Have Impetigo In Right Ear. Using Moist Pads, Drill The Ear For Cell Growth. Need Factual And Expert Advice
Thanks for the query.
Impetigo is a bacterial infection of the skin and subcutaneous tissue. Characteristic presentation is with honey-colored crusts.
Usually it is recommended to gently wipe off the honey-colored crusts but since you are taking systemic antibiotics by injection, it is not necessary compulsorily to remove the crusts as the antibiotics are also acting from inside the body.
Topical Mupirocin is very effective for non-bullous impetigo, applied for 7 days course. You have mentioned you have blisters. Are they balloon like blisters? Kindly confirm.
The moist pads moistened with saline are very good in subsiding inflammation, pain and also removes the honey-colored crusts with ease. But avoid tugging and trying to remove the crusts as this can delay epithelization. The new epithelial cells usually grow into the wound in 2-5 days. Any kind of pressure or trauma will damage these cells and healing will be delayed and fear of spread of infection may occur.
Drilling tiny holes will allow pockets of epithelial cells to populate the areas and facilitate faster healing. The drilling is needed because lot of crusts and scabs present which overlap the healthy skin areas.
Eat healthy. Drink plenty of water. Avoid contact of the impetigo with water, pressure, and trauma.
I hope I have answered your query. I will be available to answer your follow up queries.
Wishing speedy recovery.
Regards,
My second question is next steps. I think I need to see an ENT at this point. Am I seeing the right kind of doctor? I'm very worried that the condition will get worse when I finish the augementin. I'm also feeling very swollen and see signs of Edema.
Any thoughts you may have would be greatly appreciated. Oh.. The blister are kind of baloon like and they HURT!!
XXXXXXX in Atlanta
Thanks for the query.
Usually moist saline gauze is applied to loosen the crusts and help to remove them so hat the Topical antibiotics have better penetration and effect.
It is highly advisable to keep the impetigous area clean and dry at other times to prevent unwanted infection.
A Dermatologist is the best specialist to evaluate skin conditions like impetigo. When blisters are present, it is called Bullous impetigo. It usually responds to antibiotics like Fucidin, Mupirocin. You may take anti-inflammatory medication after consulting your Doctor to reduce the pain and edema of the skin. If present Antibiotic therapy isn't working, another course with different antibiotics may be tried for best results.
No need to worry. Just follow precautions to keep the area clean and dry. Avoid water falling on the affected area; avoid any pressure on the area as well. Follow your Doctor's advice and have complete faith in your Doctor for best Results.
I hope I have answered your queries.
Wish you a speedy recovery.
Regards,