Exercise caution in children with impetigo skin

Lan popular baby acne, people thought she was a chrome miscarriage buy tobacco for water heating bath and ointment. After 3 weeks the baby face edema, fever, was diagnosed with glomerulonephritis level.

 

Lan baby hospitalized in a state of face edema, swelling of the feet, with pustules, pus ball and fever. The baby was diagnosed with multiple infections like impetigo, had complications of glomerulonephritis level.

Nearly a week now, her son Russia (West Lake, Hanoi) was up acne in the thigh, arm, initially as blisters,

then break off and float like chrome acne around that was very itchy, annoying. At Children's Hospital Central, dermatologist diagnosed me sick moment.

Pham Thi Mai Huong MA, specializing in Dermatology, Hospital of Paediatrics said, every day dermatology clinic sees more than 100 children examined, of which about 10% is momentary (percentage change seasonally) .

Impetigo is a superficial infection of the skin caused by bacteria. The disease is highly contagious and often spread directly from skin disease to healthy skin on the child or the child to other children, so the disease is also known as "instant transmission." Impetigo can occur in people of all ages but 90% is the age of the baby nursery, kindergarten. In fact the parents are or confuse the moment and chickenpox disease. If diagnosed early and treated properly positioned, impetigo improve quickly, and does not leave scars from, reverse the disease can lead to serious complications.

With bullous moment. Photos: Khanh Chi.

Expression

Impetigo is classified by morphological lesions: There are no bullous and bullous.

Pretty typical bullous have:

- Cause: Usually caused by staphylococci.

- Injury Basics:

+ Start is inlaid red 0.5-1 cm in size, quick bullous form on it.

+ Vesicles wrinkled water, surrounded by a red halo, after several hours of opaque latex puffiness from low to high.

+ A few hours or days after the burst bullous stamping, more yellow-brown scab or light brown color like honey.

+ Lesions from non-scarring.

- Common Position: At present, the exposed skin or anywhere including hands, feet, never appeared in the mucosa. In the scalp, the hair scales can do more flat again.

- Systemic manifestations: Inflammation of neighboring nodes, fever is rare unless moment diffuse or complications.

- Patients may itching, scratching damages the spread of eczema, spread to other skin areas.

Impetigo is no typical bullous:

No bullous moment. Photos: Khanh Chi.

- Cause: Usually caused by hemolytic streptococcus group A.

- Initial Damage: Blisters, pustules but quickly put on the slippery red skin, moist discharge should not have typical bullous. Coast lesions often have less dander looks like tinea. Scales information above is yellow honey or light brown, with a small red halo around. Some cases can be seen in satellite lesions around.

- Location: Hay met in the face, around the nostrils, mouth or limbs.

- This form common in children with atopic dermatitis, scabies, or a certain skin diseases with multiple infections, barely met mucosal lesions.

- The disease usually resolves after 2-3 weeks, but can also be extended, especially when the body has a parasitic infection, eczema or hot weather, wet.

Treatment before the child to hospital

- Wash your child, you can use potassium permanganate water diluted 1 / 10,000, or use some kind of folk like bath water in dried green tea se lesions.

- Parents can use some or Betadine antiseptic solution such as methylene blue stain ... Take a few days do not see improvement or worsening disease tends should see a doctor for advice, Unfortunately avoid complications occur.

- Impetigo is contagious so often itchy lesions. Infants scratch the lesions in this place spread out elsewhere on the body. Therefore, the moment when a child, parents should give children a break at home in order to better control the spread of the disease on her body and prevent complications. This move will also help reduce disease spread to others.

Treatment

- In case of mild or localized lesions: Clean hurt by NaCl 0, 9% potassium permanganate or 1 / 10,000.

- Use fat / antibiotic cream such as fusidic acid 2 times (Fucidin, Foban) or mupirocin (Bactroban).

- When the lesions spread, severe, persistent and risk of complications glomerulonephritis level: systemic antibiotics. You can use β-lactam antibiotics, cephalosporins, macrolides, semisynthetic penicillins (eg, Augmentin, Erythromycin, cefixime ...)

- Use antihistamines if itching: Phenergan, Loratadine ...

- If momentary resistance to antibiotic treatment.

- If there are complications to focus on treatment of complications.

Complications

Impetigo usually not dangerous, but can sometimes lead to complications are rare but serious:

Complications in place:

- Cham goods: Pretty repeated many new blisters appear, itching.

- Every now and ulcers: Common in children, the elderly, malnourished or severely immunocompromised, deep lesions, scarring from the aesthetic impact (not instant normal scarring).

Systemic complications:

- Sepsis: Common body resistance is weak, mainly due to staphylococci.

- Glomerulonephritis levels: time from moment to glomerulonephritis level is usually 3 weeks.

- Also can see erysipelas, deep tissue, pneumonia, inflammation of lymph nodes, bone inflammation ...

Prevent and reduce disease spread

- The best way is always to be cool young body: where spacious, airy thin cotton clothes, sweat, to avoid giving rise to much exposed skin and spread disease.

- Protects skin from scratching. Parents should teach children to play in that clean, dust, avoid playing near the sharp hard objects, limited playing near livestock, avoid insects.

- Keep your child's skin clean, regular bathing, bathing children with clean water, avoid scratching. Change and wash clothes every day, a haircut, a manicure.

- Drink enough water, fruit juice and green vegetables.

- Avoid long in damp areas, lack of light, to insect stings.

- Early and aggressive treatment, avoid rubbing, scratching many complications.