Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations.
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/735 |
Resumo: | Impetigo is a common and highly contagious bacterial skin infection that mainly affects children around the world. It is characterized by skin lesions, including pustules, vesicles and crusts, often accompanied by itching and discomfort. Studies on the epidemiology of impetigo point to significant variations in the prevalence of impetigo in different geographic regions and age groups. This bacterial infection mainly affects low-income children, affecting more than 2% of the global population, being more prevalent in tropical and subtropical areas, with Oceania standing out as the region with the highest incidence. Impetigo can be divided into two main clinical manifestations: bullous impetigo and non-bullous impetigo. Bullous impetigo is predominantly caused by Staphylococcus aureus and is characterized by flaccid, transparent blisters that develop in the subcorneal layer of the skin. These blisters usually appear in intertriginous regions such as diaper areas, armpits, neck and palms and soles. Non-bullous impetigo is more common and can be primary, resulting from bacterial invasion of intact skin, or secondary, resulting from infection through non-intact skin. The main cause is Staphylococcus aureus, often associated with group A beta hemolytic streptococci. The diagnosis of impetigo is usually made clinically, but laboratory tests, such as culture of fluid from vesicles, pustules, or areas below the edges of crusted plaques, can be used for confirmation. Impetigo is differentiated from other conditions through tests such as a negative Nikolsky sign. Treatment of impetigo involves maintaining antisepsis of the lesions and the use of topical antibiotics, such as fusidic acid, retapamulin and mupirocin, which are effective for localized lesions. Furthermore, for more extensive cases of the disease it is necessary to use systemic antibiotics, and should always choose those with less susceptibility to bacterial resistance. |
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Brazilian Journal of Implantology and Health Sciences |
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Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations.Impetigo Infantil: Uma Revisão Abrangente das Considerações Dermatológicas e Pediátricas.Impetigo, Staphylococcus aureus, dermatosis.Impetigo is a common and highly contagious bacterial skin infection that mainly affects children around the world. It is characterized by skin lesions, including pustules, vesicles and crusts, often accompanied by itching and discomfort. Studies on the epidemiology of impetigo point to significant variations in the prevalence of impetigo in different geographic regions and age groups. This bacterial infection mainly affects low-income children, affecting more than 2% of the global population, being more prevalent in tropical and subtropical areas, with Oceania standing out as the region with the highest incidence. Impetigo can be divided into two main clinical manifestations: bullous impetigo and non-bullous impetigo. Bullous impetigo is predominantly caused by Staphylococcus aureus and is characterized by flaccid, transparent blisters that develop in the subcorneal layer of the skin. These blisters usually appear in intertriginous regions such as diaper areas, armpits, neck and palms and soles. Non-bullous impetigo is more common and can be primary, resulting from bacterial invasion of intact skin, or secondary, resulting from infection through non-intact skin. The main cause is Staphylococcus aureus, often associated with group A beta hemolytic streptococci. The diagnosis of impetigo is usually made clinically, but laboratory tests, such as culture of fluid from vesicles, pustules, or areas below the edges of crusted plaques, can be used for confirmation. Impetigo is differentiated from other conditions through tests such as a negative Nikolsky sign. Treatment of impetigo involves maintaining antisepsis of the lesions and the use of topical antibiotics, such as fusidic acid, retapamulin and mupirocin, which are effective for localized lesions. Furthermore, for more extensive cases of the disease it is necessary to use systemic antibiotics, and should always choose those with less susceptibility to bacterial resistance.O impetigo é uma infecção bacteriana cutânea comum e altamente contagiosa, que afeta principalmente crianças em todo o mundo. É caracterizado por lesões na pele, incluindo pústulas, vesículas e crostas, muitas vezes acompanhadas de coceira e desconforto. Estudos sobre a epidemiologia do impetigo apontam para variações significativas na prevalência do impetigo em diferentes regiões geográficas e grupos etários. Essa infecção bacteriana afeta principalmente crianças de baixa renda, atingindo mais de 2% da população global, sendo mais prevalente em áreas tropicais e subtropicais, , destacando-se a Oceania como a região com a maior incidência. O impetigo pode ser dividido em duas principais manifestações clínicas: impetigo bolhoso e impetigo não bolhoso. O impetigo bolhoso é predominantemente causado por Staphylococcus aureus e é caracterizado por bolhas flácidas e transparentes que se desenvolvem na camada subcornea da pele. Essas bolhas geralmente aparecem em regiões intertriginosas, como áreas de fraldas, axilas, pescoço e palmas das mãos e plantas dos pés. O impetigo não bolhoso é mais comum e pode ser primário, decorrente da invasão bacteriana na pele íntegra, ou secundário, resultante de infecção através de pele não íntegra. A principal causa é o Staphylococcus aureus, frequentemente associado a estreptococos beta hemolíticos do grupo A. O diagnóstico do impetigo geralmente é feito clinicamente, mas exames laboratoriais, como cultura de fluido de vesículas, pústulas ou áreas abaixo