Treatment FAQ

what is the treatment for infant impetigo in the diaper area

by Dr. Bonnie Gaylord Published 3 years ago Updated 2 years ago
image

Impetigo is typically treated with antibiotics, either as an ointment or a medicine taken by mouth: When it just affects a small area of the skin (and especially if it's the non-bullous form), impetigo is treated with antibiotic ointment for 5 days.

Medication

Impetigo thrives in the moist diaper area. Wash baby's clothes, sheets, towels and clothing every day until the infection clears. Impetigo can be passed on through items that have come in contact with infected skin.

How do you treat impetigo in babies?

Avoid sending the baby to daycare: If you have a chance, then avoid sending your little one to the daycare center. An infant can contract impetigo from another infant or a caretaker at the facility.

Can I Send my Baby to daycare with impetigo?

Infantigo treatment usually involves the following course: Antibiotics are used for Impetigo treatment. Incase of mild impetigo, an antibiotic ointment or cream is enough. You have to put the prescribed ointment on the sores as per doctor’s directions.

How to get rid of infantigo?

Doctors typically diagnose impetigo by looking at the sores (physical examination). Lab tests are not needed. Impetigo is treated with antibiotics that are either rubbed onto the sores (topical antibiotics) or taken by mouth (oral antibiotics). A doctor might recommend a topical ointment, such as mupirocin or retapamulin, for only a few sores.

How is impetigo diagnosed and treated?

image

How do you treat impetigo in a diaper?

How to treat impetigo in babies. Since impetigo is a bacterial infection, your pediatrician will likely give you a prescription for an antibiotic ointment. Usually, it takes 24 hours after starting the antibiotic to start seeing the infection clearing. Apply the ointment to sores.

Can babies get impetigo in the diaper area?

Impetigo can occur in all age groups but is more commonly seen in school-aged children and infants. Look for a sore that develops into a honey-colored crust. Bullous impetigo is more commonly seen in infants and usually develops on the face, buttocks, and diaper area.

What happens if a baby gets impetigo?

It causes distinctive blisters or sores, which can be itchy or uncomfortable for your baby. The infection is caused by bacteria, and is very contagious, but it's unlikely to cause your baby any harm. It usually clears up within a few weeks, and antibiotics can help it clear up faster .

Can diaper rash turn into impetigo?

Unfortunately, infants can have impetigo as a complication of a diaper rash. They have raised 2mm lesions that are fragile, may have some pus and do look like honey crusts when eroded. Some children have more serious infections called bullous impetigo where the lesions are much larger and rupture easily.

What is the best cream for impetigo?

Impetigo is treated with prescription mupirocin antibiotic ointment or cream applied directly to the sores two to three times a day for five to 10 days.

How do you treat staph diaper rash?

How Are Staph Infections Treated?Soak the affected area in warm water or apply warm, moist washcloths. ... Put a heating pad or a hot water bottle to the skin for about 20 minutes, three or four times a day.Apply antibiotic ointment, if recommended by your doctor.More items...

What does impetigo look like on babies?

Impetigo starts as a reddish sore that ruptures, oozes for a few days and then forms a honey-colored crust. Sores mainly occur around the nose and mouth in infants and children. Impetigo (im-puh-TIE-go) is a common and highly contagious skin infection that mainly affects infants and young children.

Can you use mupirocin on diaper rash?

Nystatin, miconazole, clotrimazole and ketaconazole are commonly used medicines for the treatment of diaper rashes caused by yeast. Mupirocin and bacitracin are commonly prescribed for the treatment of bacterial skin infections in the diaper area.

How do you treat a rash on a baby's private area?

Diaper Rash TreatmentsCream or ointment with zinc oxide or petrolatum (petroleum jelly). Smooth it onto your baby's clean, dry bottom before putting on a clean diaper.Baby powder. ... Antifungal cream, if your baby has a fungal infection.Topical or oral antibiotics, if your baby has a bacterial infection.

Can I put Vaseline on impetigo?

Friedler recommends applying Vaseline, Bactroban (mupirocin), or Bacitracin to the bite or cut and then covering the area with a bandage to help promote healing. You also want to treat any underlying skin conditions — and quickly.

