Materiały źródłowe

• #1 Impetigo (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK568809/

  Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria. It most commonly presents as erythematous plaques with a yellow crust and may be itchy or painful. The lesions are highly contagious and spread easily. Diagnosis is typically based on the symptoms and clinical manifestations alone. Treatment involves topical and oral antibiotics and symptomatic care. […] […] Children with impetigo should maintain good personal hygiene and avoid other children during the active outbreak. It is important to wash hands, linens, clothes and affected areas that may have come into contact with infected fluids. Sores can be covered with a bandage to help prevent spread by contact. If impetigo is recurrent, evaluation for carriage of the causative bacteria should be performed. The nose is a common reservoir and carriers can be treated with mupirocin (Bactroban Nasal) applied in the nostrils. […]

• #2 Impetigo – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/impetigo/symptoms-causes/syc-20352352

  Impetigo is a common and highly contagious skin infection that mainly affects infants and young children. It usually appears as reddish sores on the face, especially around the nose and mouth and on the hands and feet. Over about a week, the sores burst and develop honey-colored crusts. […] Treatment with antibiotics can limit the spread of impetigo to others. Keep children home from school or day care until they’re no longer contagious usually 24 hours after beginning antibiotic treatment. […] If you suspect that you or your child has impetigo, consult your family doctor, your child’s pediatrician or a dermatologist. […] Impetigo is caused by bacteria, usually staphylococci organisms. […] Keeping skin clean is the best way to keep it healthy. It’s important to wash cuts, scrapes, insect bites and other wounds right away.

• #3 Clinical Guidance for Group A Streptococcal Impetigo | Group A Strep | CDC

  https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/impetigo.html

  Both Streptococcus pyogenes and Staphylococcus aureus can cause non-bullous impetigo. […] Diagnosed by physical examination, impetigo is treated with oral or topical antibiotics that target both bacteria. […] Antibiotic treatment and covering lesions are key prevention strategies. […] Impetigo is most common among children 2 through 5 years of age. […] Contact with someone else with impetigo is the most common risk factor for infection. […] Poor personal hygiene, including lack of proper hand, face, or body hygiene, can increase someone’s risk of impetigo. […] Antibiotics are used to treat impetigo: Oral: Use with multiple lesions; Topical (mupirocin or retapamulin): Use with only a few lesions. […] Antibiotic treatment should target both group A strep and S. aureus. […] People with impetigo can return to school or work at least 12 hours after initiating antibiotic treatment. Their lesions should be covered. […] People with impetigo should cover their lesions to help prevent spreading the infection to others and to other body parts. […] Good hand hygiene and respiratory etiquette can reduce the spread of group A strep bacteria.

• #4 Patient education: Impetigo (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/impetigo-beyond-the-basics/print

  Impetigo is a contagious skin infection that usually affects children between the ages of two and five years, but it can also affect older children and adults. It can develop if bacteria get into healthy skin or into minor cuts, scrapes, or any other small openings (such as those caused by bug bites). The infection usually occurs in warm, humid conditions and is easily spread among people in close contact, particularly in crowded living conditions. Other terms for impetigo are pyoderma and impetigo contagiosa. […] Impetigo is usually caused by a bacterium called „Staphylococcus aureus,” a type of „staph” infection. Less commonly, the infection is caused by either another bacterium called streptococcus group A, or „strep,” or by both bacteria. […] If you have impetigo, your doctor or nurse can usually diagnose the condition just by looking at the affected parts of your skin. In some cases, your doctor or nurse will take samples of pus from one of the blisters to confirm the presence of bacteria, but that is not always necessary.

• #5 Impetigo

  https://www.pcds.org.uk/clinical-guidance/impetigo

  Impetigo is a contagious bacterial infection of the superficial skin, predominantly occurring in children. There are two forms, the more common non-bullous impetigo, often referred to simply as impetigo, and bullous impetigo. […] Impetigo can affect people of all races. […] Although impetigo can affect any age, the non-bullous form is most common in children 2-5 years of age, and bullous impetigo under the age of 2 years. […] Impetigo is usually asymptomatic or mildly itchy. […] Multiple lesions arise, most commonly on exposed sites such as the face (particularly around the nose and mouth) and limbs, or in the flexures, especially the axillae. […] The initial lesion is a very thin-walled vesicle on an erythematous base, which ruptures easily and is seldom observed. […] The exudate dries to form golden yellow or yellow-brown crusts, which tend to be thicker in streptococcal infections.

