Impetigo

  1. General information
    1. Superficial bacterial infection of the outer layers of skin (usually staphylococcus or streptococcus)
    2. Common in toddlers and preschoolers
    3. Related to poor sanitation
    4. Very contagious
  2. Medical management: topical and systemic antibiotics
  3. Assessment findings
    1. Well-demarcated lesions
    2. Macules, papules, vesicles that rupture, causing a superficial moist erosion
    3. Moist area dries, leaving a honey-colored crust
    4. Spreads peripherally
    5. Most commonly found on face, axillae, and extremities
    6. Pruritus
  4. Nursing interventions
    1. Implement skin isolation techniques.
    2. Soften the skin and crusts with Burrow's solution compresses.
    3. Remove crusts gently.
    4. Cover draining lesions to prevent spread of infection.
    5. Administer antibiotics as ordered, both orally and as bacteriocidal ointments.
    6. Prevent secondary infection.
    7. Provide client teaching and discharge planning concerning
      1. Medication administration
      2. Proper hygiene techniques

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