Pediatrician about streptoderma in children. How to identify (9 main symptoms) and how to treat the disease in a child? Symptoms and treatment of streptoderma in children at home: photos of the initial stage and list of medications

Streptoderma is a purulent-inflammatory skin disease caused by streptococcus. Most often, the disease develops when streptococcus gets on damaged skin, especially if the protective properties of the skin are reduced.

In most cases, young children are susceptible to the disease due to an incompletely formed immune system, a lack of vitamins in the body, and the inability to constantly monitor personal hygiene.

With well-developed immunity and integrity skin The immune system prevents streptococcus from developing in the child’s body.

Streptococcal pyoderma is an infectious skin disease caused by damage to the surface layer of the epidermis. Initially, the affected areas of the body are covered with purulent nodules, which quickly spread to other parts of the body and eventually turn into honey-yellow crusts. According to statistics, children from 2 to 9 years old are susceptible to the disease; adults are less likely to suffer from this type of dermatitis; streptoderma is extremely rare in newborns.

Causes

The disease develops when streptococci become active. According to many studies, a fifth of babies are carriers of opportunistic bacteria. Children do not suffer from such proximity, despite the fact that microbes constantly live on mucous membranes and skin.

Why does “peaceful coexistence” end? The reason is a violation of the integrity of the skin, wounds, cuts, injuries to the mucous membrane.

Provoking factors for the activation of microorganisms:

• decreased immunity due to illness, poor nutrition, stressful situations;
• long-term use antiviral agents, antibiotics that interfere with the work immune system;
• period of teething;
• postoperative period with long-term non-healing sutures. Weeping and exudate in combination with hospital-acquired streptococcus provoke a skin disease.

Routes of transmission and infection

Is the disease contagious? The answer is most likely positive. Why with a reservation? If streptococci come into contact with healthy skin, strong immunity It is difficult for an infectious agent to overcome the body's defenses; streptoderma does not develop in children.

Microbes will live on the skin until conditions for active activity appear.
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When it enters a weakened body, on skin/mucous membranes with wounds or microcracks, bacteria quickly multiply and inflammation develops. Depending on the strength immune defense, streptoderma can manifest itself in the form of a regular seizure or develop into bullous impetigo with blisters, suppuration, and ulcers on the skin.

Why does a baby spit up after breastfeeding? We have the answer! Read about the symptoms and signs of scarlet fever in children at this address.

Pathogens are transmitted from a sick person to a healthy person:

The reason for the development of streptoderma in children is infection with streptococci; it is very easy to get sick, because bacteria surround us everywhere - in the air, in the ground, in everyday life, on mucous membranes, on the skin.

Most often, you can become infected through everyday life; simple contact with an already sick person is enough. Very often this happens because a person may not follow the rules of hygiene, which is why this disease is so common in children.

Pustules on the skin are caused by group B streptococci, which secrete toxins, and they are the ones that affect the skin. It often happens that a person carries bacteria, but does not suffer from the disease, but under certain factors the disease becomes more active and the skin begins to undergo changes.

This hidden form is very dangerous for others.

In order for the disease to begin its development, certain conditions must be present:

• reduced immunity
• lack of vitamins in the body
• poor nutrition
• untimely body hygiene
• various skin injuries, cuts, abrasions
• stress (emotional and physical)
• high humidity
• presence of contact with a patient with streptoderma

The causative agents of the disease, microorganisms of the streptococcus family, are typical representatives of the opportunistic microbial flora of the body - with sufficiently intense local immunity, integrity of the skin and mucous membranes, normal functioning By the immune system of the body as a whole, the active development and spread of this microorganism is limited, and the disease does not develop.

The likelihood of the disease occurring is primarily associated with a violation of the integrity of the skin - in order for the streptococcal microorganism to easily enter the body, a minor abrasion or microcut is sufficient.

Others no less important factor is a violation of local immunity (immunity of the skin to infections) and a decrease in the activity of the immune system as a whole.

Classification

There are several types of streptoderma, which can sometimes be confused with other diseases.

Some varieties resemble other skin diseases in their symptoms. The degree of severity varies.

Many types of infectious skin disease are characterized by general symptoms streptoderma:

• enlarged lymph nodes;
• lethargy, deterioration of health;
• muscle, joint and headaches;
• elevated temperature.

Streptococcal impetigo

Features of the course of the inflammatory process:

• the variety is most common;
• symptoms appear on the feet, hands, face, nasal mucosa;
• first, bubbles with an inflamed red border form, with exudate inside;
• about a week later, after the pustule ruptures, the liquid flows out and a yellowish crust forms;
• After a while the crust falls off, pink spot gradually disappears.

Important! Many parents believe that their child has allergies or herpes and turn to a dermatologist late. The blisters often merge, a large area is affected, and treatment is delayed.

Periungual

Character of the current:

The disease has several forms of manifestation, let's talk about each in more detail.

1. Streptococcal impetigo

Depending on the location of the rash, doctors identify several forms of streptoderma, which are often found in children:

Stages of the disease

Based on the degree of damage to the dermis and the presence characteristic features, doctors can determine several stages of streptoderma development:

• bullous - when red spots form on the surface of the skin, which within a day develop into a bubble with a bright red rim and purulent-serous fluid;
• nonbulous - characterized by deep skin lesions, poorly healing wounds and the appearance of ulcers;
• chronic disease - caused by the episodic appearance of weeping purulent rashes, after opening which a yellow flaky crust appears on the body.

There are 3 stages of the disease:

1. Bullous (vesical). The initial stage is characterized by the eruption of blisters with pus in the lesion. First, a red spot appears, and within a day a phlyctena (bubble) forms. Over time, the number of bubbles increases. The size of the bubbles can be very different.
2. Non-bullous. The skin at this stage is deeply affected, the blisters do not heal well. Ulcers form - streptococcal ecthyma. Soon they begin to dry out.
3. Chronic stage. Develops with neglected or improper treatment. Characterized by occasional weeping rashes.

Symptoms

Once a streptococcal infection enters a child's body, symptoms begin to appear within a few days.

Symptoms of streptoderma:

• The appearance of bubbles with a yellowish liquid, after 2 days they begin to increase in size;
• Increased body temperature;
• Intoxication;
• Nausea, vomiting;
• Headache;
• Deterioration in health;
• Inflammation of the lymph nodes.

With proper and timely treatment, the disease usually lasts from 3 to 10 days. The skin can be affected up to 50%, it all depends on the immune system and the form of the disease.

Experts identify the following forms of streptoderma:

• Streptococcal impetigo;
• Bullous impetigo;
• Slit-like impetigo;
• Lichen;
• Tourniol, the most common form of streptoderma in children;
• Streptococcal diaper rash;
• Superficial panaritium.

The most common form of streptoderma, tourniol, in the photo looks like an inflamed felon; some parents sometimes do not even suspect that the child is developing such a dangerous disease as streptoderma and self-medicate, which only worsens the situation.

The main symptoms of streptoderma in children are purulent-inflammatory skin lesions. They may be accompanied by the following symptoms:

• general weakness, lethargy;
• elevated temperature;
• lymph nodes are enlarged;
• headache, muscles and joints hurt.

It is necessary to show the child to the doctor, especially if the rashes are profuse, purulent, and accompanied by fever. A pediatrician can diagnose the disease based on characteristic skin lesions.

To confirm the diagnosis, you need to consult a dermatologist and culture the fluid from the blisters to identify streptococcus. In addition, the doctor prescribes general clinical analysis blood and urine.

In more rare cases, testing for HIV infection and syphilis.

