KIDS AND SKIN RASHES
Q: My 2 year-old son has a sore on his face that has not healed.
Dr.Moore: The warmth of summer fades and we dust off
our toddlers’ school clothes in preparation for their return to
the classroom. As the seasons change, so do the ailments that afflict
our children. In spring and summer, we see insect bites--mosquitoes,
gnats, spiders and chiggers --all of which can become secondarily infected.
Poison ivy and other similar dematitis' can be bothersome to child and
parent. For children in daycare and during the school year, continuous
contact with their classmates spreads germs that cause another common
malady: Impetigo.
Impetigo is a bacterial skin infection, which manifests as small red
pimples that become non-healing open sores. They may scab over with
yellow or brown crusts. It's caused by a staphylococcal skin infection
but if lesions are found around the nose or mouth, it may be streptococcal.
Bacteria cause the initial infection, which enters small cuts or breaks
in the skin. This is a very contagious disease and it can spread easily
to classmates and family members if proper precautions are not taken.
The majority of cases will need oral antibiotics (erythromycin is usual)
although some minor lesions may heal with over-the-counter topical antibiotic
ointment. Wash these areas before applying antibiotic ointment three
times daily. A Band-Aid can be applied over raw lesions.
Contagion applies to ones self and to others. Frequent hand washing
and reminders to your child not to scratch or pick at lesions will reduce
its spread to other areas of the body. Bathtubs, sinks and washtowels
can also be a source of spread among family members.
Should someone with impetigo attend school? It is prudent to keep them
home for one to two days after antibiotics are begun. Within in a week
of treatment, most lesions will resolve. Try to encourage children to
avoid picking at scabs or these lesions can take months to completely
clear and could even become permanent scars.
* * *
Readers may send questions to this
email address. This column is for informational purposes
only and is not a substitute for professional or medical advice.
* * *
