Impochigo causes the occurrence. Impetigo. Causes, symptoms, signs, diagnosis and treatment of pathology.

Impochigo causes the occurrence. Impetigo. Causes, symptoms, signs, diagnosis and treatment of pathology. - Outdoor ointment

17.09.2020 Popular treatment

Impetigo - This is a very infectious dermatological disease, the causative agent of which is streptococci and staphylococci. Most often, the disease is diagnosed in preschool and junior children. school age. It has an epidemic character, outbreaks of disease are observed in kindergartens, schools and families. The disease is very dangerous by its complications, so the first thing doctors make is to establish an infection source and isolate it. At the initial stage, red spots appear on the surface of the skin, then small bubbles with purulent content are formed. After some time, they open, they appear on their place - dry crusts. Touching the affected area is quite painful. The impetition in children is diagnosed more often. In adults, infection often occurs during shaving, the percentage of morbidity in men is higher than that of women. The staphylococcal, streptococcal and mixed (vulgar) type of pathology are distinguished. The disease relates to infectious diseases transmitted by the contact path. The children visiting Nasli, kindergartens and schools are most susceptible to infection. The epidemic may touch only a few people, and may hit the whole group, class. Impochigo is dangerous with its complications - inflammatory processes in the internal organs, so the outbursts of the disease attract close attention of specialists.

Features of impetigo

In dermatology, impetigo is classified for reasons and clinical manifestations. Distinguish:

Streptococcal (contagious) impetigo, often emerging in children and women due to the defeat of the skin of streptococci. It, in turn, is divided into:

Bullese impetigo. The most dangerous variety is accompanied by rashes in the form of a bull with a purulent content of up to 20 mm. Localization - on the upper and lower limbs. Bullys are rapidly incremented in size, open, crusts are formed in their place. During the disease, the nails are fragile and smell, the patient is bothering headaches, the temperature rises, weakness and a sense of indisposition appear, chronic diseases are exacerbated.
Slim-like impetigo ("Sound"). More often develops in those who sleep with open mouth or often licks lips. During sleep, the saliva falls into the corners of the mouth, the pustulas are formed on the lips, after a while they appear on the wings of the nose, in the eye area. Then the erosion is formed in the shape of a pitch, the skin around is strained, the pain is felt. The skin is restored long, especially in the corners of the mouth - the movement of the lips all the time disrupts the formable epithelium.
Vegetable impetigu. It is accompanied by spontaneous propagation of bubbles with purulent contents, the formation of erosions in their place, then - long non-healing purulent crusts.
Round-shaped impetigo. Bully is formed on the skin, which burst and are covered with crusts in the center, and along the edges continue to grow, forming peculiar rings.
Syphilo-like impetigo. Diagnosed in children in the first year of life, striking the skin in the field of buttocks. First, bubbles appear (flux), then they are revealed and form erosion with infiltrates (thickening) at the base resembling solid Shankr. At the stage of recovery, erosion is covered with dry crusts, dropping, they do not leave the trace.
Dry piederma (simple deprived). Abspective form of an impetigo arising on the face in children. Accompanied by pink stains and peeling of amazed skin. Spots disappear under the influence of ultraviolet, often areas with explicit depigmentation remain in their place.
Interpheric streptodermia. Due to the permanent presence of sweat in the folds of the skin, rashes are formed - solid painful areas of erosion, with a wedge from the remnants of the epidermis along the edges and tight borders. There is a feeling of itching, gradually the lesions are expanding.
Impetigo mucous. IN oral cavity, in the language, mucous eye, nasal strokes and adhesions are formed AFTs - rash in the form of small bubbles with pus inside.
Staphylococcal (Bokharto, Ostiophollyculite). Most often develops in children, adolescents and men who do not comply with the rules of hygiene. The rash is formed in the mouth of the hair follicle, in the absence of treatment transformed into the carbuncules. There are two forms of ostiopholic acid:
Deep folliculitis (bullous form). The pathogen is a golden staphylococcus, which provokes the formation of a rash in the form of nodules with a diameter of up to 5 mm on site of the hair follicle. Gradually, they become denser, penetrated deeper into the skin fabrics, the vessels are affected. Among the symptoms there are signs of intoxication, after cure on the site of the nodules there are small scars.
Surface folliculitis (nebool form). The causative agent is white staphylococcus, provoking the formation of small purulent bubbles with a diameter of up to 1.5 mm. The foci of rashes are not expanding, the bubbles quickly dry, are covered with crusts that quickly disappear and leave no traces.
Vulgar (mixed) impetigo. It develops with the complication of streptococcal form staphylococcus. The rashes are accompanied by itching, due to the calculations, the risk of infection with secondary infection increases. The rash in the form of the bulb multiple, after the opening is covered with thick crusts, the pain is felt. It is localized on the face, neck, joints, genitals, in the area of \u200b\u200bnipples. In the absence of treatment through bed linen and hygiene products, it applies throughout the body, affecting regional lymph nodes.

Symptoms of impetigo

After the penetration of staphylococcal or streptococcal infections on the skin appear painful red tubercles. After some time, bubbles with a red wedge diameter up to 5 mm are formed in their place. They are filled with light turbid liquid. During the day (two), they open, forming mocking ulcers that dried and covered with yellowish crusts. After 5-7 days, the crusts disappear, in some cases the scars remain, in some - no.

In children, the symptoms of the impetigo first appear behind the ears, on the wings of the nose, in the corners of the mouth. These are stressful bubbles, after the opening of which red ulcers with cracks in the center are formed. After 2-3 hours, they are covered with crusts that are destroyed every time when the mouth is opened, which causes pain. Sometimes rashes are observed on the mucous membrane. In some cases, only mucous eyes, nasal passages and mouth are affected.

With mixed impetigo, the bubbles in adults are filled with pus, after opening are covered with thick crusts. Such rash is most often formed on the face, the infection is transferred in hand, so it quickly spreads throughout the body. In the absence of treatment, the lymphatic nodes come to the affected areas.

Causes of impetigo

Causes of impetigo in adults and children- Staphylococcal or streptococcal infection, penetrating into the upper layers of the epidermis. Infection occurs through abrasions, wounds, calculations, cracks, sometimes - through the mouth of the hair follicle. Streptodermia can develop against the background of other dermatological diseases in which the integrity of the skin is disturbed.

Increase the risk of the disease following factors:

Late treatment of wounds.
Low immunity.
Increased humidity.
Heat.
Non-compliance with hygiene rules.
Obesity.
An unfavorable sanitary and epidemiological situation.
Sugar diabetes, atherosclerosis.
Infectious and dermatological diseases that are accompanied by itching.
Improper use of creams, ointments with antibacterial and
hormonal components.
Contact with patients with streptodermia.