The first symptom of the disease is the appearance of small blisters filled with cloudy liquid. After some time, they burst, forming wounds that peel off and become covered with yellow crusts.

Important! Streptoderma is very easy to confuse with other diseases, such as atopic dermatitis, herpes, eczema, pityriasis versicolor. Therefore, you should definitely consult a doctor to find out the causes of the rash and prescribe adequate treatment.

In addition to the rash, the following symptoms appear:

• a significant increase in body temperature up to 38° and even more;
• the child becomes lethargic and does not want to play;
• intoxication;
• headache;
• nausea and vomiting;
• body aches are felt;
• enlarged lymph nodes;
• change in blood composition.

It takes about a week from the moment of infection to the moment the first symptoms appear. The rash responds well to treatment and, depending on the area and depth of the skin lesion, disappears in 5-15 days.

How does streptoderma begin?

Symptoms of streptoderma in children appear almost immediately and it is impossible not to notice them. Pustules appear on the skin, which peel off; at the beginning of the disease, they look like small bubbles with liquid inside.

As the disease progresses, the size and number of bubbles increase. Sores form primarily on the face, upper back, and legs.

It is very important not to scratch or rip them off, because in their place there may be spots that will not tan over time and can develop into pigment spots.

Streptoderma is transmitted very easily - just touching the patient is enough, the disease develops within 7 days, during this time itching, peeling and dryness of the skin appears, the lymph nodes become enlarged, and a low-grade fever may appear.

The incubation period of the disease is approximately seven days - this is how much time passes from the moment of infection with a streptococcal infection until the first signs of the disease appear. During this week the child feels well and does not complain about anything.

The disease manifests itself as barely visible round pinkish spots, conflicts, which quickly increase in size. Later they transform into flat blisters surrounded by a halo of inflamed skin.

Most often, rashes appear on the face, shoulders and back, less often on the child’s buttocks, arms and legs. After some time, the pink spots dry out, acquire a bright red color and become covered with small scales, and without proper treatment, vesicles (papules) filled with pus appear at the spot.

Once they disappear, pigmented marks remain.

Scaly foci of the disease are very painful and cause severe itching, to which the baby reacts with whims, insomnia and loss of appetite. The child does not feel well in general, he is weak and lethargic.

If streptoderma is not treated responsibly, it goes into the stage of microbial eczema, which is extremely difficult to get rid of. Therefore, at the first signs of the disease, you should immediately seek help from a dermatologist.

If one of the parents is sick, the likelihood of the child becoming infected is very high. Streptococcus “loves” moisture, so a sick person should limit water procedures.

Diagnostics

As soon as you suspect your child has streptoderma, it is recommended to immediately show him to a specialist. With help laboratory research, complaints and visual examination, the doctor will be able to make a diagnosis.

Depending on the form of the disease, you will be prescribed medical examinations:

1. Blood test: biochemical and general;
2. Urinalysis: general;
3. Stool analysis: detection of worm eggs.

At the discretion of the specialist, additional medical examinations and tests may be prescribed. The correct diagnosis depends on timely treatment.

The similarity of streptoderma in children requires differentiation from other skin diseases. Contact your pediatrician. If in doubt, the doctor will refer you to a dermatologist for consultation.

The exact answer is given by testing for streptococci from the vesicles. Additionally required general analysis blood and urine. In case of a complex course or an abundance of rashes, the dermatologist recommends getting tested for syphilis and HIV infection.

A pediatric dermatologist will be able to make the correct diagnosis after a visual examination. If doubts arise, or to determine the correct treatment tactics, the child will be prescribed additional tests:

• feces for the presence of helminthic infestations;
• general, biochemical analysis blood;
• Analysis of urine;
• Wasserman reaction test;
• microscopy of a smear from the site of inflammation;
• bacteriological culture.

Treatment

The correct treatment can be prescribed by a doctor after diagnosis accurate diagnosis. Drug treatment consists of treating the affected areas of the body with various ointments, applying antihistamines, antibiotics, multivitamins, immunomodulators.

Ointments and solutions:

• Salicylic acid solution;
• Tetracycline ointment - applied to the blisters after they burst;
• Antiseptic solutions: Miramistin, Fukortsin, Levomycetin solution;
• Antibiotic ointment: Baneocin, Levomekol, Erythromycin and Lincomycin.

Action of drugs:

Table - Review of drugs for the treatment of streptoderma

Group of drugs	Name
Local liquid antiseptics	Boric acid, potassium permanganate, brilliant green, peroxide, salicylic alcohol 2%
Antibacterial ointments	Tetracycline, neomycin, gentamicin, erythromycin, baneocin, chloramphenicol, syntomycin, zinc and others
Antibacterial ointments with hormones	“Kanizon plus”, “Flumetasone pivalate”, “Lorinden S”, “Prednisolone”, “Triderm” and others
Antibacterial drugs	Penicillin group: Augmentin, Amosin, Amoxicillin, Hiconcil, Flemoxin Solutab; group of macrolides: “Sumamed”, “Erythromycin”, “Azithromycin”, “Azitral”, “Zitrolit”, “Clarithromycin”, “Klacid”, “Fromilid”; group of cephalosporins: Cephalexim, Suprax, Ceforal Solutab, Pancef, Ciprofloxacin

Features of treatment at home.

In mild forms, treatment of streptoderma at home is acceptable. Severe cases of skin disease are treated in hospital.

An integrated approach is required, a combination of local and general treatment. It is forbidden to start therapy without taking tests. Difficulty in diagnosis leads to incorrect use local funds.

Causes serious consequences uncontrolled reception antibiotics, long-term treatment of affected areas with hormonal ointments.

• antibacterial ointments from streptoderma. Treat problem areas daily. The doctor will tell you the frequency and dosage based on the instructions. The dermatologist will select a drug based on the child’s age. Effective compositions: zinc, erythromycin, gentamicin, chloramphenicol ointments;
• antibiotics. Drugs from various groups will help fight streptococci. If you are not allergic to penicillins, Amoxicillin, Augmentin, Hiconcil are recommended. Among cephalosporins good effect provide Suprax, Ciprofloxacin, Cephalexim. Macrolides are recommended if other antibiotics do not help. Sumamed, Azitral, Klacid are used;
• hormonal ointments. Recommended for severe forms of streptoderma in older children. Effective drugs: Triderm, Lorinden S, Kanison plus, Prednisolone. Do not exceed the application time, use potent ointments only as prescribed by a doctor;
• local antiseptics. To combat inflammation, solutions with a drying, antiseptic effect are used. Gently wipe problem areas with hydrogen peroxide, a weak solution of potassium permanganate, boric acid, 2% salicylic alcohol. Lubricate the bubbles with green paint. Toxic compounds that were often used previously (silver nitrate, mercury ointment) are prohibited;
• antihistamines. The products relieve itching, swelling, reduce redness, and reduce sensitization of the body. The latest generation of allergy tablets are recommended: Erius, Claritin, Zyrtec, Cetrin;
• folk recipes. Will alleviate the condition, relieve swelling, itching, lotions/compresses with herbal decoctions. Brew a string, calendula, oak bark, sage. For 500 ml of boiling water, take 1 tbsp. l. herbs. After 40 minutes, use the infused decoction to combat the symptoms of streptoderma. Be sure to boil the oak bark for a quarter of an hour over low heat.

Only a doctor can prescribe how to treat streptoderma on a child’s face. Typically, treatment is carried out with lapis, which is used to treat the lesions. If the course of the disease is prolonged and the skin is affected too much, then antibacterial therapy is prescribed.

Important! Read in detail about all the methods of treating streptoderma in children in our article.