• #6 Impetigo (school sores, skin infections): Images, Causes, and Symptoms — DermNet

  https://dermnetnz.org/topics/impetigo

  Impetigo is a common, superficial, highly contagious bacterial skin infection characterised by pustules and honey-coloured crusted erosions. […] Impetigo is most common in young children but can occur at any age. It is usually transmitted through direct contact. […] Risk factors which may predispose an individual to impetigo include: Skin conditions: atopic dermatitis, contact dermatitis, scabies, chickenpox; Skin trauma: lacerations, insect bites, thermal burns, abrasions; Immunosuppression; Warm, humid climate; Poor hygiene; Crowded environments. […] Impetigo is caused by Staphylococcus aureus, and less commonly Streptococcus pyogenes. […] Impetigo is usually a clinical diagnosis based on the features described above. […] Regular gentle cleansing; removal of honey-coloured crusts.

• #7 Impetigo: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/impetigo/?srsltid=AfmBOoq4K4J6UbxW3ngIs-YDFnh3n2d-iyFnnXU1vIM4rhjlUKf_M6Q_

  Impetigo Nursing Care Plan Considerations […] The nursing assessment for a person with impetigo should include a complete physical and a focused evaluation of their medical history. While assessing and interviewing the individual with suspected impetigo, consider the following: Symptoms of impetigo, such as: Pruritis, Pain, Presence of and characteristics of lesions. Symptoms of a systemic infection, such as: Fever, Elevated white blood cell count, Increased respiratory rate. History of a pre-existing skin disorder (i.e., scabies or eczema). History of skin trauma. Familial history of impetigo. Hygienic practices. […] When presenting with a recent history of impetigo, you should ask the person if they have received treatment. If the treatment was prescribed, ask: Was it treated with an over-the-counter medication or a prescribed medication? How long was it treated? Was the treatment effective? Answers to these questions may assist in determining treatment of refractory impetigo.

• #8 Impetigo: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/impetigo/?srsltid=AfmBOoq4K4J6UbxW3ngIs-YDFnh3n2d-iyFnnXU1vIM4rhjlUKf_M6Q_

  Impetigo Nursing Diagnosis/Risk For […] Deficient diversional activity related to imposed isolation from peers. Disruption in usual play activities. Impaired comfort related to infection of the skin. Impaired skin integrity related to infectious disease. Risk for infection transmission to others. […] Interventions […] Nursing interventions for a person with impetigo may include: Following isolation precautions. Assessing medical history. Completing a physical assessment. Administering medications as ordered. Educating them and their family. […] Expected Outcomes […] In general, impetigo is self-limited, and lesions heal without scarring. Treatment speeds the healing process and aids in faster symptom relief. When treated, impetigo resolves within 10 days. Untreated impetigo typically resolves within 21 days. Complications of impetigo are rare and usually related to antibiotic treatment failure or untreated impetigo. However, post-streptococcal glomerulonephritis is possible after completing antibiotic therapy. Other complications include: Systemic infection, Cellulitis, Inflammation or infection of the lymphatic system.

• #9 16.11 Impetigo – Nursing Health Promotion

  https://wtcs.pressbooks.pub/healthpromo/chapter/16-11-impetigo/impetigo2020/

  Impetigo is a contagious bacterial infection in the superficial layers of the skin. […] Nursing priorities for clients with impetigo include symptom management and the prevention of complications. […] Nursing diagnoses for clients with impetigo are created based on the specific needs of the client, their signs and symptoms, and the etiology of the disorder. […] Possible nursing diagnoses for clients with impetigo are as follows: Impaired skin integrity r/t disease process, Risk for infection r/t potential for self-contamination, Hyperthermia r/t disease process. […] Sample expected outcomes for impetigo include the following: The client will exhibit intact skin with minimal scarring by the end of the disease course, The skin of the client will not exhibit signs of secondary infection during the course of the illness, The client will exhibit a temperature that is within normal limits for age within 24 hours of medical treatment.