Into children

In 90% of cases, the invoices in children develop due to infection with staphylococci or / and streptococci. On the skin, bubbles with transparent or turbid liquid inside are formed. Infection occurs when contacting the sick child and quickly spreads among children of one group in kindergarten or one class at school. The first manifestations can be noticed in the corners of the mouth, on the wings of the nose, behind the ears. In the absence of treatment, rash diverges throughout the body. The disease is dangerous by its complications, especially in childhood, Therefore, it requires immediate treatment and insulation of the patient.

Diagnosis of impetigo

The diagnosis establishes a dermatologist based on visual inspection and clinical picture. If necessary, it prescribes dermatoscopy. Additionally, you may need:

Sowing the antibiotics separated on the flora and action.
Coloring smears in gram.

Independent diagnosis of impetigo and self-medication is invalid. The disease should be differentiated from Sicoza, herpes, dermatomycosis, windmills, herpetyiform and contact dermatitis.

Treatment of impetigo

The treatment of impetigo requires an integrated approach, its foundation is local therapy. Until the recovery, damaged areas of the skin are prohibited; they should be treated with alcoholic salicylic acid. After removing crusts, damaged areas must be lubricated with fuccinic or green, to process with anti-inflammatory and antibacterial ointments (flumetazon with cliqueinol, erythromycinic 1%, etc.). With long-term flow, antibiotics are prescribed, with a nebulose form, Mupirocin is used (3 times a day). Places that were cleared of crusts, gently wash with warm water 2-3 times a day. Required hygiene rules.

The course of treatment of the nebullese form of impetigo - 7 days (with minor rash), 10 days (with multiple). For the treatment of bullious shape takes 10 days. If there are no improvements, the doctor prescribes antibiotics:

Cephalexin - 25-50 mg / kg 4 times a day Children and 250 mg / kg 4 times a day with adults.
Erythromycin - 30-40 mg / kg 4 times a day. Children, 0.5 g after 4-6 hours adults.
Amoxicillin - 20-40 mg / kg 3 times a day for children up to 2 years, 125-250 mg 3 times a day for children after 2 years, 500 mg 3 times a day with adults.

Complete recovery with proper treatment and the absence of complications occurs after 7-10 days.

Complications for impetigo

The most dangerous complications that can develop against the background of the impetigo are jade and myocarditis. In some cases, the disease is complicated by phlegmon and abscesses.

Prevention of impetigo

Prevention is reduced to the elimination of provoking factors. Need to:

Observe personal hygiene rules.
Strike your nails in a timely manner.
Immediately process injuries and skin damage.
Avoid contacts with patients with impetigo.
Timely treat other dermatological diseases.
Strengthen immunity.

With the appearance of the first signs of the disease, contact the dermatologist, which will identify the accurate diagnosis and will assign proper treatment.

The caused by streptococci and staphylococci, the impetigo in children - the skin disease, which is characterized by the lesion of the upper layers of the skin. Often this unpleasant disease arises against the background of other allergic and skin diseases. In this case, the impetigo is classified as secondary, in the opposite - primary.

Manifestations can scare parents - the symptoms of the impetigo look very unpleasant and, in addition to other parts of the body, are often localized on the face. However, a timely visit to the doctor will allow without any special problems to detect and eliminate the source, the most accurately getting rid of and selfie.

In this article, you will learn the reasons why the invoices may appear in children, his symptoms and signs, as well as modern methods Treatment and prevention, which are used, along with folk remedies to combat this skin disease.

What is an impetue in children?

An impetigo in a child is a contagious bacterial infection of the skin caused by staphylococci (more than 90% of cases) or streptococci. In case of impetigo on the skin, bubble-gunned rashes are formed. The impetigo can develop from any skin injury, for example, insect bite, cut or abrasion, as well as as a result of irritation caused by a runny nose. A child can extend the infection to other parts of his body, combing guns that appeared, and infect healthy people With direct contact, just touching them. Also bacteria can be transmitted through the surface that touched the infected kid, and then healthy.

If the causative agent of infection is staphylococcus, bubbles filled with transparent liquid appear on the skin. They are easily bursting, forming wet shiny specks, which are soon covered with a yellow crust. The appearance of an impetigo does not depend on the time of year, but still it is most common in warm weather when cuts and abrasions from the outdoor games are more likely.

With streptococcal impetigo on the skin, painful red rash appears in the form of tubercles, which are gradually converted into small bubbles up to 5 mm in diameter with watery content. The rashes may be single or collected in groups, often surrounded by a narrow rim of red-free skin. They quickly open.

After breaking bubbles, weaving surface red ulcers appear, they later cover their crusts of honey colors, dropping in 5-7 days. Most often, such rashes appear in the open parts of the body face, the legs, the brushes. Children are particularly often affected by the angles of the mouth (streptococcal housing), the wings of the nose, the folds of the skin behind the ear sinks.

Sometimes the impetue occurs isolated in the mouth, where there are painful erosion, covered with purulent raid on the site of rapid bubbles.

With staphylococcal impetigo (folliculitis), pustulas (bunting), reaching the magnitudes of the pea appear in the mouths of Sralaya-hair follicles. Folliculite can be superficial or deep. With a combination of streptococcal and staphylococcal infection, a mixed (vulgar) impetigo develops, at which the contents of bubbles are purulent, and the crusts are massive.

Vulgar impetigo most often occurs on the skin of the face, less often torso and limbs. The rashes are multiple. Regional lymph nodes become painful and sweaty. Take a child from kindergarten \\ school when any signs of infection are found. Try neatly remove hard scintings.

Spindles on the skin need to wipe disinfectant solutions (for example, camphor or salicyl alcohol). Separate bubbles are opened and treated with greenflaws, after which an ointment with antibiotics (for example, erythromycin) is applied. Such processing is carried out 3-4 times a day for 7-10 days, without imposing on the skin of the dressing.

After treatment, within 1-2 weeks, the area of \u200b\u200bthe defeat is wiped with alcohol. Cover the infected space with a bandage or gauze, but not tight: air circulation is needed for healing. The bandage will prevent contacts through which the infection can spread to healthy people and other parts of the child's body. Keep the ulcers covered until they lie.

Thoroughly wash your hands with soap after all manipulations with rashes on the sick child's body. Try not to allow your child to scrape affected areas. Put his nails as short as possible. Do not allow for sharing towels and other objects relating to infected skin sections. Follow the rash.

Observe every day, whether it passes or gets worse. Consult a doctor, he will find out what causes the disease is caused. To diagnose the causative agent, the Doctor will take the material from the bottom of the ulcers after removing the crust. After that, the doctor will appoint antibiotics local application Or for intake.

