Talk:Impetigo

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Tea Tree Oil?
I requested a citation for the statement "An alternative treatment is the application of tea tree oil diluted 1:10 with a carrier oil." This may well be true, but I can't find any such reference in the external links, nor in the article on tea tree oil itself. &mdash; VoxLuna  (talk)   01:38, 14 January 2007 (UTC)

Bacteria involved
according to the aafp (American Academy of Family Physicians) - "Nonbullous impetigo was previously thought to be a group A streptococcal process and bullous impetigo was primarily thought to be caused by S. aureus. Studies16,17 now indicate that both forms of impetigo are primarily caused by S. aureus with Streptococcus usually being involved in the nonbullous form" http://www.aafp.org/afp/20020701/119.html (dr. yair tsruya MD)

According to Prodgidy, emedicine and my medical text books while the bullous form is caused almost exclusively by Staph. Aureus the nonbullous form can be caused by Staph. Aureus, Step. Pyogenes or a combination of both. http://cks.library.nhs.uk/impetigo/in_depth/background_information quotes a paper Watkins (2005) which claims that step.pyogenes is responsible for 10% the cases of nonbullous impetigo in the UK. I suggest that the American Academy of Family Physicians quote could mislead on this point. —Preceding unsigned comment added by 82.2.54.180 (talk • contribs) 22:47, 20 April 2007

Antibiotics and crusts
Quote: "It is very important to remove the crusts before applying ointment, because the bacteria that cause the disease live underneath them." Are there any sources available for this statement? I can only give anecdotal proof that this is not true because i was sick with impetigo some years ago and didn't have to remove the crust, but I think you should check the validity of the statement. I used the antibiotic chloramphenicol (I hope it's like that in English), if that makes any difference. Additionally, i bet that most antibiotics are able to reach bacteria even beneath crusts if they are lipophile enough, but again, i don't have any reliable sources for my remarks, but perhaps it helps improving the article, though. Greets from Germany. 84.188.202.97 15:21, 6 November 2007 (UTC)
 * I agree. In fact, I was recently treated for impetigo and prescribed mupirocin; remembering this wiki, I asked the prescribing MD whether I should remove crusts first and she said no. I also asked the pharmacist and he said yes; it may have been that the MD was wrong, but there needs to be a source for this. 152.130.6.130 (talk) 20:11, 15 January 2008 (UTC)

Whether and when to remove crust seem quite important, something that the instructions given to the patient for self-treatment should address. A thin crust might be permeable, but a thick hard crust must surely keep medication out of the underlying region. Many individuals have anecdotes. Knowledge comes from research, where someone has reviewed many histories, and hopefully found a way to understand them and produce a strategy for treatment (how to diagnose, how to treat for each type, and how to re-evaluate). (We can't research here.) I don't know whether there is a unified body of knowledge of how to diagnose and treat impetigo and similar ailments. Doctors seem to give different advice for the same condition; it seems the product of multiple "traditions". They choose and adjust their initial and second-line strategies based on what they were taught, and what results they've seen based on what they've tried. It's hard to make a single strategy when every infection can be unique, and need different treatment, and you don't know in advance which one(s) will work. For example, a cut that won't heal "dry" (only iodine and gauze), might heal better "wet" (with petroleum jelly or ointment), and vice-versa. I had something with a hard brown scab like a button that kept growing - antibiotic ointment and babying it did nothing - it went away after I pried off the button and treated it with powdered alum. (But was it impetigo?) I had something like an ulcer with a thin yellow crust - scrubbing and alum made it much worse - MD prescribed acyclovir and topical mupirocin. (If there were no wonder drugs, only low-tech, I can only wonder how much damage it would do before being cured, or whether it would be cured at all, or even kill me.) -A876 (talk) 00:48, 19 August 2017 (UTC)

Prevention
The last part of the prevention section says the following: "When a person has impetigo, it is common for them to get it a second time in the space of 6–9 months. This usually occurs in people aged 12–16, and kills instantly"

Kills instantly? I doubt it. is there a reference for this? Also, the sentence doesn't end with a period. Did something get mangled here? —Preceding unsigned comment added by Shocky1 (talk • contribs) 19:23, 26 November 2010 (UTC)

Causes
If it is true that approximately 25% of the population has staphylococcus aureus on their skin normally, the rationale to say that the bacteria cause the infection seems incomplete. Even somebody who has impetigo today may have never had it previously, yet undoubtedly had the bacteria on his skin at some point in his life without incident. This implies some trigger, or more probably an injury even if at the cellular level, is the attractant for these pathogenic bacteria and together the cause. http://textbookofbacteriology.net/normalflora.htmlCalebPM (talk) 06:09, 10 December 2012 (UTC)

Predisposing factors
Impetigo is more likely to infect children ages 2-6, especially those that attend school or daycare. Other factors can increase the risk of contracting impetigo such as diabetes, dermatitis, immunodeficiency disorders, and other irritable skin disorders.

Diagnosis
If a visual diagnosis is not conclusive, the physician may take a sample from a sore to test for the type of bacteria causing the infection. Testing the sample can help the physician prescribe the appropriate antibiotic.

Prevention
To prevent spread of impetigo to other susceptible people it's important to keep the skin and any open wounds clean. Care should be taken to keep fluids from an infected person away from the skin of a non-infected person. Washing hands, linens, and affected areas will lower the likelihood of contact with infected fluids. Sores should be covered with a bandage. Scratching can spread the sores; keeping nails short will reduce the chances of spreading. Infected people should avoid contact with others and eliminate sharing of clothing or linens.

Arhyne (talk) 18:08, 7 October 2016 (UTC)
 * Not very good sources. Doc James  (talk · contribs · email) 19:51, 11 October 2016 (UTC)

Epidemiology
Globally, at any point in time, impetigo affects more than 162 million children in low to middle income countries. The rate is highest in countries with low available resources and is especially common in the region of Oceania. The tropical climate and high population of lower socioeconomic regions is part of the reason for the greater rates. Children from the United Kingdom under the age of 4 are 2.8% more likely to contract impetigo and rates decreases to 1.6 % for children up to 15-years-old. As age increases, the rates of impetigo declines but all ages are still at risk. Lydia.Stiving (talk) 01:13, 5 December 2016 (UTC)lydia.stiving
 * User:Lydia.Stiving Sure. Please format per the message I left on your talk page. What ref supports the first senece? Best Doc James  (talk · contribs · email) 01:59, 5 December 2016 (UTC)


 * User:Doc James This is the reference. Lydia.Stiving (talk) 15:24, 5 December 2016 (UTC)lydia.stiving
 * Formatted a bit more. You want to copy it into place? Doc James  (talk · contribs · email) 22:32, 5 December 2016 (UTC)

talk ::: We will put it into place once we have instructor approval. Lydia.Stiving (talk) 15:59, 7 December 2016 (UTC)lydia.stiving

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