• #10 Nursing Care Plan (NCP) for Impetigo | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-impetigo

  The primary goal is the complete resolution of impetigo lesions, including the disappearance of red sores, blisters, and honey-colored crusts. […] The patient should experience relief from itching and discomfort associated with impetigo, indicating the successful management of symptoms. […] To prevent the spread of infection and potential complications, such as cellulitis or post-streptococcal glomerulonephritis, through timely and effective treatment. […] Achieving a negative bacterial culture from skin swabs indicates the eradication of the causative bacteria, confirming the effectiveness of the chosen treatment. […] Educating and encouraging patients and caregivers to adopt improved hygiene practices to prevent the recurrence of impetigo and minimize the risk of bacterial skin infections in the future.

• #11 Impetigo – Wikipedia

  https://en.wikipedia.org/wiki/Impetigo

  Antibiotics, either as a cream or by mouth, are usually prescribed. Mild cases may be treated with mupirocin ointments. In 95% of cases, a single seven-day antibiotic course results in resolution in children. […] Without treatment, individuals with impetigo typically get better within three weeks. Complications may include cellulitis or poststreptococcal glomerulonephritis.

• #12 Nursing Care Plan (NCP) for Impetigo | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-impetigo

  Perform a comprehensive inspection of the affected areas to identify characteristic impetigo lesions, such as red sores, blisters, and honey-colored crusts. […] Inquire about the presence and severity of itching and discomfort, as these symptoms can impact the patients well-being. […] Apply prescribed topical antibiotics to impetigo lesions as directed by the healthcare provider. Ensure that the affected areas are covered with the medication. […] Instruct the patient and caregivers on proper wound care, emphasizing gentle cleansing of impetigo sores with mild soap and water. Avoid picking at crusts to prevent further infection. […] Educate the patient and caregivers about the contagious nature of impetigo and the importance of maintaining good personal hygiene to prevent re-infection and transmission.

• #13 Impetigo (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK568809/

  Document type and location of skin lesions. Teach patient about wound care. Educate the patient not to touch lesions and washing hands. Educate caregiver on contact precautions. Assess fever. Administer antibiotics as prescribed. Educate the patient not to scratch the lesions. Educate patient about the disease. Educate about follow up because some patients may develop glomerulonephritis. Educate caregiver to keep the child at home for 48 hours after antibiotics have started because the infection is highly contagious. […] […] Impetigo is usually managed by a multidisciplinary team that consists of a nurse practitioner, primary care provider, pediatrician, and a dermatologist. Topical antibiotics alone or in conjunction with systemic antibiotics are used to treat impetigo. Antibiotic coverage should cover both S aureus and S pyogenes (i.e. GABHS). While untreated impetigo is often self-limiting, antibiotics decrease the duration of illness and spread of lesions. In addition, antibiotic treatment decreases the chances of complications involving kidneys, joints, bones, and lungs, as well as acute rheumatic fever.

• #14 Impetigo, Contagious Skin Infection: Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/15134-impetigo

  Impetigo treatment includes antibiotics. A provider may prescribe topical antibiotics to put directly on your child’s skin. Impetigo treatments may also include an oral antibiotic (a liquid or pill taken by mouth) if the impetigo covers a large area of your child’s skin or multiple body parts. […] Impetigo medication may include: topical mupirocin (Bactroban or Centany) ointment. Oral antibiotics such as cephalosporins, clindamycin (Cleocin) and sulfamethoxazole (Bactrim). […] Taking care of your child’s skin can help clear up an impetigo infection faster. Skincare steps you can take to get rid of an impetigo infection quickly include: dab the infected skin with warm soapy water to gently remove crusts. Apply the prescribed antibiotic the way your provider suggested. Place a bandage over the infected area. This will help promote healing and prevent the infection from spreading.

