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impetigo - Coggle Diagram
impetigo
Differential
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fungal skin infection such as: candidiasis, tinea corporis
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viral infection: chicken pox, herpes simplex
non infective skin condition: drug reaction, atopic or contact dermatitis, eczema, insect bite, burn and scalds, other skin disorders
diagnosis
Clinical features including onset, evolution, duration and location of lesions Contacts with similar rash PMH - pre-existing skin conditions or immunosuppression Diagnosis Other risk factors such as trauma (abrasions/insect bites) Previous treatment including antimicrobial therapy
Clinical features of impetigo such as bullae or yellow exudate forming crust Features of systemic involvement such as lymphadenopathy or fever Signs of conditions which may present similarly to impetigo
.Clinical diagnosis usually made and investigations not required Swabs for culture and sensitivity should be considered in cases which are persistent despite treatment, recurrent or widespread.
Definition
impetigo is a common superficial bacterial skin infection. there are two types of impetigo: non bullous accounting for 70% of cases and bullous a skin eruption characterised by bullae, fluid filled lesions over 1 cm in diameter
this highly contagious condition can be classified as primary and secondary bacterial infection,
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follow up
if symptoms worsen rapidly or significantly at any time or have no improved after completing course of treatment: reassess, check for compliance, consider alternative DX, consider ABX, if symptoms recurrent send skin swab, if the person is systemically unwell or serious complication of impetigo have developed consider referral/specialist advice
Bullous impetigo
refer the person to hospital if a serious complication is suspected, such as deep tissue infection or sepsis, of if the person is immunosuppressed and infection is widespread
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follow up
if symptoms worsen rapidly or significantly at any time or have not improved after completing a course of treatment: reassess the person, check compliance, consider alternative DX, consider ABX, consider sending swab
if symptoms recurrent send skin swab, consider nasal swab, if the person is systemically unwell or serious complications of impetigo have developed consider specialist referral