Impetigo is a bacterial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes that begins as red sores that rupture and develop into crusty, yellow-brown lesions. It is easily spread through direct or indirect contact with the lesions. Signs and symptoms include red sores around the nose and mouth that discharge then develop into crusts, with mild itching, pain, or soreness. Diagnosis is usually made through visual examination, though tests may be used if unresponsive to antibiotics. Treatment involves soaking sores, applying antibiotic cream or ointment, and maintaining wound hygiene through washing with soap and water. Nursing interventions include promoting hygiene, wound care, isolating patients

1. Submitted to : Ma’am Kouser Shah
Ma’am Naseem Akhter
Submitted by: Sadia Yousaf
Rohama John
(Group-6)
IMPETIGO

2. Objectives
At the end of the presentation, students will be able
to understand:
 Definition of impetigo
 Causes
 Mode of transmission
 Signs and symptoms
 Diagnosis
 Medical Treatment
 Nursing interventions

3. Definition
 A skin infection caused by the staphylococcos or,
less often, by the streptococcus bacterium. The
first sign of impetigo is a patch of red, itchy skin.
Pimple develops on this area. soon forming
crusty, yellow-brown sores that can spread to
cover entire areas of the face, arms and other
body parts.
 HALLMARK: Yellowish-brown crust.

4. Causes
 Staphylococcos aureus
 Streptococcus pyogenes

5. Mode of transmission
 Impetigo is easily spread from person to person
by direct contact with the lesions and/indirectly by
touching items (clothing, sheets, or toys) that
have been used by individuals with this skin
disease. Indirect transmission is less frequent
than direct person to person transmission.

6. Signs and symptoms
 Red sores – often rupture quickly; usually occur
around the area of the nose and mouth, it can also be
spread by the fingers, clothing and use of towels, to
different areas of the body
 Discharge from the sores for a couple of days
 Development of yellowish-brown crust
 Mild itching, pain and/or soreness,
 Bullous impetigo – occurs less frequently;
characterized by larger blisters found in the trunk of
infants and young children
 Ecthyma – another form of impetigo that infiltrates
deeper into the skin, causing painful sores filled with
pus and fluid. It is more serious and can lead into

7. Diagnosis
 Visual examination of the distinctive sores
 Laboratory tests – generally, the need to perform
laboratory test may be unnecessary. However, in
cases where the sores are unresponsive to
antibiotic therapy, the doctor may take a fluid
sample from the sore to determine the best type
of antibiotic to use because some bacteria may
be resistant to certain antibacterial drugs.

8. Medical Treatment
 Antibiotics. Impetigo is generally treated through
the use of antibiotic therapy. The affected area
should be soaked first in warm water to remove
the scabs, wet compresses may also be used.
This is followed by the application of the
prescribed antibiotic cream or ointment directly to
the affected areas.
 Proper wound hygiene. It is also important to
maintain the cleanliness of the affected areas by
washing with mild soap and water.

9. Nursing interventions
 Promote good hygiene.
 Assess the patient’s skin or his/her whole body.
 Instruct the client not to squeeze a boil or pimple.
 Teach regular and effective hand washing.
 Advise patient to keep fingernails cut short.
 Instruct the client to bathe at least daily with
bactericidal soap.
 Isolate the patient in his/her room, at home ideally for
10 days.
 Administer antibiotics as prescribed. Ensure that the
patient finishes the course of antibiotic prescribed by
the physician.
 Educate the patient and caregiver about proper
wound hygiene through washing the sores with soap

10. Thank You