• #15 Impetigo NCLEX Review

  https://www.registerednursern.com/impetigo-nclex-review/

  Treatment: topical or oral (severe cases) antibiotics […] Remove the crust prior to applying antibiotic ointment with warm water and antibacterial soap. WHY? This is where the bacteria live and the ointment needs to come into contact with the skin to kill the bacteria. […] Its contagious until the site is completely healed (it can be weeks) if NOT on treatment […] Educate about completing full regime of treatment, especially if the patient has strep impetigo: can develop glomerulonephritis […] Home education: separate linens, clothes, towels, toys etc. hand hygiene among family members, and child.

• #16 Impetigo NCLEX Review

  https://www.registerednursern.com/impetigo-nclex-review/

  As a nursing student, you must be familiar with impetigo and how it affects the pediatric population. In addition to the signs and symptoms, nursing interventions, and treatment for this condition. […] It is VERY contagious and can be spread easily. As the nurse it is important to educate the child’s parent about using separate linens, towels, toys etc. […] Prevention of spreading to other areas of the patients body (Touching the site can spread it to another site on the body), others, and yourself! […] Meticulous hand hygiene along with placing the patient in contact precautions, if hospitalized. […] Keep the child from scratching or touching sites on the body and keep the nails short along with performing regular hand hygiene with antibacterial soap (important for parents and other children in the home to follow as well).

• #17 Impetigo, Contagious Skin Infection: Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/15134-impetigo

  Impetigo may go away on its own in a few weeks. Still, healthcare providers recommend treating it for several reasons: you reduce your risk of developing complications. You reduce your risk of spreading the infection to others. Without treatment, the infection can go deeper into your skin and possibly cause new sores or blisters to develop. […] If your healthcare provider diagnosed you or your child with impetigo, these treatment tips can help: keep sores covered: bandage sores or wear long sleeves and pants. Take all medication: use your antibiotics for the full length of time your provider prescribed them to prevent re-infection. Stay clean: wash the skin gently a few times a day using antibacterial soap. This will remove crusts and drainage. Avoid touching the rash: if you do touch it, wash your hands and the exposed area with soap and water. Isolate children: if your child has impetigo, keep them away from other children for at least the first 48 hours of treatment. They shouldn’t go to school or daycare. Avoid hot tubs and swimming pools: the rash can spread if others come into contact with your child’s skin, swimsuit or towel.

• #18 Impetigo – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/impetigo/symptoms-causes/syc-20352352

  To help prevent impetigo from spreading to others: Gently wash the affected areas with mild soap and running water and then cover lightly with gauze. Wash an infected person’s clothes, linens and towels every day with hot water and don’t share them with anyone else in your family. Wear gloves when applying antibiotic ointment and wash your hands thoroughly afterward. Cut an infected child’s nails short to prevent damage from scratching. Encourage regular and thorough handwashing and good hygiene in general. Keep your child with impetigo home until your doctor says they aren’t contagious.

• #19 Impetigo: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/impetigo/?srsltid=AfmBOoq4K4J6UbxW3ngIs-YDFnh3n2d-iyFnnXU1vIM4rhjlUKf_M6Q_

  Patient/Caregiver Education […] Education is imperative to prevent the spread of infection to others. Provide instruction about: The disease process, Signs and symptoms of complications (e.g., decreased renal function), Isolation precautions, The importance of handwashing and good hygiene, Care of the site of infection, The importance of avoiding touching or scratching lesions, Following the providers instructions regarding staying home from school/work.

• #20 Impetigo (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/impetigo.html

  Children can usually return to school or daycare 24 hours after starting treatment. […] Keeping skin clean can help prevent impetigo. Kids should wash their hands well and often and take baths or showers regularly. Pay special attention to skin injuries (cuts, scrapes, bug bites, etc.), areas of eczema, and rashes such as poison ivy. Keep these areas clean and covered. […] Anyone in your family with impetigo should keep their fingernails cut short and the impetigo sores covered with gauze and tape. […] To prevent impetigo from spreading among family members, make sure everyone uses their own clothing, sheets, razors, soaps, and towels. Separate the bed linens, towels, and clothing of anyone with impetigo, and wash them in hot water. Keep the surfaces of your kitchen and household clean. […] Call the doctor if any of your kids have signs of impetigo, especially if they’ve been around a family member or classmate with the infection.

