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Impetigo and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Daughter 7 years old started with impetigo - small but many with blisters (bullous?) on the buttocks and teh 10 months old small sister got it as well but on different parts of the body (legs, arms, buttocks face and back). Not very large. Me and my husband got some as well but only a few (5-6) on the buttocks, legs, back, face. We were treated with heracillin (flucloxacillin) for 12 days. The small one didn´t get any effect at all, my husband got rid of his and the last day the 7 year old got rid of hers. I had 2 left. We treated the blisters with bactroban on the skin and the small one got better, allmost free from them and me as well. 1 week later the 7 year old got them again on the but and it was starting all over again on the small one and on us.... They have taken test on the 7-year olds blisters but say that there is to little liquid to get a result. Nasopharynx i s taken on us adults but nothing there. We clean thourougly every day, wash all clothes, towels and linnen every day. shower every day and wash hands often and thouroughly. The 10 month old is having a surgery in 3 1/2 weekns- I guess not a good idea with staff infection?!! What can we do to get rid of it? After 8 weeks of cleaning and washing and not being social to avoid giving it to others we´re totally exhausted. Please help.
Doctor :   Hi
Doctor :   Dr XXXX here
Doctor :   Let me read what you have typed.
Doctor :   Since how long is the 7 year old daughter having it
User :   This time since 1 1/2 week and the small one 1 week
Doctor :   Why is the 10 month old going for surgery?
User :   SHe was born with a toe that was pointing 90 degrees over the other. so nothing serious but should be done to make her walk properly and be able to wear shoes
Doctor :   Is she completely free of Impetigo now?
User :   No as I wrote above they both have it and my husband and me too. So the question is what to do, to get rid of it!!
Doctor :   Good hygiene practices can help prevent impetigo from spreading
Doctor :   Those who are infected should use soap and water to clean their skin and take baths or showers regularly.
Doctor :   Anyone with impetigo should cover the impetigo sores with gauze and tape.
Doctor :   Everyone should keep their fingernails cut short to make hand washing more effective
User :   We know and that is what we are doing as I wrote in the first question. Doing this for 8 weeks hasn´t helped getting it back anyway. We can´t cover the imptigo everywhere on the small one but with clothers, because they are spread everywhere and her skin gets so red from the tape
User :   Thanks, doing that also allready... More things to do?
Doctor :   If your child's impetigo isn't clearing up with usual treatments, she may be infected with a resistant bacteria called MRSA
Doctor :   It may require different antibiotics to clear up the infection.
Doctor :   If it is MSRA.
User :   SHould that show when they take nasopharynx test or can you test it in the blood, faeses or some other way? Can it be in your "system"?
Doctor :   It is good that you get Nasopharynx test done.
Doctor :   After confirmation of the bacteria only effective treatment can be started.
Doctor :   Impetigo is usually contagious for twenty four hours after starting antibiotics and you should keep your child away from others until that time.
User :   If it doesn´t show anything (it didn´t when we got the small blisters "swabbed) what to do?
User :   What antibiotics do you use if it is MRSA?
Doctor :   Nasopharynx is an effective test and will help rule out the bacteria
Doctor :   Also the clinical findings are also corelated with it.
User :   Me and my husband got nasopharynx test when the whole family had it but it showed nothing, can you test it some other way. Do you have the staffs in your "system" or is it only on the skin and in your nose?
Doctor :   Amoxicillin combined with clavulanate and first generation cephalosporins are generally used in severe cases
Doctor :   Then probably you may require Post Nasal Drip test to confirm it.
User :   What is that? Is the staff infection only on your skin or also in your system(blood etc?)
Doctor :   Its mainly in the staff.
User :   How do you meen? Is it mainly on the skin or is it in the system as well?
Doctor :   Post nasal drip is mucus accumulation in the back of the nose and throat
User :   Would you recommend that if they don´t find anything on the childrens nasopharynx test done 2 days ago?
Doctor :   It can show up in the skin blisters, nasopharynx, mucus secretions.
Doctor :   Yes you can go for that.
User :   How do they do that?
Doctor :   They take the mucous accumulated at the back of throat and study for the bacteria present.
Doctor :   Are you there?
Doctor :   It seems you have moved out of chat window. Please log in back for any query
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