Bergirtinî

La prevention of impetigo through :

• Good daily hygiene of the skin;
• Eviction from nursery or school for affected children to avoid contagion.

Tedawiyên bijîjkî

Treatment of impetigo requires bijîjkek bibînin because complications can arise in case of inappropriate treatment such as extension of lesions, abscess, sepsis, etc.²

Di her rewşê de control your tetanus status and tell his doctor. In case of impetigo, revaccination is necessary if the last injection was more than ten years old.

Hygiene rules are important:

• Pierce the bubbles with a sterilized needle, passing it through a flame for example;
• Promote the fall of scabs by soaping the lesions daily;
• Try to prevent children from scratching the lesions;
• Wash hands several times a day and cut the fingernails of affected children.

The treatment prescribed by the doctor is based on antibiotics:

• Local antibiotics

They are applied to the lesions 2 to 3 times a day until complete healing, which usually takes a week. Local antibiotics are most often based on fusidic acid (Fucidin®) or mupirocin (Mupiderm®).

• Oral antibiotics:

The antibiotics to use are at the discretion of the doctor but are most often based on penicillin (cloxacillin like Orbenine®), amoxicillin and clavulanic acid (Augmentin®) or macrolides (Josacine®).

Oral antibiotics are indicated in particular in the following cases:

• extensive impetigo, diffuse or escaping local treatment;
• presence of local or general signs of seriousness (fever, lymph nodes, trail of lymphangitis (= this is a red cord that runs up the length of a limb most often, linked to the spread of the infection of the skin in the lymphatic ducts), etc.);
• important risk factors in newborns and infants or in frail adults who are alcoholic, diabetic, immunocompromised, or not responding to topical treatment);
• locations that are difficult to treat with local care or at risk of complications, under diapers, around the lips or on the scalp;
• in case of allergy to local antibiotics.