You will need to make sure that the child passes the full course of medication treatment, otherwise the disease may return. Remember that the impetigo is contagious until the rash disappears, or the first two days after the start of taking antibiotics. Your child should not have close contacts with other children during this period, and you yourself should avoid touches to his rash.

If you or other family members still had to touch the contaminated areas of the skin (for example, for processing), carefully wash your hands with water with soap.

In addition, give the child a separate washcloth and towel and do not allow their contact with the objects of hygiene of other family members. Bacteria causing impetigo, begin to grow rapidly, falling into any wounds on the skin. The best way to prevent the distribution of rash is to briefly cut, handle the file and keep your child's nails clean, as well as to keep it so that it does not combine the skin.

If scratches still appeared, clean them with water with soap and apply cream with an antibiotic. Be careful and do not use washcloths or towels that have been used by an infected person. The impetigo may entail a rare, but severe complication called glomerulonephritis.

In this case, the kidneys are damaged, blood pressure can increase and blood in the urine appears. Therefore, if you notice the blood in the urine of the child or it became a dark brown, be sure to inform the doctor. In general, as soon as possible, involve the child to comply with personal hygiene rules. Teach him thoroughly wash his arms with thought. Use only your towel.

Source: FantasyClinic.ru.

Types of illness

In medical practice, three varieties of the disease are known: streptococcal, it is also called nebulosis; staphylococcal or bullous; Vulgar (mixture of the first and second stage). Each of the steps is distinguished by the view of the pathogen, has distinctive symptoms and different duration of the disease. Streptococcal impetigo.

Streptococcal - the causative agent of infection is the same bacteria, which most often affect the epidermis of the nose area and the corner of the mouth, and sometimes the palms and the area behind the ears. At the initial stage there are extensive redness, similar to stains. And after a day, they are replaced by small bubbles filled with sticky and muddy liquid.

Gradually bubbles begin to burst and dry out, and on the surface of the skin is formed purulent flight And dry crust. The whole process is accompanied by constant itching and burning - in no case shall combed these wounds, as this can provoke contamination and other skin regions.

Streptococcal impetigo can develop in two scenarios: either very quickly when one or two days passes from rash to spanning bubbles; Either very slowly, when there should be a week to dry up the rashes. Timely treatment of this disease will reduce the likelihood that scars will remain on the skin or dark spots.

Staphylococcal impetigo. Staphylococcal (folliculitis) - infection begins with penetration of microorganisms (staphylococci) into small holes on the skin, from where the hairs grow. In these holes, pus is immediately formed. In children, this kind of impetigo is found in infancy, from birth to two years.

Large risk of infection was subjected to a child's limbs and an extremely rare abdomen or back area. Depending on the depth of the penetration of bacteria, the symptoms of infection differ.

With a shallow surface folliculite, an abundant amount of small specks pouals, which individually would be barely noticeable. Each spot is filled with pus, and on the surface sticks the hairs. The formation of a solid peel occurs a few days later, and almost always the place of infection yellow.

When the infection penetrates deeply, large purulent formations that reach one centimeter are in diameter appear on the skin. Around the bends, the skin immediately blues, and the guns themselves burst in 2-3 days. Such a stage of the disease is dangerous for children by the formation of scars and scars that will remain, even if you spend timely treatment.

The process of recovery occupies much more time than with nebullosis impetigo. Vulgar impetigo. The most dangerous and infectious form of an impetition in children is EXTIM, when the infection is caused by penetration into the epidermis and streptococci, and staphylococci. Such infection is frightened by its spreading speed, as well as the fact that it is the skin of the person subject to infection.

Scary photos taken in children's hospitals indicate the scale of infection. The whole "army" of purulent inflammation appears on the chin, under his nose and around the mouth. Rashes are covered with thick and powerful crust that brings painful feelings Child at the slightest movement.

After recovery on the skin, traces of the disease will remain, and only laser technologies will help remove them forever. The degree of infection with this form is sufficiently dangerous, as if it does not start the elimination of infection on time, new inflammations will appear on other parts of the body.

The disease itself is capable of transmitting through touch and underwear, so contact the doctor immediately to prevent the "epidemic" in your family.

Source: Lechimrebenka.ru.

The causes of the emergence of the invitation in children

The causes of the idea of \u200b\u200bthe most diverse - it can be microtrauma, maceration (or softening) of the skin, contact with pathogenic strains of Cockkops. In medical science they talk about primary and secondary impetigo. The secondary disease is called if it has evolved from diseases such as eczema, scabies, pediculosis.

The impetigo appears as a result of infection with streptococci, staphylococci, but, regardless of the type of pathogens, the disease may have many varieties. Consider more of its basic symptoms and forms.

Streptococcal impetigo is formed in the form of bubbles (flicten), which are reached in diameter 2-10 mm. The contents of such bubbles consists of a serous-purulent liquid, the walls of the flicen can be breaking with ease, and the purulent liquid spread and infect healthy sites Skin cover. Two days later, flushing dry, forming whore-yellow crusts.

They begin to be pulled in a week, leaving behind wet erosive spots and depigmentation of the skin. Streptococcal impetigo attracts dry pyoderma or, in other words, a simple deprived person. Streptococcal impetigo appears most often in children and women, since they are tenderly and thinner with them than in men.

This kind of impetigo is striking the upper layers of the skin. Streptococcal impetigo is most common on his face, but there are no cases of its occurrence on the brushes, feet and legs. The infection of healthy parts of the body occurs as a result of an elementary touch of contaminated areas or even when using a towel or pillowcase.

People who are in close contact with the patient can also be infected or use its homeworkers. There are several types of streptococcal impetigo: snaps. A bubble is formed in the corner of the mouth, which leaves a sliding erosion after helled, and a bleeding area with a crack appears in its place.

The disease is very often moving to the mucous membrane of the mouth or is formed directly in the mouth. Surface panarium. Flicen is formed in parallel to the hole of the nail, the cause of infection can be sowing or injury. Vulgar Ectima is a deep form of impetigo, most often located in the field of mouth, or nostrils, but in some cases it can also appear on the torso or limbs.

One of the types of impetigo - snap, which is formed in the corners of the mouth. Staphylococcal impetigo, or folliculitis, develops when staphylococci infects the hair bags and the process of inflammation begins. Folliculitis can be superficial, as well as deep.

Surface folliculitis is small glass of about 1-2 mm, rarely reaching large diameters. In the middle of the gun there is a hair that surrounds redness, after 4 days of guns dried, crusts disappear, and no traces are almost seen on the skin.

Deep folliculitis. Painful red nodules are formed on the skin, in diameter reaching more than 5 mm, in some cases with an affection.

