Pregnancy & Baby Index: Parenting Experts: Child Health: Impetigo infections

Impetigo infections
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by Linda Shaw, MD

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The question:
My toddler has a recurring case of impetigo, and we're starting to feel like it will never go away! What are the different treatments for this condition and which one is the most effective? -- Melissa, Alexandria VA

The Pediatrician Answers:
Impetigo is a mixed staph and strep infection of the skin. When it is relatively confined, it will respond to washing with antibacterial soap (like Phisoderm) and application of antibacterial ointment. The prescription ointment Bactroban works well.



If impetigo is large or spreads despite these measures, then a course of oral antibiotics may be in order. The antibiotic should work on both staph and strep, so generally a cephalosporin (like Keflex) or erythromycin is used.

If the toddler is in daycare, he/she could be reinfected from another child in daycare and develop recurring impetigo.PregnancyAndBaby.com



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About the author: Linda Shaw is a general pediatrician with over 20 years of experience with a practice in Altoona, Pennsylvania. She is currently am one of the AAP's breastfeeding coordinators and a member of the Academy of Breastfeeding Medicine. She also breastfed her four children, including twins. Dr Shaw enjoys teaching and explaining things to patients and their parents.

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