About Impetigo

Steeve & Mallison (1975) stated hand hygiene has often been singled out as the most important procedure in preventing infection. Guidelines from national and international infection prevention and control organizations acknowledged that hand washing is the single most important procedure for preventing infections (Ganner and Favero,1985).

One or two days after, sores or blisters start to appear in or on the mouth and on the hands, feet and buttocks. In some cases, a skin rash’s appearance happens before the blisters do. The blisters may break open and crust over.

Dirty hands is the common source of spreading infection. It is very important to keep hands clean to avoid getting infected and spreading infection in the community. It is important to wash hands to keep hands clean. There are two ways to keep hand clean, one way is wash hands with soap and warm water while rubbing hands together for minimum 15 to 30 seconds. Indication of washing hands with soap and water is when hands are visibly dirty, before and after eating, feeding, using the toilet, after coughing or sneezing, after using gloves, taking care of patients. There is also second way to clean hands, but it is advisable to wash hands with soap and water all the time, but it can ignore when soap and water is not available so it is okay to use hand gel or foam in the form of sanitizer. This helps to clean hands or kill germs when hands are not visibly dirty.

Main purpose of cellulitis treatment process is reduction of severity cellulitis infection, fast recovery, pain relieve, cure affected skin and prevention of recurrence - definition of treatment for cellulitis. In most cases healing process contains treatment with antibiotics drugs. Antibiotics are used orally or intravenous depending of severity of affected skin area. Period for using oral antibiotics (by mouth) is 10 to 14 days. In this period is crucial to take every single pill that doctor has prescribed, even later when you begin feel better .Treatment for cellulitis with intravenously antibiotics (IV) is recommended when we have more serious infection,in most cases lasts 3 to 5 days.

Germs causing impetigo can invade normal skin, but can also take advantage of skin that has already been damaged by cuts or grazes, insect bites, head lice, scabies, cold sores, or eczema.

Washing your hands before and after doing individual jobs, using the correct PPE for the task you are carrying out, Gloves, Aprons etc. This can stop the spread of fluids and germs which can be carried on clothes. Simply covering your mouth when coughing and sneezing then washing your hands will stop the spread of possible infection. Many surfaces can hold germs and bacteria, so even after touching any surfaces hands should be washed or gloves worn where ever possible.

Follow Hand Hygiene measures set by the CDC and WHO: Using the CDC and WHO guidelines to improve proper hand hygiene. This will reduce the health care related infections and reduce the transmission of disease from staff to patients (The Joint Commission, 2012)

Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo

To help the prevention of infection spreading is by knowing the method of washing your hand because we carry most bacteria sue to the open air that we come in contact with. For example we use are hands to shake hands with someone holding or touching objects. When you are performing any form of hand hygiene you will need to make sure that you have washed your hand with anti-bacterial liquid soap; this is to help prevent any bacteria which we already have on our hands. In all health and social care settings an automatic liquid dispenser should be placed so that when washing hands any individual doesn’t touch or need to even sneeze any part of the liquid

Encougrage the individuals own personal hygine = Always see that they wash there hands after toilet or before eating, always see that if

It is important to begin treatment right away. Treatment will usually involve the use of antibiotic medicines. In some cases, your health care provider may begin treatments before the diagnosis is confirmed. If your symptoms are severe, a hospital stay may be needed.

Keep all follow-up visits as told by your health care provider. This is important as your health care provider may test you for infection again 3 months after treatment.

Controlling spread of infection is the key for the individual or the health care provider and washing hands is the first step. Hand washing is the most single most important strategy for preventing infection transmission. HAIs are the most common complication of hospital care. However, recent studies suggest that implementing existing prevention practices can lead to up to a 70 percent reduction in certain HAIs. The financial benefit of using these prevention practices is estimated to be $25.0 billion to $31.5 billion in medical cost savings (Healthypeople.gov 2020).

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).

There are two types of impetigo infection: bullous impetigo, large blisters and non-bullous impetigo, crusted. Both are usually caused by staph or strep. The infection appears as a fluid-filled blister that starts out clear and then cloudy. If popped, the skin underneath is red and raw and left untreated, can grow and spread to other areas of the body and form a yellowish crust (Durani, 2011).