After several days, the nodule can disperse, and the shell open, but after herself such nodules leave the scars. Mixed strepto-staphylococcal, or ordinary, impetigo arises as a result of mixing and exposure to the skin like streptococci and staphylococci. This form of the disease is also called vulgar impetigo.

Signs of this form of the disease are that flulicate fluid is the most purulent, and the resulting crusts turn out to be large and extensive. This type of disease most often doctors detect in children and young women. For timely diagnosis of the disease, it is necessary to look closely to its main features and symptoms.

Impetigo is, above all, a contagious disease that can move from an infected person, but it is also possible that the infection in the body will fall through microcracks, cuts, wounds, insect bites.

Source: SIMPTOM.ORG.

Symptoms and signs

Streptococcal impetigo manifests itself as follows: First, red tuberculos appear on the skin, causing unpleasant painful sensations. Then they become bubbles, the diameter of which does not exceed the floor centimeter. Inside bubbles there is a bright, mutating over time, content. Bubbles are no longer so painful as initial spots.

The rashes with streptococcus the impetigo are surrounded by a red rim, they can be bought by groups in one place, and they can dissipate through the body. The bubbles are revealed in prisoner quickly, after which the wet ulcers are formed in their place, and later - the crusts of the colors of honey, which themselves disappear after about a week.

It is more common possible to observe in those parts of the body that are not closed with clothes - brushes, legs, face, behind the ears, but if the epithelium damage happened on another site of the body, then the rashes are manifested and there. Streptococcal impetigo often affects the corners of the mouth and the skin under the ear dots, especially in the kids.

Streptococcal hooking on lips from education in the corner of the mouth of the bubble, with a sluggish, thin shell, which breaks through quickly, forming a slight erosion. Under this erosion formation (if you delete it), a reddened moisturized surface with a crack in the middle is detected.

After a couple of hours, the crack is covered with a crust, and the process can be further propagated on the mucous membrane of the oral cavity. In some cases, streptococcal impetigo can develop as an isolated process where erosion wrecks with a pus fly appear on the site of fast blades.

When infected with the wounds at once with two types of bacteria (strains of streptococci and staphylococci), vulgar impetigo develops: in this case, purulent contents are found inside the bubbles, and the resulting after crust is dense and massive.

The mixed impetigo gives multiple rash and is striking in the main skin of the face, on the torso and on the limbs, this type of impetigo is much less common. For an impetigo with a mixed infection, the process of rapid propagation through the body is characteristic, especially without proper medical therapy.

Transferring infection occurs on clean areas of the skin through underwear and bedding. Regional lymph nodes swell, with their painfulness, their pain is felt. The impetigo in children of the invoice in children in children is manifested by red spots, bubbles, blood circulated rays.

The invoice in children proceeds rapidly, and most importantly, makes the baby suffer because of itching and mocking ulcers. If you have noticed a child at least a few of the following symptoms, show him to the doctor urgently. So, pay attention to:

Unexpectedly appeared on the face (or body) of the child inflamed red stain;
Many small bubbles bored in one place filled with turbid liquid;
Under the burst bubble in the impetigo wound bleeding;
After the bubble revealed, a new one is formed immediately, and at the remote areas of the body too.

Since the impetigo in children in the overwhelming majority has streptococcal nature, complications are possible on the kidneys (in the form of various jade) or on the heart (MiOrd).

Source: Narhealth.ru.

Principles of treatment of impetigo

To avoid the spread of infection, especially in the children's team, patients must be placed in quarantine before recovery. Rational care implies the exclusion of washing the affected area. Try not subject to mechanical irritation. Local treatment consists in the use of alcohol solutions of aniline dyes and ointments containing antibiotics.

Treatment should include: rational care in the focus and around it; Local therapy; Systemic antibiotics. Heavy forms of streptodermium trees need in hospital under the supervision of a dermatologist's doctor, as it is broken general stateAnd the lesions are demanding special processing that only medical personnel can hold correctly.

Diamond green, Fuccin is applied not only for impetigic rash, but also on healthy skin near foci for the prevention of the distribution of the process. High efficiency It has an antibacterial ointment of Baneocin, which contains basitcin and neomycin. Applied to minerals twice a day for 7 days.

Other dosage form Baneocin - powder, which is also applied to flux and crusts. For local treatment, it is possible to use syntomic acid ointment, erythromycin, baccake ointment (or mupyrocin), leftomycetin and salicyl alcohol.

With common and severe forms of the disease, prescribe systemic treatment antibacterial drugs. The antibiotics of a wide antimicrobial spectrum of action are used: cephalexin, amoxicillin, oxacillin, erythromycin. Such treatment is carried out only after the nation of the doctor and under its control.

Source: VYSYPANIE.ru.

Traditional methods

The earlier begin treatment, the greater the likelihood that the treatment is completed by the absence of scars and scars on the affected areas. If the treatment of infection may appear on the kidneys or the disease turn into a complex form with the formation of furunculus on the body, to get rid of which blood transfusion will help.

Impetigo is a disease that is treated outpatient. The attending physician determines the form of the disease, prescribes treatment and necessary medicines. During the treatment of the patient, isolate to avoid the spread of infection.

For the treatment of streptococcal impetigo, a solution of penicillin intramuscularly is prescribed. To prevent the dissemination of the disease to other parts of the body, it is recommended to process the skin around the affected sections with green, salicylic alcohol or other antiseptics. You can also use antibacterial ointment.

During treatment, you need to stick to the diet, it is necessary to exclude flour, baking, sweets and even honey. Staphylococcal impetigo is a more complex form of the disease. It is necessary to wait for the stage when purulent bubbles will reveal. After that, the affected areas are treated with antibiotic ointments.

The drug must be applied every three hours and do not apply a bandage. It is necessary that the infected site "Dyshal" is thus the wrecks will faster. Observing all the recommendations of the doctor, inflammation will begin to disappear, but it is impossible to stop processing the zones with ointments, otherwise the guns may appear again.

The affected areas of the skin are wiped with camphor or 2% salicylic alcohol. Single fresh bubbles are opened with a sterile needle, tweezers or scissors, the pussy is removed by sterile cotton wool or gauze, the resulting erosion is lubricated with a 1% diamond green solution or 1% methylene blue solution, 2% iodine alcohol solution, 1% potassium permanganate solution, fuccin solution.

Multiple bubbles open inexpediently, they are lubricated 1-2 times a day 1-10% syntheicin emulsion or 1% erythromycin, 1% tetracycline, 0.5% neomycin, 0.5% gentamicin, 2% polyamixinova, 2% Mupirocyne (Bactroban) , 4% geomycin ointment with subsequent imposition of a sterile dressing.