The treatment uses ointment for streptoderma. Today, many doctors are of the opinion that treatment requires complex treatment.

Local treatment does not give the required result, because... Streptococcus is not sufficiently neutralized, and, moreover, by developing resistance to the antibiotic, it begins to develop even stronger.

The following ointments are used in treatment:

• levomekol;
• gentomycin;
• syntomycin.

Ointments should be applied as bandages at night. In the morning, the bandage is removed and the affected area is treated with brilliant green, and then left open for the whole day.

Important! You can't wear a bandage all the time! This warms and hydrates the skin, which can have the opposite effect.

Drug treatment is the use of antibiotics. The most effective treatment for infection is penicillin. Although streptococcus has developed resistance to this drug, penicillin does a good job of killing the bacteria.

Meanwhile, streptoderma can be treated very well if treatment is started at the very beginning. At this time, the child’s well-being does not suffer. Usually, it is done without taking medications orally.

Therefore, the sooner you see a doctor, the better. First, contact your pediatrician; if necessary, he will refer you to a dermatologist.

The treatment plan is very simple

1. Do not get it wet

If necessary, you can gently wipe the skin around with a damp cloth or cotton wool moistened with 70° alcohol without affecting the focus of streptoderma.

Streptococci and staphylococci love moisture and actively multiply in its presence. On dry skin they stop multiplying. Thus, without moisturizing the skin, we prevent the spread of pathogens beyond the affected area.

2. Zelenka

Zelenka has a disinfecting and drying effect.

3. Antibacterial ointment

After the appearance of characteristic rashes, you should definitely consult a dermatologist. He must examine the baby. In most cases, a visual examination is sufficient to make a diagnosis of streptoderma.

Important! After the rash appears, do not wet it with water for at least 3 days, so as not to spread the infection to other areas of the skin.

Treatment of streptoderma in children takes place at home using local remedies and, if necessary, antibiotics. The most important point During treatment, it is necessary to observe the rules of personal hygiene.

Treatment with folk remedies

Quite often used to treat streptoderma in a child. folk remedies. Their effectiveness has been proven for many decades and was used by our grandmothers.

Bean lotion

Take a handful of beans and fry them in a hot frying pan. It should be completely charred. Then grind the beans to a powder. Sprinkle the resulting mixture onto the affected areas of the skin several times a day.

Sophora tincture

1. Grind the Sophora together with the root.
2. Put it in a bottle and fill it with vodka in a ratio of 1:10.
3. Infuse the product for two weeks until the liquid turns a rich brown color.
4. Soak the bandage in alcohol tincture and apply to the inflamed areas of the skin at least 3 times a day.

Take an aloe leaf, cut it and apply it to the sores for 15-20 minutes 4-5 times a day.

Medicines used in treatment

Modern antiseptics or ointments are used as external agents for the treatment of streptoderma.

As antiseptic solutions hydrogen peroxide, boric acid or other means are used. They are applied to the affected areas of the skin at least 3-4 times a day. After drying, you can apply other products in the form of ointments.

Antibacterial ointments that are used for treatment:

• tetracycline;
• chloramphenicol;
• erythromycin;
• Physiderm;
• ficidin.

These products are applied to the skin 3-5 times a day.

In particularly severe cases, the child is prescribed antibiotics - Amoxicillin, Ciprofloxacin, Clarithromycin.

Comprehensive treatment of the disease using both external agents in the form of ointments and lotions, and internal medications will help quickly get rid of skin lesions.

The main condition for quickly achieving a therapeutic effect is a timely visit to a doctor. This must be done at the first symptom of the disease, that is, immediately after the appearance of the rash.

The pediatrician will examine the child and prescribe a course of treatment, and if necessary, write a referral for a consultation with a dermatologist.
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Treatment of mild streptoderma

Antibiotics for mild streptoderma are prescribed for external use only.
We will tell you in detail how to cure mild streptoderma.

Treatment regimen for streptodermia in children

1. Do not wet the infected area

Avoid getting water on the area affected by phlyctenas, since liquid is a favorite medium for streptococci and staphylococci; they actively multiply in water.

To treat the site of inflammation, use sterile cotton wool, having previously soaked it in medical alcohol. Next, squeeze out the excess alcohol and use gentle movements to treat the area around the rash.

Once a day (in the morning), treat the affected area using an alcohol solution of brilliant green (brilliant green). After the procedure is completed, it is not recommended to cover the lesion with a bandage; it should remain open.

The use of brilliant green makes it possible to dry and disinfect the focus of streptoderma in a child.
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3. Ointment for streptoderma with antibiotic

Application of antibacterial ointment (medicated bandage before bedtime). They use drugs such as:

— Levomikol;

— Gentamicin ointment;

— Syntomycin ointment.

To prepare a therapeutic dressing, the ointment is applied to a sterile bandage, tightly applied to the lesions and left overnight. Remove the bandage in the morning, after the child wakes up, and carry out the morning procedure (see point 2).

The course of treatment is from 7 to 10 days.

The use of hormonal ointments (Triderm, Celestoderm) in the treatment of a child is used only after prescription by a doctor. Their independent use can lead to negative consequences in the child’s health, since they can have a systemic effect on the body.

You can wash your baby in the shower and wash it, but you just need to wipe it dry after the water procedures and treat the areas of infection with brilliant green.

Treatment of complicated streptoderma

In such cases, the lesions of the skin reach large sizes, which leads to sharp deterioration well-being of a child who:

— body temperature reaches 38°C or more;

- the size of the lymph nodes is increased;

After confirming the diagnosis, the doctor will prescribe ointments based on sulfuric acid, zinc or other antimicrobial components, the use of antiseptic solutions, and physiotherapy sessions.

To eliminate the infection and suppress the growth of streptococci, antibiotics are prescribed to the sick baby. It is important not only to know how to treat streptoderma on a child’s face and body, but also to take into account the following rules in the process:

1. Do not wash for the first 3-4 days, do not wet the affected areas of the body with water.
2. Regularly wipe the skin with antiseptic solutions or herbal decoctions.
3. Streptoderma is contagious. To prevent the spread of infection, you need to provide your child with separate toys and dishes.
4. Clean the room and change bed linen more often in patients with streptoderma.

Treatment with drugs

To eliminate inflammation, boost immunity and eliminate unpleasant symptoms prescribe:

• Zyrtec, Zodak, Fenistil are antiallergic drugs. These medications effectively eliminate itching and swelling. Prescribed for allergic rhinitis, conjunctivitis, hay fever and allergic dermatoses. Not recommended for use by children under 6 years of age.
• Genferon, Viferon - medications that regulate local immunity. These drugs have minimal contraindications and can be used to treat streptoderma in newborns.

Antibiotics for streptoderma

The doctor may offer a choice of several options for how to treat streptoderma in children, but often they all include the use of antibiotics. This group of medications helps stop the proliferation of pathogenic microorganisms and get rid of the consequences of their vital activity. For streptoderma, antibiotics are prescribed:

• Azithromycin is a drug from the macrolide group, effective in the treatment of impetigo and erysipelas. The medicine is available in the form of tablets or sweet syrup, which is convenient when treating small children. The medicine should not be given to children with impaired liver or kidney function.
• Ceftriaxone is an antibiotic from the group of celofasporins. Prescribed for skin diseases caused by staphylococcus. You can use an antibiotic from the first days of a child’s life. The drug has minimal contraindications, but sometimes they appear allergic reactions, possible dry skin.

