wow, thats a new one on me!  I did not know it wasn't fungus!  No
wonder its so awful, its staph!  Here is something I googled on it:

Signs and Symptoms
Impetigo may affect skin anywhere on the body but commonly occurs
around the nose and mouth, hands, and forearms.

When impetigo is caused by group A streptococcus, it begins as tiny
blisters. These blisters eventually burst and leave small wet patches
of red skin that may weep fluid. Gradually, a tan or yellowish-brown
crust covers the affected area, making it look like it has been coated
with honey or brown sugar.

Impetigo that is caused by staphylococcus aureus triggers larger
fluid-containing blisters that appear clear, then cloudy. These
blisters are more likely to stay intact longer on the skin without
bursting.

Contagiousness
Impetigo may itch and can be spread by scratching. Kids can spread the
infection by scratching it and then touching other parts of the body.

Impetigo is contagious and can spread to anyone who comes into contact
with infected skin or other items, such as clothing, towels, and bed
linens, that have been touched by infected skin.

Treatment
When it just affects small areas of the skin, impetigo can usually be
treated with antibiotic ointment. But if the infection has spread to
many areas of the body, or the ointment isn't working, your child's
doctor may prescribe an antibiotic pill or liquid.

Once antibiotic treatment begins, healing should start within a few
days. It's important to make sure that your child takes the medication
as the doctor has prescribed it. If that doesn't happen, a deeper skin
infection or a blood infection could develop.

While the infection is healing, gently wash the areas of infected skin
with clean gauze and antiseptic soap every day. Soak any areas of
crusted skin in warm soapy water to help remove the layers of crust
(it is not necessary to completely remove all of it).

To keep your child from spreading impetigo to other parts of the body,
your child's doctor or nurse will probably recommend covering infected
areas of skin with gauze and tape or a loose plastic bandage. Keep
your child's fingernails short and clean.

Prevention
Good hygiene practices, such as regular hand washing, can help prevent
impetigo. Use soap and water to clean your child's skin and be sure
your child takes baths or showers regularly. Pay special attention to
areas of the skin that have been injured, such as cuts, scrapes, bug
bites, areas of eczema, and rashes caused by allergic reactions or
poison ivy. Keep these areas clean and covered.

Make sure that anyone in your family with impetigo keeps his or her
fingernails cut short and that the impetigo sores are covered with
gauze and tape.

Prevent impetigo infection from spreading among family members by
using antibacterial soap and making sure that each family member uses
a separate towel. If necessary, substitute paper towels for cloth ones
until the impetigo is gone. Separate the infected person's bed linens,
towels, and clothing from those of other family members, and wash
these items in hot water.

When to Call Your Child's Doctor
Call your child's doctor if your child has signs of impetigo,
especially if he or she has been exposed to a family member or
classmate with the infection. If your child is already being treated
for impetigo, keep an eye on the sores and call the doctor if your
child's skin doesn't begin to heal after 3 days of treatment, or if a
fever develops. If the area around the rash becomes red, warm, or
tender to the touch, notify your child's doctor as soon as possible.

Reviewed by: Kathleen M. Cronan, MD
Date reviewed: October 2005
Originally reviewed by: Linda Lewis, MD
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