After removal, the crusts use 2-5% white mercury or 1-2% yellow mercury ointment. When involving in the pathological process of conjunctivations - instillation of the sodium salt benzylpenicillin solution (10,000-20,000 units in 1 ml), 20-30% solution of sulfacyl sodium (3-6 times a day), 10-20% sulfopyridanium solution (3- 4 times a day).

Layout in the eyelids of oxides containing antibiotics (1% tetracycline, 1% erythromycinic), 2-4 times a day. Inside - ampicillin at 0.25 g, YATETRIN 0.25 g, oxacillin sodium salt 0.25 g, furacilin 0.1 g, Bactrim 2 tablets 2 times a day, Augmentin at 375 mg 2 times a day, azithromycin 1-2 times a day, Maxquin, Zinnat (cefuroxymaxietyl) 125 mg 2 times in a day.

During the treatment period, wash the face with water is not allowed. In cases of the common impetigo and during recurrences, intramuscularly penicillin is introduced at 300,000 cells 3 times a day (total dose of 4,000,000-5,000,000 units).

Non-organicin 200 mg 2 times a day, ampiox 0.2 g, prescribed autohemotherapy, inside - fish oil; Vitamins A, B, 1 B2, C (inside or intramuscularly); Recommend a diet with the exception of sweets and extractive substances. As mentioned above, the Impetigo is infectious infectionwhich extends through household items.

In order for the guns to do not spread throughout the body and have not moved to other family members, measures must be taken. To begin with, if the child suffered, convince him that it was impossible to comb and sink bubbles. Having sinking a sucking crust, the child contributes to the appearance of scars, and malicious organisms can sneak over other parts of the body due to direct contact.

It is necessary to carefully follow the rules of hygiene. The patient must have their own hygiene objects. After processing the affected areas, it is necessary to wash your hands with soap. Make sure that the child has briefly trim nails so that he does not pick up in the nose, do not gnawing the nails and did not succeed.

In the presence of skin damage, the development of the impetigo becomes more likely, so it is necessary to carefully observe hygiene and handle the wounds with an antiseptic. The development of infection is particularly subject to children having skin diseases such as eczema and so on.

In this case, even after complete recovery, re-infection can again happen again. In such cases, doctors advise to use hands for washing, soaps with burling dsey -ifying agents. For example, a gel with hydrogen peroxide, etc. If the child has become infected with the impetigo, it should not be sent to school or kindergarten.

So there is a danger to infect other children and provoke mass infectation of the impetigo. The sick child should not be sent to the playground, you need to protect it from direct contact with other children. The impetigo extends through the interaction with the liquid from the resulting bubble or in contact with the infected area.

Children can comb cleaners, and thus dismiss infection. Explain to the child that it should carefully monitor personal hygiene. Remember that compliance with all requirements will allow to prevent further infection.

What it is - impetigo and how to treat it, consider in this article. it serious diseasewhich is transmitted by the household. More popular name - streptodermia. Children are most often exposed to this disease, but with non-compliance with hygiene and adults may be sick.

How is infection?

Infection in children occurs as a result of injury, such as scratches, bites, cuts. As a result of entering the skin, the bacteria quickly multiply, thereby causing an inflammatory process. If you do not turn to the doctor in time, then there is a possibility of damage to the internal organs, so it is very important to diagnose and prescribe treatment. Usually the disease passes without consequences, but complications are not excluded. One of them is the defeat of the heart and kidneys.

The reasons

What is piedermia? In most cases, the causative agent of the disease is staphylococcus, which penetrates through skin damage. When infected through the cut or abrasion, they are talking about the primary form of the disease, but if streptodermia arose as a result of other skin ailments, when combing skin, this is a secondary form of impetigo.

There are several reasons for the development of impetigo:

injury (abrasions, bites, cuts, etc.);
hot or wet climate;
non-compliance with personal hygiene;
the immune system is weakened;
diabetes;
the presence of an infection in a family member;
non-compliance with hygiene, especially people suffering from obesity;
inappropriate use of ointments and creams.

So, impetigo - what is it and how to treat? This topic is interested in many.

The listed factors are reduced to two mains - it is damage to the skin surface and lowering the functions of protective mechanisms.

Risk group

The risk group includes people of certain categories:

little children, women during pregnancy, elderly, since they have an immune system weakened;
people visiting (bath);
people who suffered infectious or dermatological diseases;
the development of impetigo is observed in persons with weakened immunity.

Symptoms

Pathology provokes golden staphylococcus. Symptoms in adults will look below.

The outer symptom of inflammation is spotted rashes on the skin (red bubbles with a diameter of up to 5 mm with purulent content, delivering pain and discomfort). The average life expectancy of the primary elements is up to 2 months. Infiltrate occurs at the site of the introduction of the pathogen in the follicle. After the formation bursts and purulent infiltrate dries out, yellow-brown peels appear in its place. Then they heal and become less painful, after that, the skin section is easily injured. In a place where there was an oblique, infiltrate is born, as it is easier to penetrate the bacteria.

So the impetigo occurs - what it is and how to treat, consider below.

Children have affected areas of the skin in the corners of the mouth, behind the ears. Most often it happens with streptococcal infection.

Most often, the rash appears on the chin, in the nasolabial triangle, as well as in the area of \u200b\u200bthe oral cavity. Symptoms such as itching, burning, combing bubbles appear. Sometimes the impetigo (photo is presented below) is formed on the mouth mucosa, which appears bubbles, but soon they are opening, forming painful erosion with a purulent raid.

How do other types of illness manifest?

Streptococcal impetigo is the formation of painful, red bubbles with pus inside. After ripening bubbles, ulcers appear in their place.

Staphylococcal impetigo (photo available) is accompanied by small rashes. The degree of complications depends on how deeply the skin is affected.

Strepto-staphylococcal lesions of the skin is expressed in multiple purulent flicen on the skin. The feature of this form is to increase the process - the capture of new sites healthy skin.

In the case of simultaneous infection and staphylococcal, and streptococcal infection The content of bubbles becomes purulent, and after opening there are massive crusts. Most often is formed on the skin of the face, while the process is very quickly distributed due to the fact that golden staphylococcus hand is transferred. Symptoms in adults we looked.

Views

Today there are several types of impetigo.

Streptococcal impetigo - this species is characterized by the rapid growth of pathological formations. Also, this form has many subspecies:

Staphylococcal impetigo - forms men, teenagers, children. It occurs when non-compliance with the rules of cleanness. It is found in two versions:

bullous form - in a different way it is called golden staphylococcus. There is a nodule-bubble rash around the hair follicles;
nebulosis shape - rash arises from small purulent bubbles.

