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Impetigo
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Counseling
Recommended supportive care with an emphasis on gently washing the sores with soap and water and keeping them covered. Wash hands often, keep nails short, and do not share towels. Return precautions given including fever, spreading redness or swelling, pain, sores that are not improving with treatment, dark or bloody urine, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
- Localized or numerous or bullous or ecthyma or outbreak
- Culture recommended; treatment without it reasonable in typical cases
- Topical Mupirocin or Retapamulin
- Oral for numerous lesions, outbreaks, ecthyma: Cephalexin (or dicloxacillin)
- MRSA: Clindamycin, TMP-SMX (doxycycline 8 and older)