• #21 Impetigo Treatment & Management: Approach Considerations, Topical Antibiotic Treatment, Systemic Antibiotic Treatment

  https://emedicine.medscape.com/article/965254-treatment

  Treatment of impetigo typically involves local wound care along with antibiotic therapy. Antibiotic therapy for impetigo may be with a topical agent alone or a combination of systemic and topical agents. […] Gentle cleansing, removal of the honey-colored crusts of nonbullous impetigo using antibacterial soap and a washcloth, and frequent application of wet dressings to areas affected by lesions are recommended. Good hygiene with antibacterial washes, such as chlorhexidine or sodium hypochlorite baths, may prevent the transmission of impetigo and prevent recurrences, but the efficacy of this has not been proven. […] For antibiotic therapy, the chosen agent must provide coverage against both Staphylococcus aureus and Streptococcus pyogenes. […] Topical mupirocin or retapamulin is adequate treatment for single lesions of nonbullous impetigo or small areas of involvement. Systemic antibiotics are indicated for nonbullous impetigo with extensive involvement, in athletic teams, childcare clusters, multiple family members, or for bullous impetigo.

• #22 Impetigo Treatment & Management: Approach Considerations, Topical Antibiotic Treatment, Systemic Antibiotic Treatment

  https://emedicine.medscape.com/article/965254-treatment

  In patients with bullous impetigo who present to the emergency department with large areas of involvement resulting in denuded skin from ruptured bullae, management also includes intravenous fluid resuscitation. […] Inpatient care is required for patients with impetigo who have widespread disease or for infants at risk of sepsis and/or dehydration due to skin loss. […] A clinical guideline summary from the Infectious Diseases Society of America that includes recommendations on impetigo, Practice guidelines for the diagnosis and management of skin and soft-tissue infections, may be helpful. […] Topical antibiotic therapy is considered the treatment of choice for individuals with uncomplicated localized impetigo. […] Mupirocin ointment (Bactroban) has been used for both the lesions and to clear chronic nasal carriers.

• #23 Impetigo Treatment & Management: Approach Considerations, Topical Antibiotic Treatment, Systemic Antibiotic Treatment

  https://emedicine.medscape.com/article/965254-treatment

  Retapamulin (Altabax) ointment is in a relatively new class of topical antimicrobials. […] In more than 1900 patients evaluated in several comparative studies, retapamulin has been demonstrated to be as effective as topical fusidic acid and oral cephalexin, with a low rate of adverse events. […] Other topical antibiotics have been reported to have some benefit for the treatment of impetigo. […] Infections that are widespread, complicated, or are associated with systemic manifestations (outbreaks of poststreptococcal glomerulonephritis) are usually treated with antibiotics that have gram-positive bacterial coverage. […] Beta-lactamase-resistant antibiotics (eg, cephalosporins, amoxicillin-clavulanate, dicloxacillin) are recommended as S aureus isolates from impetigo are usually methicillin-susceptible.

• #24 Impetigo: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0815/p229.html

  Topical antibiotics have the advantage of being applied only where needed, minimizing antibiotic resistance and avoiding gastrointestinal and other systemic adverse effects. The length of time of topical treatment varies based on product, but in clinical trials, a seven-day course was more effective than placebo for resolution of impetigo. […] Oral antibiotic therapy can be used for impetigo with large bullae or when topical therapy is impractical. Treatment for seven days is usually sufficient, but this can be extended if the clinical response is inadequate and antibacterial susceptibility has been confirmed. […] The incidence of MRSA-related skin and soft tissue infections was increasing, but more recent studies show it may be declining. No studies have specifically identified a problem with MRSA-related impetigo in adults or children, but cultures may still be useful in some settings. If MRSA infection is suspected, initial treatment with trimethoprim/sulfamethoxazole, clindamycin, or a tetracycline (doxycycline or minocycline) is recommended pending culture results.