How to treat impetigo?

Prevention of impetigo: Keep the skin clean with soap and water. Treat cuts, scrapes, and insect bites by cleaning with soap and water and covering the area if possible. Gently wash the area with a mild soap and water twice or more daily and cover with gauze or a non-stick dressing if possible.

What causes impetigo in children?

Overview. Impetigo, a common skin infection in both infants and children, is caused by bacteria ( Staphylococcus or Streptococcus) entering a cut or break in the skin. Although impetigo is usually a minor infection that can be easily treated, it could progress to more severe symptoms including deep skin infections (cellulitis), kidney inflammation, ...

What are the two types of impetigo?

Impetigo can be further classified into 2 types: bullous and nonbullous. Nonbullous impetigo accounts for 70% of all cases and appears as tiny fluid-filled blisters that develop into honey–colored, crusty lesions. Generally they do not cause any pain or redness to the surrounding skin.

What are the signs of impetigo?

There are 2 common forms of impetigo: impetigo with blisters and impetigo without blisters (fluid-filled bubbles on the skin surface). Non-blistering impetigo: Tiny pimples or red areas quickly turn into oozing, honey-colored, crusted patches (usually less than an inch) that spread.

Why do infants get bullous impetigo?

Infants are at a greater risk for these infections because their immune systems are not fully developed. Other risk factors may include insect bites (that may be scratched) or poor skin cleansing.

What antibiotics are prescribed for impetigo?

In addition to measures for mild impetigo already mentioned, the doctor may prescribe: Oral antibiotics (cephalosporins, amoxicillin, cloxacillin, dicloxacillin, erythromycin, or clindamycin) If your child's doctor prescribes antibiotics, be sure the child takes the full course.

How many lesions are there in impetigo?

The infection associated with impetigo may be: Mild – Only a few of either type of lesion over a small area of skin, and the child feels well otherwise. Moderate – Over 10 lesions, and several small skin areas are affected.

What is the best treatment for impetigo?

Impetigo is usually treated with topical or oral antibiotics. If you have multiple lesions or if there is an outbreak, your doctor might prescribe an oral antibiotic. There is no over-the-counter (OTC) treatment for impetigo.

How to spread impetigo?

And you can infect others. “To spread impetigo, you need fairly close contact — not casual contact — with the infected person or the objects they touched,” he says. Avoid spreading impetigo to other people or other parts of your body by: 1 Cleaning the infected areas with soap and water. 2 Loosely covering scabs and sores until they heal. 3 Gently removing crusty scabs. 4 Washing your hands with soap and water after touching infected areas or infected persons.

How long does it take for impetigo to clear up?

Untreated, impetigo often clears up on its own after a few days or weeks, Smith says. The key is to keep the infected area clean with soap and water and not to scratch it. The downside of not treating impetigo is that some people might develop more lesions that spread to other areas of their body.

What causes impetigo on the skin?

What Causes Impetigo. Two types of bacteria found on our skin cause impetigo: Staphylococcus aureus and Streptococcus pyogenes (which also causes strep throat). Most of us go about our lives carrying around these bacteria without a problem, Smith says.

Can you touch someone with impetigo?

Because impetigo spreads by skin-to-skin contact, there often are small outbreaks within a family or a classroom, Smith says. Avoid touching objects that someone with impetigo has used, such as utensils, towels, sheets, clothing and toys.

Can you get impetigo more than once?

Anyone can get impetigo — and more than once, Smith says. Although impetigo is a year-round disease, it occurs most often during the warm weather months. There are more than 3 million cases of impetigo in the United States every year. “We typically see impetigo with kids 2 to 6 years old, probably because they get more cuts and scrapes ...

How long does it take for mupirocin to work on impetigo?

Impetigo is treated with prescription mupirocin antibiotic ointment or cream applied directly to the sores two to three times a day for five to 10 days. Before applying the medicine, soak the area in warm water or apply a wet cloth compress for a few minutes.

Can you take antibiotics for ecthyma?

For ecthyma or if more than just a few impetigo sores are present, your doctor might prescribe antibiotics taken by mouth. Be sure to finish the entire course of medication even if the sores are healed.