What else are the varieties of pyodermia?

Mixed impetigo - formed under complications of streptococcal impetigo staphylococcus. When flicten appears, itching, multiple rashes in the neck and face area.

Bokhartigi's impetigo - the appearance of golden staphylococci. Symptoms: purulent pustules, which after time, sneeze and disappear. Most often appear on the neck, face, hips.

How to identify skin disease impetigo?

Diagnostics

In case of suspected, infection should immediately go to the skin-venereological dispensary or to any clinic where the reception is a dermatologist. The diagnosis is set in two ways is an external inspection or on the basis of laboratory studies, which include blood test and the study of bubble fluid, as well as clinical symptoms.

Research and analyzes that can be spelled out:

The doctor takes a pus from bubbles and translates it to the bacteriological laboratory. This method helps to accurately install the pathogen.
General blood analysis. From Vienna either from the finger taking a small amount of blood.
Immunological examination of blood. Before passing tests, it is not recommended to eat food, smoking and alcohol use is also prohibited. Such a study is carried out in suspected decline in immunity.
Biochemical analysis. Take blood from Vienna. It is not recommended before analyzing food consumption. This method reveals a violation of metabolism.
Dermatoscopy. With the help of a special apparatus, the doctor inspects the surface of the patient's skin. Such a study is performed with doubts about the diagnosis.
Determining the level of skin acidity with glass electrodes. Such a study is performed in chronic impetigo.

If a person is diagnosed with an impetigo (what it is and how to treat, we will tell), therapy must be appointed immediately.

Treatment

The disease is treated outpatient. First of all, a number of procedures are assigned to improve the patient's condition. It is forbidden to rinse the damaged areas of the skin with water. You should wipe the pustular rash with 2% salicylic alcohol. Bubbles that have been opened, need to be treated with "Fuccinic", erythromycin or leftomycetin ointment. For 10 days, the wounds should be processed until complete healing. In the case of subsequent dissemination of the ailment, antibiotic therapy should be applied.

The rinsing of the mouth "chlorhexidine" or "Mozymestine", as well as chamomile beams and sage only with damage to the oral mucosa.

With severe skin lesion and when swinging lymph nodes, prescribed antibacterial therapy. To strengthen immunity, vitaminotherapy is prescribed using vitamin and mineral complexes.

There are also exist folk remedies To combat this ailment. Mostly is the treatment of healing herbs.

Folk recipes

Common folk remedies for the treatment of surface metal skin disease:

Pour boiling water Chamomile flowers, the root of the chewing, the flowers of the calendula, the root of the nine, the leaves of the plantain and the reinforced Hypericum, and then boil on the fire and give it. Strain. Method of application: Use infusion should be before meals.
Left leaves, lubricants, Rhodiologists Pink, Fruits of hawthorn, St. John's wort, Rosehip fruits should be crushed, pour water and boil on fire, then give it, filing.
Grind the grass of the socket, add boiling water to further insist and strain. The resulting decoction should handle the affected areas.
Pour the water seeds with water, boil, then cool and filter. From the received bravery to make a bummer.
Sprinkle on the skin twice a day spores of the pladen of male.
The roots of the pennies and Levze, licorice, Aralia, Alder cones, chamomile inflorescences are required. Herbs should be crushed, mix, add water to them, boil and let it stand, then the resulting decoction to strain and take.

What else is the treatment of an impetue in adults?

Medications

Preparations and antiseptics suitable for treatment:

It is forbidden to take a shower, since during washing the infection spreads throughout the skin, especially if we rub the infected places with the washcloth. Patients with personal hygiene, towel, dishes should be individual. Be sure to make cleaning in the room where the patient is located. It must be excluded from the diet of the food sweet. If the child fell ill, it should be isolated from other children, since at a more young age the immune system is weakened, which contributes to a more rapid spread of infection. With the damage to the mucous membrane, the mouth should be abandoned by coarse food, salty, hot dishes.

Personal hygiene

Compliance with personal hygiene is very important, since one of the factors that affects the development of infection is pollution of the skin. Also an active lifestyle, sports is helping to reduce the risk of impetigo. An important role is played by the right full nutrition.

Turn on the oil, cheese, fish, chicken liverAnd also use as many vegetables and fruit as possible. It is very important during the period of the disease to pay attention to the reception of the Vitamins of the D, C. S. Besides, it is recommended to take preparations that contain a vitamin and mineral complex: "Alphabet Classic", "Multimax", "Relit", "complivit".

What is piedermia? We answered this question.

Impetigo is a superficial purulent skin disease caused by staphylococcal or streptococci. It happens that both those and others at the same time. The disease is very contagious, transmitted by contact path with contact, when using household items. Often, especially in children, self-informing occurs. It happens when a person, touching the affected areas, then concerns healthy skin, infecting it. Provocateurs of the Impetigo are microtraums of the skin, the lack of proper hygiene of the body, the wet warm environment. The disease requires detailed diagnosis and treatment.

Causes of the disease

The impetigo in children and adults cause golden staphylococcus bacteria and streptococcus, who live in symbiosis with a person throughout his life. Sometimes the colonies of these bacteria living in the nasopharynk, bronchi, the rectum, on the skin, begin to multiply under the influence of unfavorable conditions:

reduction of immune protection with prolonged, severe diseases;
unfavorable environment - wet dirty clothes, lack of hygienic skin care;
the presence of damage on the skin, microcracks, bites, combs.

This leads to endogenous infection with streptococci and staphylococci. Bacteria cause a huge range of purulent diseases, and in any tissues and organs, where they fall with blood flow.

Among skin diseasecaused by these bacteria, are most common:

impetigo;
furuncula;
carbuncules;
phlegmons;
abscesses;
lymphadenites.

Impochigo is developing when streptococci or staphylococci in the mouth hair follicula either through the wounds and breaks on the skin under the horn layer of the epidermis. There they form a splash, further on this place appears flicen with purulent contents. Flicen revealed, and the contents are poured on the skin, infecting healthy areas. From the moment of autopsy flicen, the disease is especially infection. Therefore, in kindergartens, where the sick children were contacted with other children, quarantine is declared and careful sanitary treatment is carried out.

Classification of impetigo

Classification is carried out by various signs. Impetigo can be primary and secondary:

The primary appears when the streptococcal or staphylococcal bacteria is recorded. Therefore, among the primary rarely there is a mixed type - streptococcal-staphylococcal impetigo.
The secondary type appears against the background of any skin disease - eczema, any dermatosis, pediculosis, scabies, etc.

Depending on the bacteria that caused the appearance of an impetigo, there is the following qualifications.