• #25 Impetigo Treatment & Management: Approach Considerations, Topical Antibiotic Treatment, Systemic Antibiotic Treatment

  https://emedicine.medscape.com/article/965254-treatment

  Children with impetigo should avoid close contact with other children if possible. […] Inspect household members for impetiginous lesions. […] Treat traumatized skin with mupirocin because this has been shown to decrease the rates of impetigo spread. […] Teach good personal hygiene. […] For patients with recurrent impetigo, asymptomatic family members, and S aureus nasal carriers, prescribe 2% mupirocin cream or ointment (Bactroban) for application inside nostrils 3 times per day for 5 days each month to reduce colonization in the nose. […] The need for consultation is determined by the extent of involvement and the age of the patient. […] Follow-up is important to ensure complete clearing of lesions.

• #26 Impetigo | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/impetigo/

  If you think that the infection has spread to someone else, make sure theyre seen by a pharmacist as soon as possible. […] To reduce the risk of impetigo returning, make sure any cuts, scratches or bites are kept clean. Ensure any condition that causes broken skin, such as eczema, is treated promptly. […] If you develop impetigo frequently, your doctor may suggest taking a swab from around your nose to see if you carry staphylococcal bacteria. […] If youre found to carry these bacteria, you may be prescribed an antiseptic nasal cream to apply several times a day for 5 to 10 days in an attempt to clear the bacteria and reduce the chances of impetigo recurring.

• #27 Nursing Care Plan (NCP) for Impetigo | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-impetigo

  Schedule follow-up appointments to monitor the progress of impetigo treatment. Assess for any adverse reactions to medications and ensure compliance with the prescribed regimen. […] Evaluate the patients skin for the resolution of impetigo lesions. Assess whether the sores have healed, and crusts or scabs have fallen off, indicating successful treatment. […] Monitor for the absence of new impetigo lesions. A lack of new sores suggests that the implemented interventions have effectively controlled the spread of the infection. […] Assess the patients compliance with the prescribed treatment plan, including the use of topical antibiotics and adherence to hygiene practices. Non-compliance may impede the healing process. […] Evaluate whether the patient has become less contagious by observing improvements in isolation precautions and a decrease in the risk of transmitting impetigo to others. […] Engage in discussions with the patient and caregivers to assess their understanding of impetigo, its causes, and preventive measures. Ensure that they are well-informed to prevent recurrence and manage potential future outbreaks effectively.

• #28 Impetigo: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.impetigo-care-instructions.abq1873

  Apply antibiotic ointment exactly as instructed. […] If your doctor prescribed antibiotic pills, take them as directed. Do not stop using them just because you feel better. You need to take the full course of antibiotics. […] Gently wash the sores with clean water each day. If crusts form, your doctor may advise you to soften or remove the crusts. You can do this by soaking them in warm water and patting them dry. This can help the cream or ointment work better. […] After you touch the area, wash your hands with soap and water. Or you can use an alcohol-based hand sanitizer. […] Don’t share items such as towels, sheets, and clothing until the infection is gone. […] Wash anything that may have touched the infected area. […] Try to avoid scratching the area. […] When should you call for help? […] Watch closely for changes in your health, and be sure to contact your doctor if: […] You have symptoms of a worse infection, such as: […] Increased pain, swelling, warmth, or redness. […] A fever. […] Impetigo gets worse or spreads to other areas. […] You do not get better as expected.

• #29 Impetigo in Children: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.impetigo-in-children-care-instructions.tw12201

  Gently wash the sores with clean water each day. If crusts form, your child’s doctor may advise you to soften or remove the crusts. Do this by soaking them in warm water and patting them dry. This can help the cream or ointment work better. […] After you touch the area, wash your hands with soap and water. Or you can use an alcohol-based hand sanitizer. […] Trim your child’s fingernails short to reduce scratching. Scratching can spread the infection. […] Do not let your child share towels, sheets, or clothes with family members or other kids at school until the infection is gone. […] A child can usually return to school or day care after 24 hours of treatment. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child has signs of a worse infection, such as: Increased pain, swelling, warmth, and redness. A fever. […] Impetigo gets worse or spreads to other areas. […] Your child does not get better as expected.

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