Impetigo (Pyoderma) is a superficial infection of the skin caused primarily by group A streptococci and occasionally by other streptococci or by Staphylococcus aureus.This condition is seen most often in young children, tends to occur during the warmer months, and is more common in semitropical or tropical climates than in cooler regions. The infection occurs especially often among children living under conditions of poor hygiene. Minor trauma, such as a scratch or an insect bite, may then serve to lodge bacteria into the skin and cause this infection. While the bacteria causing impetigo may have been caught from someone else with impetigo or boils, impetigo usually begins out of the blue without any apparent source of infection. Impetigo is best prevented, therefore, by attention to adequate hygiene.


The usual sites of involvement are the face (particularly around the nose and mouth) and the legs, although lesions may occur at other locations.
Individual lesions begin as red papules, which turn quickly to vesicular and then pustular lesions that break down and coalesce to form characteristic honeycomb-like crusts. Lesions generally are not painful, and patients do not appear ill. Fever is not a feature of impetigo.


Bullous impetigo is a distinctive form of impetigo characterized by the presence of more extensive, bullous lesions that break down and leave thin paper like crusts instead of the thick amber crusts of impetigo.  
Treatment Consists of cleaning the lesions with soap and water and topical and systemic antiboiotics.

  • Antibiotics usually clear up impetigo in four or five days. It’s important for the antibiotic to be taken faithfully until the prescribed supply is completely used up.
  • An antibiotic ointment, such as Polysporin, should be applied thinly four times daily. Polysporin can be purchased without a prescription.
  • Crusts should be removed before the ointment is applied. Soak a soft, clean cloth in a mixture of one-half cup of white vinegar and a quart of lukewarm water. Press this cloth on the crusts for 10-15 minutes three or four times daily. Then gently wipe off the crusts and apply a little antibiotic ointment. You can stop soaking the impetigo when crusts no longer form. When the skin is healed, stop the antibiotic ointment.

Among the antibiotics useful are dicloxacillin, cephalexin, or topical mupirocin ointment provide the most reliable treatment for impetigo, although penicillin or erythromycin are cheaper alternatives and equally effective.

A possible complication of Impetigo is glomerulonephritis, a type of kidney disease.

Precautions:Impetigo is contagious when there is crusting or oozing. While it’s contagious, take the following precautions:

  • Patients should avoid close contact with other people.
  • Children should be kept home from school until the lesions crust over.
  • Use separate towels for the patient. The patient’s towels, pillowcases, and sheets should be changed after the first day of treatment. His or her clothing should be changed and laundered daily for the first two days.
  • Usually the contagious period ends within two days after treatment starts.
Skin Diseases
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About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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