it.