As part of complex therapy for streptoderma, drugs are often used local impact– ointment or cream containing antibacterial components. Local drugs of action are:

• Zinc or salicylic ointment– preparations with a softening and protective effect. They have an astringent, anti-inflammatory and drying effect. Both drugs cause almost no side effects, but are contraindicated for purulent streptoderma.
• Baneocin is a combined antimicrobial powder for external use containing two antibiotics. The medicine is effective against most gram-positive and gram-negative bacteria. In rare cases, it can cause side effects - redness, dry skin, allergies.

Folk remedies

In combination with systemic antibacterial therapy, it is possible to treat streptoderma in children at home. The following folk recipes will be effective:

• To relieve itching and irritation, prepare an ointment. To do this, mix 50 grams of honey, 50 ml of pomegranate juice. It is recommended to smear the product onto a dry area of ​​skin 2-3 times a day.
• To heal ulcers and peel off scabs, it is recommended to make an infusion of walnut leaves. Take 2 spoons of crushed leaves. Pour 300 ml of boiling water, let it brew for 2 hours. To cure streptoderma, apply tampons to the inflammation for 15 minutes 2 times a day.

Cure streptoderma is not as difficult as it might seem at first glance. Pathogenic bacteria are not afraid of dry air and high temperatures, but they disappear perfectly from disinfectants and antibacterial agents.

What to do if your child has this disease? Regardless of the location of the lesions on the skin and their number, when streptoderma is detected, treatment for this disease is mandatory.

The danger of streptococcus is very great due to the fact that the bacterium, firmly established in the body, can cause damage to the joints, heart muscle and kidneys - medicine knows cases of the development of heart disease, myocarditis, rheumatism and glomerulonephritis as a result of streptoderma not cured in time.

Therefore, parents who discover suspicious spots on their baby’s body should consult a doctor as soon as possible.

Antibiotics by mouth

Local preparations include ointments and special solutions that need to be used to treat the affected areas of the skin several times a day. Recovery will come much faster if you include ointments that contain antibiotics in your treatment.

They stop the spread of infection and also dry out the rash.

Ointments used for streptoderma

There are many ointments that are prescribed by dermatologists for children with streptoderma.

These include:

1. Antiseptic ointments:
2. Antibiotic ointments:
   • Baniocin;
   • Levomekol;
   • Streptocidal ointment;
   • Tetracycline ointment;
   • Erythromycin ointment;
   • Fucidin;
3. Antiseptic solutions:
   • Miramistin;
   • Salicylic acid solution.

Baneocin

Baneocin ointment contains an antibiotic and is used for external use to treat many skin diseases, including streptoderma. This ointment is completely safe, which is why it is prescribed even to newborn children.

Baneocin perfectly fights various microorganisms, which contributes to quick recovery And light current diseases. The ointment can be purchased at any pharmacy and is available without a doctor's prescription.

Erythromycin ointment

Antibiotics in the treatment of a disease such as streptoderma are prescribed exclusively by a specialist if local therapy not enough. It is worth noting that all antibiotics have contraindications and side effects, which is why a course of antibiotics is carefully selected for children.

Antibacterial drugs speed up recovery. Most often, antibiotics of the penicillin group are used to treat this disease. The course of antibiotic therapy usually lasts about 5 days; if there is no effect, then it is necessary to change the antibiotic.

Antibiotics:

• Baneocin;
• Amoxicillin;
• Ciplofloxacin;
• Erythromycin;
• Augmentin.

Complications

With proper treatment started in a timely manner, streptoderma rarely causes serious complications. However, when severe course illnesses may worsen chronic diseases or appear secondary diseases, for example, guttate psoriasis.

In addition, streptococcal pathogens can cause scarlet fever, sore throat, and pneumonia. Some of the dangerous, but rare, complications are: septicemia - blood poisoning by bacteria and streptococcal glomerulonephritis - kidney damage.

If treated incorrectly and untimely, microbial eczema will follow. The complication can be diagnosed by drops of serous fluid, which is released against a reddened background of microerosions.

Prevention

To exclude such infection from a child’s life unpleasant illness, as streptoderma, it is necessary to observe the rules of personal hygiene, and it is also recommended:

Hygiene and prevention - two important conditions successful treatment of streptoderma. What do they mean?

• Individual dishes and hand towel. Must be used and kept separate from other utensils and towels. After use, the dishes should be washed thoroughly and the towel should be changed.
• Toys . Leave only those that can be washed. It is better to remove other toys from sight.
• Frequent change of bed linen and clothes. Everything needs to be ironed.
• Do not wet the affected areas of the skin with water. The child is not bathed for several days, only the healthy skin is wiped with a damp towel.
• Make sure that the child does not scratch the sores. It is better to use distracting moments rather than strictly prohibiting ones.

All these measures are associated with the high contagiousness of streptoderma. If they are not followed, the disease will last much longer.

In addition, other family members may become infected. However, there is also an opinion: one day after starting to take an antibiotic, the child is already considered non-infectious, if, of course, the antibiotic is effective.

How to treat streptoderma in children? Since this is a bacterial disease, antibiotic therapy would be logical. It is also important to observe the rules of personal hygiene, keep the child’s clothes and bed clean, and do not let him scratch the wounds on the skin.

The basis for the prevention of streptoderma is careful personal hygiene, treating the skin at the slightest injury or scratch. It is also important to stimulate the immune system, eat right, take poly vitamin preparations and protect the child from contact with sick people.

In the future, to prevent relapses, you need to provide the sick child with a balanced diet and monitor hygiene. To increase children's immunity, doctors recommend going to school more often. fresh air, enroll your child in the pool, buy vitamin complexes at the pharmacy.

In case of skin damage, the wounds should be carefully and carefully treated with disinfectants.

The simplest and most effective thing is to carefully observe personal hygiene; if a child has received any injuries, cuts, abrasions, the wounds must be thoroughly disinfected.

Don't get sick and be happy!

Children are very sensitive to various infectious agents. Streptoderma, characterized by a rash on the body and other negative manifestations, occurs against the background of damage to the body by streptococcal bacteria. The article contains information about what kind of disease this is, how it begins, how to treat it, and how the rashes look in the photo.

Pyoderma, which occurs against the background of damage to the body by streptococci, is also called streptoderma. When the disease occurs, rashes in the form of conflicts form on the body of a child or adult. The pathology is divided into superficial type (streptococcal impetigo, seizures, felon, dry streptoderma) and deep (chronic ulcerative-vegetative pyoderma, common ecthyma and others).

Infection occurs through close contact of a healthy person with a carrier of streptococcal infection. Incubation lasts approximately 6-7 days, which depends on the strength of the child’s immunity. In a chronic course, ulcers form on the body that do not heal over a long period. Pathology code according to ICD-10 is L08.

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What you need to know about the infection

Some interesting facts about streptococcal infection:

• More often, streptoderma in children and adults is diagnosed in areas with tropical and subtropical climates.
• Streptococci are the causative agents of such common diseases as tonsillitis, bronchitis, pneumonia, and others.
• According to medical statistics, every fiftieth child suffers streptoderma.
• Chronic disease is more difficult to treat deep form dermatitis.
• About 40% of all skin diseases are caused by streptococcal bacteria.
• Pathology ranks first among all skin diseases that affect children (about 60%).

Most often, children under 7 years old suffer from this disease, which is associated with the body’s underdeveloped immune defense.

Like other infectious diseases, streptoderma can cause its own complications in a child. In mild cases, foci of infection spread locally. If there is no treatment, bacteria will attack internal organs, provoking inflammatory processes in them.

When the nasopharynx is affected, sinusitis, sinusitis, and sore throat occur. If bacteria enter the ear, otitis media develops. If the lungs are affected, pneumonia is diagnosed. The spread of streptococci in the heart area leads to endocarditis. Damage to the skull is fraught with meningitis, meningoencephalitis. Improper treatment or lack thereof often leads to the formation of non-healing ulcers or the development of microbial eczema.

