Pyoderma

Pyoderma is usually caused by

staphylococcal, streptococcal, or
combined infection.
 Pyoderma is a group of cocci infections in
the skin, including impetigo, ecthyma,
folliculitis, furuncle, carbuncle,
erysipelas and cellulitis.
 The quantity and the toxicity of the bacteria
 The resistance of the body
 Impetigo
 Occur most frequently on the exposed
parts of the body
 Contagious
 Occur most frequently in childhood
 Mostly during summer
 Pathogen
 Coagulasepositive Staphylocuccus aureus
Group A beta-hemolytic streptococci

 Group A beta-hemolytic streptococci and the

phage type 71 and 80/81 S. aureus skin
infections are sometimes followed by
glomerulonephritis.
 Enviroment: humid weather
 Body: itching skin diseases
 Clinical Type
Impetigo vulgaris
impetigo bullosa
Impetigo neonatorum
Granuecthyma
 Impetigo vulgaris
 Highly contagious
 Age: preschool age or school age
 Season: summer and autumn
 Locus: exposed parts of the body:
perioral, paranasal and vulval regions
 Impetigo vulgaris
 Feature of the lesion: erythematous
macula or papula, pustula, erosion, crusts
 Subjective symptom: itching seriously
 Course of disease: about one week
 Systemic symptom: fever and
lymphangitis may occur in serious disease,
and more seriously septicaemia and acute
glomerulonephritis may occur in disease.
Impetigo vulgaris
 Impetigo bullosa
 Childhood, Summer
 Impetigo often complicates miliaria,
hidradenitis and insect bites
 Bullae:pellucid to turbid exudate, like
half bottle of water, after these lesions
rupture, the exudate dries to form
crusts and hyperpigmentation.
 Impetigo circinata
 Impetigo neonatorum
 Phage type 71 coagulasepositive S. aureus
or a related group 2 phage type
 Rapidly evolving, highly contagious
 pellucid to turbid exudate, Nikolsky’s sign
(+)
 dries to form loosely stratified golden
yellow crusts
 The disease evolves rapidly
 Systemic symptom is serious:
septicaemia,toxemia and die
Impetigo
neonatorum
 Granuecthyma
 Deep and inflammatory vesicle or
vesicopustule, ruptures to form ulcer
and dark brown crusts
 Causalgia, regional lymphonodi swell
 Autoinoculation infection
 The lesions tend to heal after 2-4
weeks, leaving scars or granulomatous
lesions
Granuecthyma
 Treatment
 1.Clean the skin and cure the
wound and itching skin diseases
 Treatment
2. Systemic treatment:
sulfanilamide antibiotics or other
antibiotics

Serious Impetigo neonatorum:

 Topical therapy
 High dose and sensitive antibiotics
 General suppotive measures
 Treatment
3. Topical therapy:
Principle: sterilize, diminish
inflammation, astringe and desiccate
1% camphor、5% sulfurcalamine lotion,
0.5% novobiocin ointment
Impetigo neonatorum
Diers astringents and antiseptics
Granuecthyma
Remove the crusts, topical antibiotics
ointment
 Treatment
4. Isolation and disinfection
Thank you