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7.3. Bacterial Skin Infection

               7.3.1. Impetigo

               It is the superficial infection of the skin
               1. Causes:

                          - Streptococcus
                          - Staphylococcus

               ¾ Although impetigo is seen at all ages, it is particularly common in children living in

                   poor hygienic condition.

               ¾ It could be primary starting on normal skin or secondary to underlying skin diseases
                   such as pediculosis, scabies, insect bites, and eczema

               Common sites: Face, hands, neck and extremities

               2. Treatment:
                   ¾  Systemic antibiotic therapy

                   ¾  Antiseptic to clean the skin
                   ¾  Wash hand frequently

                   ¾ Avoid scratching

                   ¾  Teach the patient
                   ¾  Arrange follow up



               7.3.2. Cellulites
               It is a bacterial infection of skin and subcutaneous tissue.

               a). Cause: streptococcus is the most frequent cause

               b). Signs and symptoms

                          -  Fever                 - Heat at area
                          -  Edema                 - Pain and tenderness of affected area

                       c). Treatment: -
                          o  Promote skin care & don’t scratch

                          o  Encourage rest so that the infection remains localized

                          o  Give anti pain and analgesic
                          o  Send to health facility for parentral treatment





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