Causes of streptoderma

Skin disease is divided into several forms. Among them are the following:

• Primary – develops when an infectious agent comes into contact directly with the skin. In this case, an inflammatory process occurs.
• Secondary is a form in which streptococci join an existing pathology in a child (eczema, herpes simplex, chicken pox and others).

The causative agent of the disease is streptococcus. The organism belongs to opportunistic bacteria, which are frequent “residents” of the human body. The bacterium lives on the skin without penetrating into the body due to the human immune defense. If natural defenses weaken, the likelihood of developing streptoderma increases. In this case, rashes appear on the body in the form of spots of various diameters, which take a long time to heal, with the formation of characteristic crusts.

Skin is the most large organ person, protecting from exposure negative factors external environment. Under the influence of various provoking factors, this protection is weakened, which can cause streptoderma in a child.

The causes of the disease include:

• Mechanical damage dermis. Skin injuries, even such as scratches, cuts, abrasions. They are a predisposing factor for the penetration of various pathogens into the body.
• Hormonal disorders in the body. Hormones perform important functions. Thanks to them, metabolic processes and body growth are carried out. Hormonal imbalances lead to dry skin, cracks, redness of the dermis and other negative symptoms. This can contribute to the development of streptoderma.
• Fluctuations in the pH level of the dermis. Normally, pH should range from 5.2 to 5.6 units. This provides reliable protection from pathogenic agents. If the pH is disturbed, the risk of various skin pathologies increases.
• the presence of chronic inflammatory processes on the skin.

The risk group includes children with a genetic predisposition to allergic reactions and various dermatitis(urticaria, seborrheic, atopic dermatitis and other diseases).

Child's immune protection

Human immunity is necessary to protect the body from various pathogenic agents. Decreased immunity often causes many diseases, in particular streptoderma.

Causes of weakened immunity:

• Diseases of the digestive system (ulcers, gastritis, duodenitis).
• Pathologies endocrine system(diabetes mellitus, hypothyroidism, hyperthyroidism, adrenal insufficiency).
• Poor nutrition - eating large amounts of sweet, salty, smoked, fatty foods can lead to a decrease in immune defense.
• Lack of vitamins. Like poor nutrition, a deficiency of certain microelements causes a weakening of natural defenses, which often leads to streptoderma.
• Stress can cause deterioration of the immune system, chronic fatigue, taking certain medications during treatment of other diseases.

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Poor immunity is also often a consequence of circulatory problems in the body, for example, due to the formation of blood clots, hyperemia and other conditions.

How to understand that a child has streptoderma? Infectious pathologies begin with the incubation period. The disease in question is no exception. Many children can carry the infection for a long time without spreading it to others. Due to weakened immunity and under the influence of other provoking causes, streptococci enter the active stage. This is the beginning of the incubation period. It usually takes from 3 to 10 days. At this time, the child does not show any symptoms.

After the end of incubation, streptoderma goes through three stages:

1. Bubble. At this stage, damage to the superficial layers of the dermis occurs, characterized by the formation of inflammatory areas on the skin with rashes in the form small bubbles. Bubbles with purulent contents form 24 hours after the red spots appear. The number of these bubbles varies greatly, from a few pieces to dozens. The rash tends to merge. After the wounds heal, no traces remain on the skin.
2. Bullous. This stage is characterized by deeper damage to the child’s skin. In this case, ulcers of quite large sizes appear (streptococcal erythema). The patient's condition is characterized as severe or moderate. After the crusts are rejected, scars remain on the body. Treatment of pathology takes a fairly long period.
3. Chronic stage. Chronic streptoderma develops with improper treatment or its absence. In this case, quite extensive and deep areas of damage appear on the child’s body. After the wounds heal, characteristic pigment spots remain on the dermis, and the dermis peels off for a long time.

The most dangerous is the bullous and chronic form. To prevent possible complications It is necessary to treat the pathology when the first symptoms appear. To do this, parents need to show the baby to a pediatrician or dermatologist. Self-medication is extremely dangerous for the child’s health.

Symptoms of streptoderma depending on the type of disease

Streptococci cause a huge number of types of streptoderma in children. These forms differ from each other according to such characteristics as the localization of the rash, the external manifestations of the disease, the severity of the course, etc. Let's take a closer look at the common forms of the disease.

This form of pathology is usually acute and rapid. Symptoms of the disease include the formation on the face, nose, and less often on the limbs and buttocks, pink spots with a whitish coating and characteristic peeling. When diagnosing, dry streptoderma is often confused with allergic dermatitis.

In most cases, children easily tolerate this form of the disease. There is no itching or other negative manifestations. It is rare to see an increase in body temperature in the patient and other complaints in this form of the disease.

In the absence of proper treatment, dry streptoderma can become chronic. With this course, other pathogenic microorganisms can join, which causes seizures, angular stomatitis, eczematous processes and other complications.

Streptococcal or contagious impetigo is a skin disease that occurs mainly in childhood, as well as in women with dry and sensitive dermis.

The disease is characterized by the formation of purulent blisters on the skin. When they are opened, crusts with a yellowish tint remain on the dermis. In a typical course, the localization of the rash is noted mainly on the face. Treatment is carried out using antibiotics and disinfectants.

Bullous impetigo

This form of streptoderma is more severe in children. With it, blisters containing serous fluid appear on the body. WITH further development disease, it turns into purulent contents. After opening the bula, an ulcer remains on the body, which takes quite a long time to heal.

Symptoms characteristic of bullous impetigo:

• increased body temperature;
• weakness, loss of appetite;
• moodiness;
• sleep disturbance;
• enlarged lymph nodes.

The duration of the disease is about two months. If left untreated, the child experiences various complications.

The rash in this form of the disease is localized in the corners of the mouth, in the area of ​​the eyes and wings of the nose. When the crusts crack, the child experiences painful sensations, the wound is bleeding.

In the absence of proper therapy, the pathology develops into chronic course, which can be quite difficult to cope with.

This form of the disease is caused by streptococcal, less commonly streptococcal-staphylococcal infection. This type of streptoderma is localized mainly in the buttocks, lower back, and less often on the arms, legs, fingers, head, face, stomach, eyes and even in the ear. At the beginning of the disease, several spots with a diameter of up to 2 cm appear on the body. The papule is filled with serous-purulent contents. After opening the vesicle, a reddish, swollen rim appears around it.

In place of the papule, a deep ulcer appears, quite painful, with jagged edges. After 3-4 weeks, the wound scars, leaving a patch of skin with pigmentation in its place. With weakened immunity, new formations appear over the course of a month, streptoderma is complicated by lymphadenitis or lymphangitis.

Periungual or superficial panaritium

With this form of streptoderma, a purulent process develops in the area of ​​the nail plate. Inflammation can affect both the roller and the tissue under the nail plate.

Symptoms of the disease in a child:

• redness and swelling of the skin around the nail;
• general deterioration well-being;
• chills;
• headache;
• loss of appetite;
• moodiness;
• enlargement and inflammation of the lymph nodes;
• increase in body temperature.

If these signs are detected, contacting a medical facility should be mandatory. In the absence of proper treatment, complications such as lymphadenitis, phlegmon, and blood poisoning may occur.

Streptococcal stomatitis

Stomatitis is an inflammation of the oral mucosa. One form of the disease is caused specifically by streptococci. Symptoms of the pathology include swelling of the mucous membrane and redness. In severe cases, white bubbles appear in the child’s mouth - pustules, erosions, bleeding gums.

