pharmacy first impetigo Flashcards
(23 cards)
what red flags should we check for
deep tissue infection
immunosupressed
widespread infection
deterioration of illness - NEWS2
what are the typical progression of imprtigo clinical features
- thin-walled vesicle
- dry yellow-brown crusts - gradually thickens
- lesions mainly on face, exposed limbs and flextures
- autoinoculation
- mildly itchy
what is it called when there are less than or 3 lesions/clusters present
localised non-bullous impetigo
what is it called when there are more than or 4 lesions/clusters present
widespread non - bullous impetigo
difference between bullous and non-bullous
bullous: large fluid fluid-filled blisters: bullae
non-bullous: small vesicles
can bullous impetigo be treated under pharmacy first
NO- refer to the GP
what drugs are associated with treating impetigo
fucidic acid
hydrigen peroxide 1 percent
clarithromycin
flucloxacillin
what is used to treat non-bullous impetigo where there are less than or three lesions
hydrogen peroxide cream for five days, is unsuitable or ineffective, fusidic acid cream for 5 days
what is used to treat non-bullous impetigo where there are more than or four lesions
flucloxacillin for 5 days
if allergy clarithromycin for 5 days
if pregnnat erythromycin
can clarithromycin be used in pregnant women
no
what resources should be given to patinets following supply of meds for impetigo
britich association of dermatologists impetigo leaflet
drug PIL
what is the inclusion criteria for impetigo via pharmacy first
non bullous
adults and children >1 year or 1 years old
non pregnant
had less than 2 episodes in the same year
can the creams be used on broken skin
yes
can hydrogen peroxide be used if impetigo is around eyes
no
What differential diagnoses should we rule out
Chicken pox, eczema, and cellulitis should be excluded
self care advice
good hygiene
cannot attend school/work until all lesions are healed, dry and crusted over OR 48hrs after starting treatment
Food handlers are required by law to inform employers immediately if they have impetigo
causative organism name
Staphylococcus aureus
is impetigo contagious
yes - spread by skin to skin contact
how should fuscidic acid cream be applied
apply a thin layer to the affected area 3 times a day for 5 days
supply 15g tube (30g ONLY if 15g unavailable)
don’t smoke or go near naked flamed - flammable
fabric thats been in contact with the cream is flammable - wash
avoid contact with eyes
How should flucloxacillin be taken?
take orally 1 hour before or 2 hours after food
Common side effects of flucloxacillin
diarrhoea
nausea
skin rash
hypersensitivity
vomiting
How should erythromycin be taken
take orally just before or with food
500mg QDS for 5 days
common side effects of clarithromycin
GI disturbances
decreased appetite
dizziness
headache
hearing impairment
insomnia
altered taste