das bordas de placas crostosas, podem ser utilizados para confirmação. O impetigo é diferenciado de outras condições por meio de testes como o sinal de Nikolsky negativo.O tratamento do impetigo envolve a manutenção da antissepsia das lesões e o uso de antibióticos tópicos, como ácido fusídico, retapamulina e mupirocina, são eficazes para lesões localizadas.Além disso, para casos mais extensos da doença faz-se necessário o uso de antibióticos o sistêmicos, devendo sempre optar por aqueles com menor suscetibilidade a resistência bacteriana.Specialized Dentistry Group2023-10-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/73510.36557/2674-8169.2023v5n5p1817-1828Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 1817-1828Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 1817-1828Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 1817-18282674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/735/886Copyright (c) 2023 Rodrigo Daniel Zanoni, Ana Carolina Peixoto Rodrigues, Ana Luiza Bosch, Daniel Cavalcante Maia, Felipe Kennedy Sousa Gonçalves, Fellype Carvalho Cunha, João Vitor Wilson Hall, Marília Fagury Videira Marceliano Alves, Mychelle Christian Cortêshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessZanoni, Rodrigo DanielRodrigues, Ana Carolina PeixotoBosch, Ana LuizaNery, Daniela LuizMaia, Daniel CavalcanteGonçalves, Felipe Kennedy SousaCunha, Fellype CarvalhoHall, João Vitor WilsonAlves, Marília Fagury Videira MarcelianoCortês, Mychelle Christian2023-10-28T20:05:32Zoai:ojs.bjihs.emnuvens.com.br:article/735Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-10-28T20:05:32Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. Impetigo Infantil: Uma Revisão Abrangente das Considerações Dermatológicas e Pediátricas. |
title |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
spellingShingle |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. Zanoni, Rodrigo Daniel Impetigo, Staphylococcus aureus, dermatosis. |
title_short |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
title_full |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
title_fullStr |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
title_full_unstemmed |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
title_sort |
Infantile Impetigo: A Comprehensive Review of Dermatologic and Pediatric Considerations. |
author |
Zanoni, Rodrigo Daniel |
author_facet |
Zanoni, Rodrigo Daniel Rodrigues, Ana Carolina Peixoto Bosch, Ana Luiza Nery, Daniela Luiz Maia, Daniel Cavalcante Gonçalves, Felipe Kennedy Sousa Cunha, Fellype Carvalho Hall, João Vitor Wilson Alves, Marília Fagury Videira Marceliano Cortês, Mychelle Christian |
author_role |
author |
author2 |
Rodrigues, Ana Carolina Peixoto Bosch, Ana Luiza Nery, Daniela Luiz Maia, Daniel Cavalcante Gonçalves, Felipe Kennedy Sousa Cunha, Fellype Carvalho Hall, João Vitor Wilson Alves, Marília Fagury Videira Marceliano Cortês, Mychelle Christian |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Zanoni, Rodrigo Daniel Rodrigues, Ana Carolina Peixoto Bosch, Ana Luiza Nery, Daniela Luiz Maia, Daniel Cavalcante Gonçalves, Felipe Kennedy Sousa Cunha, Fellype Carvalho Hall, João Vitor Wilson Alves, Marília Fagury Videira Marceliano Cortês, Mychelle Christian |
dc.subject.por.fl_str_mv |
Impetigo, Staphylococcus aureus, dermatosis. |
topic |
Impetigo, Staphylococcus aureus, dermatosis. |
description |
Impetigo is a common and highly contagious bacterial skin infection that mainly affects children around the world. It is characterized by skin lesions, including pustules, vesicles and crusts, often accompanied by itching and discomfort. Studies on the epidemiology of impetigo point to significant variations in the prevalence of impetigo in different geographic regions and age groups. This bacterial infection mainly affects low-income children, affecting more than 2% of the global population, being more prevalent in tropical and subtropical areas, with Oceania standing out as the region with the highest incidence. Impetigo can be divided into two main clinical manifestations: bullous impetigo and non-bullous impetigo. Bullous impetigo is predominantly caused by Staphylococcus aureus and is characterized by flaccid, transparent blisters that develop in the subcorneal layer of the skin. These blisters usually appear in intertriginous regions such as diaper areas, armpits, neck and palms and soles. Non-bullous impetigo is more common and can be primary, resulting from bacterial invasion of intact skin, or secondary, resulting from infection through non-intact skin. The main cause is Staphylococcus aureus, often associated with group A beta hemolytic streptococci. The diagnosis of impetigo is usually made clinically, but laboratory tests, such as culture of fluid from vesicles, pustules, or areas below the edges of crusted plaques, can be used for confirmation. Impetigo is differentiated from other conditions through tests such as a negative Nikolsky sign. Treatment of impetigo involves maintaining antisepsis of the lesions and the use of topical antibiotics, such as fusidic acid, retapamulin and mupirocin, which are effective for localized lesions. Furthermore, for more extensive cases of the disease it is necessary to use systemic antibiotics, and should always choose those with less susceptibility to bacterial resistance. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/735 10.36557/2674-8169.2023v5n5p1817-1828 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/735 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p1817-1828 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/735/886 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 1817-1828 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 1817-1828 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 1817-1828 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798440232976384 |