If stomatitis develops, it is necessary to make an appointment for the little patient to see a dentist. If not treated correctly, the disease can cause otitis media, purulent sore throat and other serious complications.

A dermatologist makes a diagnosis of childhood streptoderma. A competent doctor can determine pathology only by visual signs in a patient. The specialist takes into account the presence or absence of signs such as conflict, crusts, cracks, ulcers, and erosions.

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The diagnosis is confirmed using laboratory tests. In this case, the child may be prescribed the following procedures:

• bacterial culture of discharge from vesicles;
• scraping the skin in the affected area fungal infections;
• examination of diseased areas through a Wood's lamp.

Sometimes when making a diagnosis, the doctor may have doubts. In such situations, streptoderma is differentiated from similar skin pathologies. In case of a chronic recurrent course of the pathology, a child may need to undergo an ultrasound, stool analysis for worm eggs, consultation with a gastroenterologist and other specialists.

Differential diagnosis

Many skin pathologies have a very similar course to streptoderma. To exclude certain diseases, differential diagnosis is carried out. Let's look at similar clinical picture diseases.

Unlike herpes, streptococcal infections quickly burst open, which is accompanied by the formation of painful cracks in the corners of the mouth. With herpes, the blisters persist for a longer period and, as a rule, there are no cracks after them.

Streptoderma often appears on previously injured areas of the body. Herpes occurs in a clean area of ​​the dermis. In addition, with pyoderma there is no itching characteristic of herpes infection.

Allergic rash

Some forms of allergies in children are characterized by the appearance of small-diameter bubbles on the skin, as with streptoderma. An allergy can, as a rule, be confused with an infection caused by streptococci in the initial stages of the pathology. The main distinguishing feature of allergies is that the rash turns pale when you press on it. This does not happen with streptoderma.

Any skin disease accompanied by the appearance of rashes of purulent etiology on the body is called pyoderma in medical practice. Streptoderma is just a type of pyoderma. Streptococci, affecting the skin, form clear, not cloudy pus, which provokes a special appearance rashes. In this regard, streptoderma is a conditionally separate type of pyoderma.

Differential diagnosis carried out with mixed staphylococcal-streptococcal impetigo. In another way it is called vulgar. Moreover, the onset of these two forms of pathology is identical. If a streptococcal infection is attached, the affected papules become cloudy.

Rashes due to syphilis

Syphilitic rash has many atypical variations. One of them is syphilitic papules in the area of ​​the corners of the mouth. Unlike seizures, the area of ​​inflammation in them extends far to the mucous membranes of the mouth. A child can become infected with syphilis through household contact with an infected person.

Chicken pox

In the initial stages of the disease, chickenpox rashes appear first on the face, then spread to other parts of the body. Characteristic red vesicles appear in children on the butt, chest, legs, and arms. Chickenpox can occur in both newborns and adults. Due to such a spread of pimples, this disease can be confused with streptoderma, but after the body temperature rises and the rash spreads to other parts of the body, the diagnosis leaves no doubt.

Is the disease contagious?

Many mothers and fathers are interested in whether this disease is transmitted from child to child. When playing outside, children often come into close contact with each other, play with shared toys, sneeze, and cough. As we have already found out, this type of skin disease is caused by streptococci, and these bacteria are easily spread by household and by airborne droplets. Therefore, streptoderma is contagious.

If a child is injured or scratched, the area should be treated with an antiseptic. An adult should also be attentive to damage to the skin, even minor ones.

Treatment methods

Due to the fact that streptoderma is caused by pathogenic microorganisms in the form of streptococcal bacteria, the disease in infants and older children is treated with antibiotics. In addition, emollient ointments, vitamin preparations, local antiseptics and some other agents are used.

Ointments are used among children as prescribed by a doctor. Medicines in this form of release provide effective disposal of pathogenic microflora on the skin, which promotes a speedy recovery.

Names of popular ointments for the treatment of streptoderma:

• Baneocin;
• Fucidin;
• Levomekol;
• Akriderm GK;
• Zinc;
• Acyclovir;
• Tetracycline ointment and others.

The affected areas on the child’s body with streptoderma should be smeared according to the scheme prescribed by the doctor. Typically, the course of treatment with antibacterial agents lasts 7-10 days, but sometimes treatment has a longer duration, which depends on the severity of the disease in a particular patient. When it comes to treating infants, independent use of any medications is strictly prohibited. Before starting therapy, you should definitely show the child to a specialist.

If the rash is located on the lips, on the eyelid, or in the corners of the mouth, ointments should be used with extreme caution. It is important to ensure that the medicine does not get on the mucous membranes.

Medicines for internal use

Sometimes it can be quite difficult to cure streptoderma using only ointments. This may apply, for example, to situations where the rash is hidden under the hair on the head or the course of the pathology is complicated. In such cases, doctors prescribe therapy with oral antibiotics.

Antibacterial agents for internal use:

Treatment of streptoderma involves opening the blisters and then treating them with antiseptics and antibacterial ointments. Solutions for local disinfection include:

• Hydrogen peroxide;
• Brilliant green (zelenka);
• Fukortsin;
• Salicylic alcohol.

These drugs are used exclusively for external use. In this case, it is necessary to capture not only the diseased area, but also several millimeters of healthy skin. How many times should I smear the dermis in the affected areas? Repeated treatment is carried out 2-3 times a day.

When applying antiseptic to the skin, the child may experience pain and burning. After the solution dries, these sensations go away.

At home, treatment of streptoderma in children can be carried out using some folk recipes.

Let's look at a few of them:

• Garlic juice. This is a simple and safe method to get rid of rashes. Garlic has been proven to be an excellent natural antibiotic. To treat blisters, it is necessary to lubricate the affected areas of the skin with juice 3-4 times throughout the day.
• Potassium permanganate solution. To prepare a disinfectant, you need to dissolve several granules of pink powder in boiled water and treat the wounds on the child’s body with this product. This medicine will quickly eliminate pathogenic bacteria.
• Chamomile. The plant has an analgesic, wound-healing and disinfectant effect. Chamomile decoction will help get rid of the sore. To prepare it, you should brew a tablespoon of the plant with a glass of boiling water and let the product brew for 1.5-2 hours. Rinse the wounds with the resulting medicine.
• Calendula flowers. Brew a tablespoon of the plant with a glass of boiling water and leave the medicine for several hours. Treat the rash areas with the resulting product.
• Pomegranate juice with honey helps eliminate streptoderma in a child. To do this, the products must be mixed in equal proportions and stored in the refrigerator. The affected areas should be lubricated with this medicine 3-4 times a day.

Skin diseases caused by streptococci, mainly beta-hemolytic pyogenic streptococcus group A.

Under the influence of bacteria, the skin begins to become covered with purulent rashes, which later turn into round spots, pink in color and peel off. The size of streptoderma foci ranges from several millimeters to several centimeters in diameter. The lesions are localized mainly on the back, face and lower extremities.

Streptoderma most often affects children and women, as well as people with weakened immune systems and chronic diseases. Outbreaks of streptoderma occur in children's groups, where streptoderma is transmitted by shared toys. Adults are more likely to become infected from children.

Treatment depends on the type of streptoderma and the extent of the infection. The incubation period lasts 7 days, after which the disease progresses rapidly. If the disease is noticed early, treatment is carried out locally. As a rule, ointments containing antibiotics are used.

Symptoms

The first symptoms of streptoderma are pinkish round spots, 4 cm in size. If the disease is not treated in time, the blisters merge, covering large areas of the skin. The rash appears mainly on the face, arms and legs, back, and buttocks. When the stains disappear, a white mark remains for some time.