Streptococco

Streptococcal type is caused by the bacterium of the same name and is striking mainly. The rashes are localized in the corners of the lips, behind the ears, under the nose, and when the flushed form, the fluxes are scattered throughout the face.

The rashes may appear in the inguinal folds, on bending hands and knees. This kind of impetigo is well treatment, rarely recurrences and does not leave the body of traces after recovery.

Children most often have streptococcal snags in the corners of the mouth. Also, it is also often on the face. A simple deprived or dry pyodermium appears - peeling dry skin damage caused by Streptococcus.

Staphylococcal

Staphylococcal type most often appears on the scalp, favorite habitat of staphylococcal bacteria - hair follicles. Then they are diagnosed hair folliculitis. Purulent bubbles with a size of 1 mm to 5 mm, with a sticking in the middle of the hairs, literally sprinkle the whole head. For 4-5 days, bubbles burst, pouring, form dry crusts. Corks, dropping, do not leave traces.

Often staphylococcal impetigo occurs against the background of pediculosis. Therefore, at the very first signs of the emergence of the lice, a small child should have a head sanitation, not allowing skin itch, combs and rendering of secondary infection in the form of staphylococci.

Mixed

Mixed type arises against the background of simultaneous infection with staphylococcus and streptococcus. It is classified as a type as a vulgar (ordinary) impetigo. For this type, a large amount of purulent flicen is characterized with the formation of massive crusts, most often on the face.

Skin diseases similar in the early stages on the impetigo, a lot. Conditionally, they can be divided into 3 main groups - infectious, autoimmune, neurogenic.

The forecast of the course of the disease is most often favorable. The development of complications occurs only in rare cases, when timely and qualified assistance was not provided.

It is necessary to distinguish between infectious skin diseases requiring biochemical analysis Blood and Bakposev, Soskob from an affected skin for determining the pathogen:

Simple herpes caused by herpes virus of the 1st or 2nd types. Bubble rashes appear on the face in the mouth, under the nose, on the mucous membranes. Typically, rash precedes the overall making and an increase in body temperature to 39 ° C. Herpes of the 3rd type is the causative agent of the windmill in children and who did not feel adults in childhood. On the early stages Herpes very much resembles the disease of the impetigo.
Keratomicosis - caused by PityRosporum Orbicularis fungus. Localizes in supreming follicles, reminding staphylococcal type of impetigo.
Leishemaniosis skin is brought to us from the countries of the Mediterranean. The causative agent is the Lishmania flavor microorganism (LEISHMANIA TROPICA). Leishemaniosis is similar to the impetigo characteristic formation of papules on the skin, with localization in open areas of the body - face, arms, legs.

Skin disease caused by immune system, so-called allergic lesions of the skin, also resemble impetigo:

Atopic dermatitis, who suffer both adults and children, sometimes becomes the reason for the impetue. In the period of bubble rashes with muddy content, often reminds him. In this case, such a complication as a sleep impairment occurs very often, due to permanent skin.
The urticaria also reminds the impetigo formation of large papules, sometimes merging into one big blister.

Neurogenic skin diseases, such as psoriasis, neurodermatitis or depriving Vidl, children's scratch, externally resemble impetigo and require high qualification of the dermatologist to distinguish these diseases and appointing adequate treatment.

Than dangerous impetigo

The disease is impetigo - not only an unpleasant cosmetology defect. Staphylococcal type disease forms extensive purulent abscesses. In severe cases, complications may apply to internal organs, for example, kidneys and hearts - nephritis or myocarditis are noted, respectively.

Rheumatism is also often the consequence of severely launched impetigo. Such consequences helps to avoid timely diagnosis.

How to treat the disease

No skin disease should not be ignored. Especially the infectious damage to the skin, which is the impetigo caused by streptococcal and staphylococcal bacteria.

When infection occurs, a small red point appears on the skin. Already after a few hours, the point turns into a flicten filled with turbid liquid. For 2-3 days, fluxes are open, and their contents forms a crust over the wound surface of yellow or brown and yellow. On 4-5 days, the crusts disappear.

The main problem of such a disease is that it is sharply contagial for others and for the most ill. Often, self-informing occurs, and the disease is spread over the entire surface of the skin. therefore differential diagnosis And the correct treatment of impetigo is of great importance, preventing serious complications.

Diagnostics, in addition to visual inspection and collection of history includes:

blood chemistry;
blood test for HIV infection;
dermatoscopy and definition of pH leather;
bakposev scas with a wound surface.

With timely, the beginning of treatment, when a small section of the skin is amazed, it is enough for the following medical procedures:

Processing the wound surface of the skin alcohol solutions Salicylic acid, resorcin.
After processing the wound, appliques of ointments containing antibiotics are superimposed - strepticid ointment, with neomycin, oxytetracycline.
Sometimes it is advisable to connect and hormonal ointmentsFor the speedy healing of wounds - hydrocortisone, prednisone, flumetazone ointment.
Single fluxes are treated with a solution of fuccin or a diamond greenery solution.

The treatment of impetigo in adults and children is not much different. Children, unlike adults, impose bandages from the bandage to prevent self-effects.

Impetigo is a disease that is treated outpatient. The attending physician determines the form of the disease, prescribes treatment and necessary medicines. During the treatment of the patient, isolate to avoid the spread of infection.

In severe and launched cases, antibiotics are administered orally or parenterally. Typically, treatment is carried out outpatient, very rarely at the hospital.

Impetigo (name from Latin impetigo, which means skin disease) - This is a group of mercury diseases relating to surface layers of skin. The disease is infectious (contagious), so it accounts for more than 15% of all skin diseases. Caused by streptococci and staphylococci.

The varieties of impetigo a lot, but they all manifest themselves the same - the development of erythema (strong redness) on the open (more often it is a face) skin sections. Erythema is accompanied by vesiculas (from Latin vesicula, which means a bubble) with purulent content.

Attention. Promotes the skin of the microtrauma of the skin, as well as entering the skin strains of cockfish bacteria. Behind the skin should follow!

It is an impetigo - a group of common mine-necked contagious pyoderms (metal-skinned skin diseases), in which the main inflammatory element is fluxten (superficial nephyl policular elements with a sluggish, unattended tire).

The code of the ICB10 - L 01.

The reasons for the development of impetigo

The causative agent of the Impetigo is predominantly beta hemolytic streptococci and golden staphylococci.

Predisposing factors contributing to the development of rotting skin inflammation, are:

non-compliance with personal hygiene rules;
wrong skin care;
endocrine pathology;
violations of hormonal balance;
frequent traumatization of the skin;
infection (the contagious impetigo can be transmitted through personal hygiene objects, sheets, etc., especially when the pathogen is hit by damaged mucous membranes or skin);
decrease in immunity;
immunodefit, etc.

