What Are The Symptoms Of Non Bullous Impetigo? How To Treat It?

What Are The Symptoms Of Non Bullous Impetigo? How To Treat It? . Impetigo is a common bacterial skin infection. It is contagious skin disease. Impetigo is classified into two varieties; Non bullous impetigo and bullous impetigo. It is a superficial skin infection. This pus producing skin disease is most common in children (between 2 to 4 years); sometime young adults too are affected. Children are more affected since their immune system is not fully developed. Almost 70% of cases are non bullous impetigo, the rest constitute bullous form.

Non bullous impetigo is caused by staphylococcus aureus or group A beta hemolytic streptococci bacteria. In some cases both germs may be present in the lesion.

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The peak incidence is seen in summer and rainy season. The lesions occur mostly on the face (around the mouth and nose) and on other exposed parts of the body. Non bullous impetigo normally is not a serious condition. However, precaution is necessary to prevent its spread. Applying antibiotic cream, maintaining adequate skin hygiene and oral antibiotic therapy helps the lesions to heal faster.

Symptoms Of Non Bullous Impetigo

Non bullous impetigo develops when the skin is damaged and disrupted. This facilitates the bacteria to colonize and multiply in the damaged skin. Scratching, insect bites, cuts and abrasions, certain diseases such as scabies, herpes simplex act as predisposing factors.

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• Symptoms usually begin with formation of red sores, often on face, around the nose and mouth. They can also develop on other exposed skin areas.
• The sores are thin walled and burst quickly within hours. They may even go unnoticed.
• The discharge from the ruptured sore soon dries up to form golden yellow crust, giving a typical ‘stuck- on’ appearance.
• The lesions of non bullous impetigo are itchy and seldom painful.
• Older sores may heal spontaneously, while fresh ones appear in the vicinity. They may also spread to other skin areas after scratching or touching. This is medical terms in called auto inoculation.
• The sores are usually discrete but may coalesce to form big crusted plaques.
• In severe cases regional lymph nodes may become enlarged.
• Usually there are no constitutional symptoms such as fever, body ache etc.

How To Treat Non-Bullous Impetigo?

From the history and its clinical appearance, non bullous impetigo can be easily diagnosed by a doctor. Most of the time lesions of non bullous impetigo heal spontaneously. However it is necessary to take care of local wound and prevent its spread.

• Applying antibiotic cream is beneficial. Before applying antibiotic cream, the local area should be thoroughly washed with an antiseptic lotion. While cleaning the crusts should be removed. Removal of crusts is crucial as they are laden with bacteria. Crusts prevent topically applied antibacterial agents to reach the site of infection.
• Nowadays physicians prefer to prescribe systemic antibiotics together with local application of antibacterial cream. This is to prevent complication such as Glomerulonephritis (a kidney problem).
• With the treatment the sores usually clear within a week. Topical application should be continued for few more days.
• Non bullous impetigo heals without leaving any scars. It may leave some pigmentation which disappears gradually.
• General care should be taken to avoid sharing clothes, towels of the patient. Also close contact should be avoided.
• The nails should be kept short. Patient, usually a child should be taught to clean his hands with soap and water frequently. The child should also be taught to take good personal hygiene.