There are no subjective sensations with streptoderma. In the absence of treatment, the following symptoms are added:

• increased body temperature (up to 38 degrees);
• enlarged lymph nodes;

Dry streptoderma

This type of disease is considered severe and most often occurs in adult men or preschool boys. Dry streptoderma is characterized by the appearance of white spots, usually oval or round, the size of which does not exceed 5 centimeters. Foci of skin lesions quickly become covered with scabs and are initially localized only in visible areas of the body, later covering the rest of the epidermis. After recovery, these areas of the body remain unpigmented for a long time.

Which doctors should I contact?

Stages

Depending on the type of processes occurring and the degree of damage to the skin, 3 stages of streptoderma are distinguished:

How and with what to treat

Antibacterial and antiseptic drugs, which help destroy pathogens. For local treatment, external agents containing antibiotics are used. Sometimes injections are given for streptococcus.

In the affected areas, skin treatment is done. Pustules and blisters are opened at the base with sterile needles, and then the affected areas of the skin are treated with aniline dyes twice a day. After this, a dry aseptic bandage with disinfectant ointments is applied to the affected areas. The crusts are lubricated with salicylic petroleum jelly.

For the treatment of streptoderma, in addition to local medications, the following are prescribed:

• restorative drugs;
• vitamins;
• therapeutic ultraviolet irradiation of affected skin areas;
• ultraviolet blood irradiation (UFOI).

If streptoderma becomes chronic, blisters form on the skin that require opening. If weeping erosions occur, apply disinfectant bandages. When treatment reaches the final stage, patients are recommended to apply sulfur-tar ointments, which eliminate residual inflammation.

Treatment

With adequate therapy, a mild degree of the disease (impetigo) can be treated within 5-7 days. Severe degrees Diseases will take longer - up to several months. Treatment can last up to 3 months if the body’s immunity is weakened. After consultation with a doctor, therapy is carried out at home independently. Complex treatment of streptoderma is used.

General principles of treatment

• exclude contact with water;
• wear clothes only made from natural fabrics;
• observe the temperature regime in the room;
• adhere to a hypoallergenic diet with the exception of fatty, spicy and sweet foods.

Local treatment

For local treatment of streptoderma, the blisters must be opened with a sterile needle, the pus removed and the skin treated with aniline dyes 2 times a day. To prevent the lesions from enlarging, the skin around them is lubricated with salicylic or boric alcohol. To dry the wet surface, resorcinol and silver nitrate are applied to it.

At the stage of appearance of symptoms of streptoderma in the form of crusts, bandages with ointments are used:

• ficidin;
• chloramphenicol;
• erythromycin;
• tetracycline;
• Physiderm.

Drug treatment

The following drugs are used in the treatment of streptoderma:

• Antibiotics (macrolides, penicillin series).
• Immunomodulators (immunofan, lykopid).
• Desensitizing agents (suprastin, claritin, telfast).
• Vitamin therapy (vit. A, C, P, group B).
• Antipyretics (paracetamol).
• Antiseptics for local application(miramistin, chlorhexidine, erythromycin ointment, levamicol).

Traditional home remedies

In combination with antibacterial therapy, remedies recommended by traditional medicine are used:

It is recommended to make special lotions from a pulp obtained from fresh puffball mushroom.

Dry oak leaves are crushed and sprinkled on the rash. Instead of oak, horsetail grass is used.

Powders made from hairy hawkweed are used. The plant is dried and ground into powder.

Brew in 200 ml. boiling water 1 spoon of oak bark and let it brew for an hour. Lubricate the affected areas with this infusion before going to bed. Infusions from string, celandine, and sage are prepared in the same way.

Lotions and compresses are also obtained by mixing ground black pepper and garlic juice. Such lotions help with weeping erosions and large ulcers.

To prepare the collection, combine the interior lard along with spruce resin powder and propolis. The ingredients are mixed and boiled in a water bath, then cooled and lubricated in areas affected by streptoderma.

Lotions for ulcers are made from oxalis leaves, which have a healing effect.

A quarter teaspoon of prepared alum powder is diluted in half a glass of warm water and the ulcers are moistened with the solution.

Pour 100 ml olive oil and 2 tablespoons of alder leaves. Heat the mixture in a water bath for 15 minutes, cool and lubricate the affected areas of the body.

Ointments based on honey and juice of unripe pomegranate help. The medicine is stored in the refrigerator.

An ointment with cistus root powder is also prepared based on honey. and also with radish juice.

The ointment with honey and garlic clove is evaporated in a water bath.

St. John's wort oil is suitable for compresses.

Hazel bark (1 spoon) is poured with boiling water (250 ml), infused in a thermos for 3 hours. Then apply it to the affected areas for 10 minutes, moistening a soft cloth in the infusion.

Considered a natural ointment pine resin, which is used to lubricate ulcers. Wash off this ointment carefully - wipe it with cotton wool and alcohol or vodka.

An infusion of walnut leaves helps heal ulcers and peel off scabs. To prepare, pour 2 tablespoons of crushed leaves into 300 ml. boiling water, leave for 2 hours. Apply applications moistened with this product to the skin for 15 minutes.

Causes

Streptoderma is transmitted from person to person. Streptococci, which cause streptoderma in humans, are opportunistic microorganisms. This means that when the bacterium gets on the surface of the skin, it becomes a cause of disease in cases of reduced immunity or in the presence of skin damage.

There are cases of infection with streptococci through the bites or touches of certain insects, as well as through contact with soil. The risk of developing streptoderma increases with the following diseases and conditions:

• phlebeurysm;
• circulatory disorders;
• endocrine disorders;
• gastrointestinal diseases;
• imbalance in skin metabolism;
• renal failure;
• diabetes.

Factors that increase the risk of streptoderma:

• state of the body after protracted infectious diseases;
• decreased immunity;
• metabolic disorders;
• hormonal imbalances;
• neurological diseases;
• intoxication and poisoning;
• hypovitaminosis;
• unbalanced diet;
• physical strain.

External factors aggravating the course of streptoderma:

• overheating or hypothermia;
• violation of hygiene rules;
• skin pollution;
• prolonged contact with water;
• high humidity.

In children, the disease develops due to infection by strains of the common microbial agent streptococcus. Decreased immunity of the child’s body and neglect of personal hygiene standards are the main reasons for the activation of streptococcus.

Due to age and children's curiosity, the skin, which is a protective barrier, is regularly exposed mechanical injuries. Against this background, even minor skin lesions in the form of cracks, scratches, abrasions or scratches become a cause of infection.

Sick children become carriers of the disease and infect healthy ones, so patients are isolated, which helps prevent a focal outbreak of the disease. Infection of the skin is also possible through dust containing pathogenic microorganisms, insects carrying pathogens on their paws, as well as against the background of other diseases.

Causes

The causes of streptoderma development are streptococcal bacteria and internal predisposing factors. Streptococcus is resistant to environmental factors, therefore it persists on objects used by children:

• toys;
• dishes;
• cloth;
• water and air;
• surface of the skin and mucous membranes.

For streptococcus to penetrate the skin, an entrance gate is required: an abrasion, scratching, or insect bite.

Routes of transmission of the disease:

• contact;
• airborne;
• food.

There are many factors predisposing to the development of streptoderma, the action of which ultimately leads to metabolic and immunological disorders. Third-party provocateurs that influence the severity and duration of the disease include:

• prematurity, delay in physical development;
• body weight deficiency;
• frostbite, burns;
• neglect of the rules of body hygiene;
• insufficient child care;
• poor nutrition.