What is the best medicine for impetigo in babies?

The following two measures help treat impetigo in babies ( 12 ): 1. Topical antibiotics: The compound called mupirocin is the most effective topical antibiotic for impetigo treatment ( 13 ). Doctors may prescribe a mupirocin cream or an ointment with mupirocin and other compounds, depending on the extent of infection.

What antibiotics are used for impetigo?

Common oral antibiotics used for impetigo treatment are penicillin and amoxicillin ( 14 ). Oral antibiotics have several side effects including severe abdominal discomfort and are avoided by pediatricians unless necessary. The baby will start feeling better within a few days of commencing the treatment.

What is the most common type of impetigo?

There are three types of impetigo ( 2 ): Non-bullous impetigo, also called crusted impetigo, is the most common type that causes smaller sores and blisters. Non-bullous impetigo can be caused either by strep bacteria (Streptococcus) or staph bacteria (Staphylococcus).

How often should I wash my baby's hands?

Wash the baby’s hands with a safe disinfectant soap once in every six hours to prevent the accumulation of the strep and staph bacteria on the palms. Clean sores once a day with warm water. Besides a warm water bath every day, clean the sores once every eight to 12 hours with warm water.

How long does it take for impetigo to subside?

With the right treatment and use of antibiotics, impetigo symptoms will start to subside in two weeks.

How to help a baby recover from a sore?

Here are a few tips to help the baby recover faster and prevent the chances of spreading the infection ( 15) ( 16 ): Keep the sores covered. Dead skin from the sores and fluid from the blisters can spread the disease to the rest of the body, and to other people coming in contact with the baby.

How do you know if you have impetigo?

The earliest symptoms of this impetigo are redness around the nostrils and the skin above the upper lip. The fine red rashes turn into large blisters, spreading across the healthier skin on the nose and chin. Rashes soon take the shape of yellowish-red lesions or blisters.

How to tell if you have impetigo?

The first signs of impetigo are reddish sores on the skin, often clustered around the nose and lips. These sores quickly grow into blisters, ooze and burst, and then form a yellowish crust. The clusters of blisters may expand to cover more of the skin. Sometimes the red spots just develop a yellowish crust without any blisters being seen.

What is impetigo caused by?

Impetigo is an infection caused by strains of staph or strep bacteria. These bacteria can get into your body through a break in the skin from a cut, scratch, insect bite, or rash. Then they can invade and colonize.

What age group is most likely to develop impetigo?

Toddlers are the most likely age group to develop impetigo. The infection looks different on young children than it does on adults. Parents may see sores around their child’s nose and mouth, as well as on the trunk, hands, feet, and in the diaper area.

Is ecthyma more serious than impetigo?

It occasionally happens when impetigo isn’t treated. Ecthyma goes deeper into the skin than the other forms of impetigo, and it’s more severe.

Can adults get impetigo?

Although impetigo is more common in young children, adults can get it too. Because it’s so contagious, impetigo can spread through any close contact. Adults who play sports often catch it from skin-to-skin contact.

Can essential oils be used for impetigo?

Essential oils are liquids extracted from plants. Dozens of essential oils have antibacterial properties. This suggests that essential oils may be useful for treating impetigo, though currently there is no research to support this.

Can you stay home with impetigo?

Children with impetigo should stay home until they are no longer contagious if the lesions can’t be reliably covered. Adults who work in jobs that involve close contact should ask their doctor when it’s safe for them to return to work.

What is the best treatment for impetigo?

Antibiotics Treat Impetigo. Impetigo is treated with antibiotics that are either rubbed onto the sores (topical antibiotics) or taken by mouth (oral antibiotics). A doctor might recommend a topical ointment, such as mupirocin or retapamulin, for only a few sores. Oral antibiotics can be used when there are more sores.

How to keep impetigo from spreading?

These items should not be shared with anyone else. After they have been washed, these items are safe for others to use. The best way to keep from getting or spreading group A strep is to wash your hands often .

What is impetigo scab?

Signs and Symptoms. Impetigo starts as a red, itchy sore. As it heals, a crusty, yellow or “honey-colored” scab forms over the sore. In general, impetigo is a mild infection that can occur anywhere on the body. It most often affects exposed skin, such as around the nose and mouth or on the arms or legs.

