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Transcript
Elaine C. Siegfried, M.D.
Professor of Pediatrics and Dermatology
Director, Division of Pediatric Dermatology
1465 South Grand Blvd.
St. Louis, MO 63104
How to Control Bad Bacteria
Phone: 314.268-2700 X3457
[email protected]
Staphylococcus aureus and Streptococcus are germs that cause impetigo and other types of skin
infections. In some people, these germs hide in their nose and skin folds. In people with eczema,
these germs can also live on their skin. This is called “colonization.” People who are colonized
can pass these germs to others who may be more likely to get an infection.
Antibiotic treatment:
Mupirocin (Bactroban®, Centany®) & retapamulin (Altabax®) are antibiotics that control and even
eliminate colonization with these germs. Apply ointment twice a day for 5 days in a row.
Repeat the course of treatment every 1-3 months.
To keep medicine tube free of germs:
• Use a clean cotton swab to apply medicine
• Do not reuse the same swab to touch the tube
• Store medication in the refrigerator
For your child:
• Apply ointment to nostrils and skin folds (ex: armpits, behind the ears, ear canals, groin
folds, belly button, anal area and any scabbed areas)
• Add ¼ cup household bleach to bath water
For all other family members:
• Apply ointment to nostrils only
• Use an antibacterial cleanser once a day for bathing to help control skin colonization.
Liquid cleansers are usually less irritating to the skin than bar soaps, and less likely to
be contaminated with repeated use. For best results, when one product is used up,
purchase another product with a different active ingredient.
Antibacterial cleansers:
Active Ingredient
triclosan
triclocarban
chlorhexidine
salicylic acid
benzoyl peroxide
Brand Names
Bar and liquid Lever 2000, Liquid Dial, Zest,
Safeguard
Bar Dial, Zest, Safeguard
Hibiclens (avoid use on the face)
Neutrogena Acne Wash, Salex
Benzac, Triaz