Classification of impetigo

Reference. Depending on the inflammation causative agent, streptococcal, streptostinal and staphylococcal impetigo are distinguished.

Staphylococcal impetigo are caused by golden staphylococci. Streptococcal impetigo causes predominantly beta hemolytic streptococci groups A, less often - non-magliatic streptococci.

Strepsostostococcal impetigo are caused by mixed bacterial flora (streptococci and staphylococci).

By clinical symptoms Allocate:

staphylococcal impetigo of the cockhart (ostiopholliculitis);
streptococcal impetigo (Impitigo Tilbury Fox);
slim-like impetigo;
ring-shaped impetigo;
vulgar impetigo (streptostofilococcal).

The invoice in the child often proceeds in the type of snacks, streptostostefococcal impetigo or impetigo Tilbury Fox.

Attention. The invoice in children is different high levels Contact (contagious), therefore, in children's groups, this disease often proceeds from the type of flashes.

Staphiococcal BokhartigoChartigo (OstiFollyculites)

Staphylococcal impetigo can be considered as a component of another pyodermy, or as an independent disease.

The causes of the occurrence of ostioplollyculite are golden streptococci.

Reference. With the development of ostiophollyculite, the mouth of the hair follicle is affected and small pustula arises, covering hair. Pustule tire tight, content - purulent (yellowish or yellowish-greenish).

Pustulu himself surrounds the vintage of inflammatory hyperemia (redness) to 2-3 millimeters.

Within a few days (up to five days), purulent contents of the pustulars gradually sneezing, turning into a yellow or yellowish-brown crust. After the crust is disappear, there will be a temporary focus with enhanced skin pigmentation (hyperpigmented foci).

Attention. In cases where the integrity of the tire was broken or the inconscable crust was violently soda, erosion appears. Such erosions are usually superficial, however, in some cases, a small hypotrophic rutter can remain in their place.

The hair follicle during osticoculiculites is not destroyed, since the inflammatory process is superficial.

Depending on the severity of the disease, rashes can be worn both single and multiple character. There are rashes predominantly on the face. In men, osticoculiculites develop in the rigid hair growth zone (beard and mustache).

On the body and in the growth zones of the grinding hair, staphylococcal impetigo rarely occurs.

Streptococcal impetigo

The cause of streptococcal impetigo Tilbury Fox is predominantly beta hemolytic streptococci.

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This type of impetigo is also characterized by a high level of contagiousness (contagious). Therefore, it is important to monitor the observance of personal hygiene rules (use only personal towels, not to use the patient's clothing, to ensure that children do not use the toys of the sick child, etc.).

Attention! In children's teams, when identifying a streptococcal impetigo, a sick child should be isolated from other babies at the time of treatment, to the complete subsoil of active inflammatory process (Pustules and Flicen) on the skin.

The most indicative symptom of streptococcal impetigo is the appearance of flicen (inflammatory formation with an unbalanced and easily tearing cap) filled with purulent contents.

The rashes are usually multiple and located on the inflamed (edema and hyperemic) background. Characterized by gradual sludge (increase in the number of bubbles).

IN initial stage Streptococcal impetigo fluxe can be filled with a transparent liquid, however, as the inflammatory response progressing, the contents of the bubbles are caught up (most often the suppuration occurs within 24 hours).

Reference. Flicen size can vary significantly (from a few millimeters to centimeters). When multiple large bubbles appear (more centimeter), the development of the bullous form of an impetigo (bullous impetigo is a severe form of streptococcal impetigo, accompanied by the appearance of large stress bubbles, mainly on the legs, foots and brushes).

It should be noted that the fluxes quickly dry and covered with crusts. With a violent break of fluxenes, the wet and poorly healing erosion is exposed (the regeneration rate depends on the depth of the lesion of the skin, size and localization of fluxetes, as well as individual factors (state of immunity, age, etc.)).

With a full-fliced \u200b\u200bscreen, a loose crust is formed in its place, equal to the diameter of the phlicen. The color of the crust can be yellow, yellowish brown or yellowish green. Flicen sinking can occupy three or four days.

In people with a thick corneum layer, flicten sinking can be delayed for a longer period.

After the crust is disappear, a hyperpigentic stain will remain in her place.

Reference. On the localization of the inflammatory response, it is most often found to be encouraging:

face
red bang
mucous membranes
nasal cavity and eye.

Slim appetigo in adults and children

Streptococcal snags occur more often in children, but this type of impetigo can also occur in adults.

The cause of the occurrence is the beta hemolytic streptococcus group A. The main localization of the sliding impetigo is the corners of the mouth, but in some cases the snags can affect the corners of the eyes and the wings of the nose.

Attention. Impetigo contagiously distinguished by a tendency to long or chronic flow, as well as the frequent occurrence of relapses.

If you occur, the skin of the corners of the lips swells, inflammatory hyperemia appears. Painful erosive surfaces arise in the depths of inflamed folds. Erosions are often surrounded by white whites (cells of the epithelium).

Reference. Corks forming above the inflammatory surface, unstable and easily break when driving lips. Due to this, the process of healing erosions can be delayed for a long time.

Streptostofilococcal impetigo (vulgar impetigo)

Reference. Vulgar impetigo is one of the most common forms of the disease. The main symptom of streptostofilococcal impetigo is the occurrence of various sizes of flicen located on the edema and hyperemic skin.

Vulgar impetigo is infected with infection in the children's team often observed massive outbreaks of the disease.

In adult patients, vulgar impetigo may occur both as independent pathologies, and as a complication of other dermatoses (scabies, stiffness, itchy dermatoses, etc.).

Streptostostococcal impetigo most often affect the skin of the face and hands.

Bubbles with serous, transparent liquid appear on the edema and hyperemic leather. Within a few hours, the inflammatory infiltration in the bubble occurs. After a few hours, the tires are spontaneously open with the release of purulent contents and exposure erosions. Since the bubbles tire are sluggish and unbalanced, bubbles can be opened before, with the slightest traumatization of the tire.

The contents of the exposed erosions quickly sneezing, forming specific "honey crusts". At first, the crusts are flat, soft and easily tears, however, as the disease progresses, they become dense, rude, uneven and towering over the skin. In the sighted crusts there may be a blood and pus.

Reference. Spontaneous rejection of crusts occurs, as a rule, on the fifth-seventh day of the disease. With violent ripping of the crusts, poorly healing erosion are formed.

It should be noted that with streptostostococcal impetigo, the gradual growth of the inflammatory hearth from the center to the periphery is characteristic. In severe cases, the impetigo can cover a significant part of the skin.