Why do doctors prescribe antibiotics for impetigo?

Doctors use antibiotics to treat impetigo and prevent rare, but serious long-term health problems. Antibiotics can also help protect others from getting sick.

What is the most common risk factor for impetigo?

Close contact or crowding: Close contact with another person with impetigo is the most common risk factor for illness. For example, if someone has impetigo, it often spreads to other people in their household. Infectious illnesses also tend to spread wherever large groups of people gather together.

How to prevent impetigo from scabies?

Common sense and good wound care are the best ways to prevent bacterial skin infections, including impetigo: Clean all minor cuts and injuries that break the skin (like blisters and scrapes) with soap and water.

Can scabies cause impetigo?

Infections or injuries that break the skin: People with scabies infection are at increased risk for impetigo. Participating in activities where cuts or scrapes are common (sports) can also increase someone’s risk of impetigo.

What are the criteria for impetigo?

Specific treatment for impetigo will be determined by the child's physician based on the following criteria: The child's age, overall health, and medical history. Extent of the condition. The child's tolerance for specific medications, procedures, or therapies. Expectations for the course of the condition.

What is impetigo skin?

What is impetigo? Impetigo is a superficial infection of the skin caused by bacteria. The lesions are often grouped together, have a red base, and are open but close over to form a honey-colored crust. Impetigo is contagious and can be spread throughout a household, with children reinfecting themselves or other family members.

Why is impetigo worse in adults?

Impetigo is made worse by poor hygiene and warm temperatures.

Where does impetigo occur?

Impetigo usually occurs on the face, neck, arms, and limbs , but the lesions can appear on any part of the body. Impetigo starts as a small vesicle, or fluid-filled lesion. The lesion then ruptures and the fluid drains, leaving areas that are covered with honey-colored crusts.

What is the division of dermatology at Children's National Hospital?

The Division of Dermatology at Children's National Hospital continues to expand services as more families seek our expertise in the diagnosis and treatment of disorders of the skin, hair and nails.

How to prevent a child from scratching?

Washing daily with an antibacterial soap to help decrease the chance of spreading the infection. Proper hand washing technique by everyone in the household (to help decrease the chance of spreading the infection) Keeping the child's fingernails short to help decrease the chance of scratching and spreading the infection.

Can you test for impetigo with a physical?

The lesions of impetigo are unique, and usually can be confirmed with just a physical examina tion. In some cases, the child's physician may order a culture of the lesion to confirm the diagnosis and identify the type of bacteria that is present.

What is infantigo rash?

Infantigo (misspelled as infintigo or infentigo) is a medical term for a common bacterial skin infection that can affect anyone, regardless of age, race, or gender.

How long does it take for an impetigo to heal?

By applying the ointment or taking the pills exactly as prescribed, most of the sores will be completely healed in 1 week. Once you have started taking the antibiotic you the healing should start in a couple of days.

How long can an infantigo go back to school?

Infantigo patient on antibiotics or some other form of treatment can go back to school or work after being on the treatment for 24 hours. Bacteria that cause this condition is basically of two types i.e. non-bullous impetigo and bullous impetigo. Non-bullous impetigo means “crusted infantigo” and is the most common type, ...

Can infantigo be caused by a rash?

A child can have it due to diaper rash. If you have healthy skin, even then you can get infantigo, most possible source is through direct contact with an already infected person or bacteria itself . There is even a possibility that you can get it if an infected person sneezes on your or around you.

Can you get impetigo from scratching?

Impetigo in children or adults is contagious and can be spread to others through different means including close contact or by sharing towels, sheets, clothing, toys, or other items. Scratching can also spread the impetigo sores to other parts of the body.

image

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Juhi Mehrotra
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Antibiotics are the preferred choice of treatment. It can be in the form of oral medications (Systemic antibiotics) or ointment and cream (topical antibiotics).
Medication

Topical antibiotics: Creams or ointments that can be applied directly on the skin.

Mupirocin . Retapamulin


Systemic antibiotics: Drugs commonly used to treat systemic infections.

Cefotaxime . Amoxicillin

Specialist to consult

Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9