Bullous Impetigo – Symptoms, Causes, Treatment, Prevention

By | March 29, 2015

Bullous impetigo is a type of skin infection that develops on infants and children. The primary symptom of this infection is the formation of red painful sores on the mouth and face of the child. Impetigo will get resolved without any treatment within few weeks. It is caused by staphylococcus aureus often and occasionally by other organisms. Bullous impetigo is common infection in many parts of the world. Very often it develops on young adults but sometimes it can develop on elderly people also.

Bullous Impetigo Symptoms :

Bullous impetigo is marked by characteristic red sores on the skin more specific on the nose and mouth. It is contagious and quickly spread to other areas of the body when touched by fingers or clothing. Medium or large sized blisters are formed on the diaper area of the infants.

The child may cry repeatedly with discomfort and more specific while changing diapers and while bathing. Non bullous impetigo is marked by tiny blisters or lesions that burst out honey colored plaque materials. It occurs more on the face and mouth. Prominent sign of this type of impetigo is consistent itching and discomfort.

Causes :

Bacteria are the main cause of bullous impetigo and your child can get infected easily when he contacts another infected child. The infection spreads through fingers, clothing and even through toys. If your child touches or shares something with the infected child at school or day care center he is likely to get infected with impetigo.

Who are at risk?

Children are at high risk of developing impetigo since they have low immunity. Infectious diseases like impetigo are common in crowded areas and it spreads during warm weather. A child having a skin injury or cut in his body is more likely to get infection than others. In rare cases, bullous impetigo can cause scarring leaving scars on the skin surface. It may cause scarlet fever in severe case of infection. About 10% of the children with bullous impetigo can get lymphangitis or cellulitis.

Diagnosis :

The doctor can detect impetigo through blisters or lesions on the skin. Mere physical exam is enough for diagnosing this infection. He would order for blood tests or if necessary he would cut a tissue sample of the sore to test it on the lab.

Images, Pics, Photos and Pictures of Bullous Impetigo :

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Bullous Impetigo Treatment :

No specific treatment is needed for managing bullous impetigo with mild form of blisters. Over the counter antihistamines are effective in managing itchy feeling and prevent scratching. Antibiotics are the first line treatment and it is given either in the form of oral pills or as topical creams. You can apply the ointment directly on the sores which would facilitate healing process. Apply cold compress on the sores would give relief from itching.

Make sure that your child does not touch the sores with his/her hands since the infection can spread to other parts of the body. You can consult with doctor if the sores are large and painful. He would prescribe antibiotics in recommended doses. Ensure that you are completing the course of medication and do not stop the dosage as soon the blisters are healed. Bacteria will still remain inside causing blisters in few days.

Topical creams that contain fusidic acid or mupirocin can be applied liberally on the infected sores. Oral antibiotics like erythromycin or flucloxacillin or azithromycin would be prescribed by your doctor to fight against staphylococcus. Clindamycin is effective in treating S aureus infection.

Prevention :

You can instruct the children to keep their skin clean and healthy. Wash the skin area with soapy water if the child has any cuts or insect bites so that it reduces the chance of infection. Do not send your child to school when he is having infection since infection can spread quickly to others.

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