Question

give patho of the disease, specific drug of choice dosages, side effects and patient education

A. Timmy is an active 3-year-old boy who is brought to your office by his mother. She states that he has had a honey-colored crust around his chin for the past week. She is concerned because the lesions seem to be spreading to his nose, cheek, and upper lip. He does not like it when she tries to 'wash them with a washcloth." You diagnose impetigo and begin to discuss treatment with the mother 1. What medication would you prescribe for Timmy? 2. What additional education is required for this patient and his family?

Answer 1

#. The medical condition is Impetigo . It is a skin infection caused by staphylococci, streptococci bacteria. The affected parts are exposed areas of body , face ,hands ,neck , and extremities .

#. Pathophysiology :-

It is caused by staphylococci , streptococci bacteria . Contagious ,spread by contact with the patient , and patients equipment which are soiled by the exdute of lesion .

#. Treatment include :-

- Agents for nonbullous impetigo : benzathine penicillin ,oral penicillin , erythromycin

- Agents for bullious impetigo : penicillinase -resistant penicillin or erythromycin

- Topical antibacterial therapy for 1week.

#. Additional education required for the patient and family include :-

- Teach proper use of antiseptic solutions to cleanse the skin and reduce bacterial content and prevent spread .

- Educate them to wear gloves when giving care to patients

- Advice them to bath atleast once a day with bacterial soap.

- Encourage cleanliness and hygiene to prevent spread

- Advice them not to share soap ,towel etc and to avoid physical contact with the infected patients until lesions are healed .