Why does the pathology develop
In 80% of cases, streptococcal impetigo develops by the action of opportunistic microbes, golden streptococci or streptococci A-group. These bacteria are widely distributed in the premises, deprived of unchanged access to oxygen and sunlight, and they are present in the human body, if it has inflammatory foci of the acquired course. Usually, their accumulations are concentrated for the skin, mucous membranes of the oral cavity or nasopharynx, for other surfaces. It is not uncommon for cases when resistant to antimicrobial products types of streptococcal and staphylococcal pathogens are present in medical clinics - usually in those departments where patients with purulent illnesses lie. It should be emphasized that neither the child nor the overgrown face will suffer through the pathology in question, If the resistance of his body is quite high. All, there is a system of causes of risk, the presence of which is capable of developing streptococcal impetigo. These include: Inadequate hygiene with regard to the surface of the skin. Certain conditions of work activity - dustiness of premises or their overestimated humidity, business in mines, interaction with certain materials, the presence of other unfavorable causes. Overestimated sweating, microtraumas of the skin, its maceration, the presence of hyperhidrosis. Primary streptococcal impetigo develops as a result of the occurrence of skin itching in accordance with various reasons. To be combing the skin, pathogens get into the device through the resulting trauma. Deterioration of general immunity by the impact of pathologies of internal organs in the acquired form. This may present difficulties with the lungs, cardiovascular system, the presence of renal or hepatic impairment, malfunctions in metabolic processes, autoimmune diseases of connective tissue. Deterioration of local immunity together with impaired integrity of the skin. Similar manifestations of eczema, scabies or psoriasis, lichen, dermatosis. In this case, impetigo in babies develops for the background of a decrease in the protective parameters of the covers due to the presence of dermatological pathologies. In this case, they say about the secondary impetigo.Usually, pathology develops in individual individuals, although there may be certain infectious factors for a whole group of people. The danger is higher for those who are in close contact with the victims who are suffering a contagious impetigo. It can exist at least some children's institution, a hospital, the disease is often distributed in work collectives.Future and signs of pathology
Usually impetigo streptococcal affects young women, toddlers and teenagers. The main sign indicating for its development is reddish spots. After pretty hours, they are transformed into separate or grouped elements, prone to increase in accordance with the periphery. Spots can join together. If adequate therapy is not available, capitulation uniformly takes an impressive proportion to the size of the area. Often impetigo in toddlers and young people concentrates for the skin of the face, less often for the surface to stop, shins and brushes. If the vesicles are opened, an erosive appearance of the pink pink color is exposed, the liquid content is poured into crusts of grayish or yellow color. They fall off three to seven days later, leaving a weakly pink or a pigmented portion covered with a narrow epithelial layer.Species determine a number of types of streptoderma. In most cases, the victims can be observed: Bullous impetigo, which is observed the formation of a small number of pathological parts, which are hemispherical blisters with cloudy contents. They grow vividly, reaching before 30 mm in size. In most cases bullous impetigo is localized for the back side of the hands, less often for the feet, legs. In children, vulgar impetigo is often observed. This visibility refers to more contagious diseases. Known visibility is characterized by the formation of streptococcal blisters, the content of which, by the action of infection, joining staphylococcal, thickens and acquires a yellowish color. Filling in the course of short-term time is dumped, forming thickened crusts of yellow-green color, similar to the kind resembling lumps, below is a damp erosive appearance. Usually, vulgar impetigo is accompanied by the highest number of parts of the rash. They are prone to rapid spread and the next merger. There is also the presence of itching. To be developed vulgar impetigo is often concentrated for open areas of the limbs, for the face. Great concomitant pathology. To be short of vitamins of group B, a slick impetigo can quite often unfold, which is localized in the folds of the skin at the mouth, due to the ears and near the wings of the nose, fairly less often - at the outer corners of the eye. Also, impetigo in children can be diagnosed as ring-shaped pathology, depriving the face of mucous membranes.Principles of the treatment of pathology
To be diagnosed impetigo, healing should be prescribed by the treating specialist. The methods used must exist all-encompassing for the sake of achieving the desired effect. Usually therapy is: In the purpose of optimal nutrition. The list includes protein freely digestible foods, fruits, vegetables, are discarded through spicy dishes and seasonings, preserves and citrus fruits. You need a dose of B-group vitamins. It requires painstaking upbringing due to the skin, with this it is necessary to save the hair protection for the affected areas, using scissors. Bubbles, the size of which is quite significant, is required to be discovered, subject to treatment with antimicrobial and disinfectants. Without dependence through the form and form of the disease, the task of local therapy with the introduction of external funds is required. Systemic therapy with antimicrobial agents is required. To be local therapies use antiseptics or their combination, external antimicrobial drugs, drugs in co-ops with glucocorticosteroids. Finishing of the lesion is carried out with the introduction of a weak solution of manganese, hydrogen peroxide, Chlorhexedin, zelenki three times a day for 7-10 days.External antimicrobial ointments include Gentamicin Sulphate, Erythromycin, Mupirocin, prescribe gels and mixtures with Zinc. Drugs are applied to the lesion twice a day for 7-10 days. Among the combined funds, hydrocortisone ointment with oxytetracycline, Betamethasone cream with gentamycin is important. One of the pharmaceuticals is required to be applied to the lesion three times a day for one or two weeks. Systemic antimicrobials usually include penicillin preparations, macrolides, fluoroquinolones. The first include Amoxicillin, the second - Clarithromycin, Erythromycin, the third - Ofloxacin, Levofloxacin. Doxycycline, which belongs to a tetracycline antimicrobial product of a wide range, can also be used.
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