Impetigo

The "do it yourself" in some cases can be harmful, while, on the contrary, a topical therapy prescribed by the dermatologist, even localized, can solve the problem without necessarily having to resort to an antibiotic. After a short initial period the impetigo spreads often to other parts of the body, usually on the most exposed areas of the skin, such as the face, legs and arms, with rounded blisters or erosions (superficial abrasions), which can cause itching.

Nonbullous impetigo is the most frequent form (about 70% of cases), which mainly affects children under the age of 10. At first it manifests itself with vesicles or bubbles. These small lesions burst and within a few hours release their contents and dry up, later forming a crust. It is a superficial infection, which therefore does not cause fever, but is very contagious and is at the origin of small epidemics in kindergartens and schools. Above all, it should be kept under control on the beach.

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Bullous impetigo can also occur on healthy skin; it affects newborns and infants more frequently. The initial lesion is a large blister which then multiplies and extends. In general, neither fever nor pain appear, but it is advisable to consult a doctor .Bullous impetigo spreads through small epidemics in maternity wards and kindergartens, and the transmission of the germ often occurs through the hands of healthcare personnel. Contagion is very easy and can occur either by direct contact (with an infected child or adult) or by indirect contact (through an infected object from a sick person). The bacteria that cause impetigo can enter through a wound in the skin, for example the one that comes from cuts and scratches and in correspondence of the nasal openings.

Precautions are necessary to avoid the spread of the infection: wash the child at least once a day, medicate him twice a day and bandage the lesions, keep the child's nails short and clean by making him wash his hands often, change the towel often and wash himself hands after applying the ointment. A child with impetigo cannot attend school until at least 24 hours after starting therapy to avoid infection.