Acute and chronic diseases affect the decrease in the resistance of the child’s body:

• diabetes;
• helminthiasis;
• allergy;
• skin diseases.

Only the combined effect of these factors provokes the occurrence of streptoderma.

How does streptoderma begin in children?

Parents often mistake the symptoms of the disease for signs of chickenpox. After an incubation period of 7 days, the child develops following signs diseases:

• small watery blisters surrounded by a halo of inflamed skin;
• whitish or reddish oval scaly spots;
• itching and burning in damaged areas;
• temperature rise to 38.5°C;
• swollen lymph nodes;
• weakness.

The main symptom of streptoderma in children is the appearance on the skin of small colorless blisters filled with liquid and surrounded by a specific red ring. These blisters then turn into small pustules, and the skin around them peels off in small scales.

Symptoms

Clinical signs of streptoderma in children of all ages are similar, differing only individual species diseases, regardless of the etiology and age of the child:

• increase in body temperature to 38.5°C;
• intoxication;
• headache;
• prostration;
• muscle pain, muscle atony;
• aching joints;
• attacks of nausea and vomiting;
• inflammation of regional lymph nodes (at the location of the primary lesions);
• change in the number of leukocytes.

Types of childhood streptoderma are classified according to the location of the primary lesions, the depth of tissue damage and the intensity of typical symptoms.

How long does the disease last in children?

The duration of the acute stage of the disease is determined by the type, severity of the disease and timeliness of treatment. As a rule, it is 5–14 days.

How to treat

In most cases, treatment at home will be sufficient. Sometimes there is a need for hospitalization and treatment in inpatient conditions. The main guarantee of effective treatment of streptoderma is careful adherence to the doctor’s recommendations. Treatment is aimed at completely eliminating the pathogenic factor - streptococcus bacteria.

Erosive and ulcerative lesions are treated antiseptics, which dries out the bubbles. After this, antibacterial ointments or liniments are applied. To prevent chemical burns to healthy areas of the skin, it is recommended to apply the preparations pointwise. You can lubricate the affected areas with a solution of brilliant green, salicylic or boric acid, or fucorcin.

IN mandatory Antibiotics will be prescribed: for mild cases of the disease, these drugs are used as part of local remedies; in severe situations, the child is forced to take medications orally or by injection. In the presence of concomitant diseases affecting the condition of the skin and immunity - antibiotics are prescribed along with steroid hormonal therapy. More often, agents based on tetracycline, gentamicin, lincomycin, and chloramphenicol are indicated.

Treatment

Treatment of streptoderma without complications in a child involves the following areas:

• hygiene requirements;
• antiseptic and antibacterial agents;
• antihistamines: loratadine, fexofenadine, cetirizine;
• immunomodulators and vitamin complexes.

The fundamental point in eliminating streptoderma is hygiene. If the skin is very and painfully itchy, you need to lubricate the affected areas every day. alcohol tincture Yoda. When streptoderma affects a large area of ​​the body, it is recommended to refrain from water procedures for a while and change clothes and bed linen more often. Set aside dishes and toiletries only for the sick child that need to be washed thoroughly. hot water and soap.

Foci of streptoderma should be locally treated with antiseptics for rapid drying, only after that ointment or liniment should be used. Apply spot treatment using:

• salicylic acid;
• brilliant green;
• fucorcin;
• boric acid.

Drug treatment is based on the use of antibacterial agents. As a rule, the use of an antibacterial component only in the form of a local agent (ointment, gel, liniment), and only when treating a severely neglected child - in the form of tablets and injections. In severe cases, antibiotics are combined with steroid hormones. Streptoderma ointment for lubricating purulent foci contains the following components:

• tetracycline;
• erythromycin;
• chloramphenicol;
• gentamicin;
• lincomycin.

It is also used in the treatment of streptoderma in children and herbal medicine. Streptococcal bacillus is destroyed by burdock, garlic, onion, and yarrow. To prepare lotions, powders and ointments, decoctions and infusions based on medicinal plants are used.

In case of a long, slow process of the disease, vitamins A, C, P, group B are prescribed, and immunostimulating treatment is also used (autohemotherapy and courses of pyrogenal). How additional methods Physiotherapeutic procedures (courses of ultraviolet irradiation) are used. Sometimes, to eliminate the source of infection, ultraviolet irradiation (purification) of the blood is done.

In addition, laser therapy for streptoderma is used. For treatment, massage is often used to remove dead cells from the body. The same method increases skin elasticity. With the help of massage they expand blood vessels and excess secretions are removed from the skin cells.

Systemic antibiotics for streptoderma are prescribed if local agents have no effect. More often, the doctor prescribes cephalosporins, modern macrolides or penicillins. Rehabilitation after completion of treatment is not required.

In severe cases, when streptoderma in a child enters the chronic stage, even surgery to remove dead tissue. Sometimes the blisters are opened with a special sterile needle, after which bandages with special sterile lotions are immediately applied.

Diagnostics

As a rule, the diagnosis of streptoderma in a child is based on clinical signs. Laboratory and instrumental examinations are performed only to exclude other diseases or diagnose complications of streptoderma:

• blood analysis;
• X-ray of the lungs;
• Ultrasound of the heart;
• Lumbar puncture.

Consequences and complications

With adequate treatment, the disease does not leave cosmetic defects or consequences for the child's health. A short-term disturbance of pigmentation in the affected area normalizes 1.5-2 months after recovery.

With improper treatment, the risk of the disease becoming chronic increases, which threatens regular relapses of streptoderma as provoking factors influence. In severe cases of streptoderma, secondary diseases are associated, for example, guttate psoriasis.

Streptococcal bacteria, which cause the development of streptoderma, become the cause of scarlet fever, in which the skin is affected by a pink rash and the body temperature rises.

Serious but rare complications of streptoderma - septicemia (blood poisoning by bacteria) and streptococcal glomerulonephritis (kidney damage) can cause serious consequences and sometimes death.

Streptoderma and pregnancy

It is possible to develop streptoderma in pregnant women. The reason for this is a lack of vitamins and decreased immunity. But during pregnancy, the disease rarely leads to complications and is easily treatable. However, if therapy is started at the wrong time, the disease becomes dangerous for the fetus. Through the placenta, streptococci penetrate into the amniotic fluid and disrupt normal development child.

Complications

Without adequate treatment the disease becomes chronic, and the risk of developing bacterial eczema is high. Against the background of advanced streptoderma with weakened immunity, streptococcus can affect joints and cause cardiovascular diseases and kidney failure.

Diagnostics

Diagnosis is based on visual examination. To confirm the diagnosis, it is sometimes prescribed bacteriological examination separated conflict with additional determination of sensitivity to antibiotics. During a microscopic laboratory examination, a scraping is made from the affected area of ​​the skin. Only after the pathogens are detected, treatment is prescribed.

The differential diagnosis is established in comparison with pityriasis versicolor, eczema and dermatitis.

Prevention

To prevent streptoderma, compliance with the rules of personal hygiene is required. In case of skin injuries, even small ones (scratches, abrasions, cuts, bites), it is necessary to treat them with antiseptic agents. Do not forget also about the need to treat infectious diseases in a timely manner and lead a healthy lifestyle, because proper nutrition, sleep and walks in the fresh air weaken the body’s defenses.

Questions and answers

Question:What antibiotics should be given to children with streptoderma?

Answer: Hello. Broad-spectrum antibiotics are used, which should only be prescribed by the attending physician. .

Question:Hello. My son is 5 years old, goes to kindergarten, about a week ago I discovered an oozing sore on his buttock, about 0.5 cm in diameter, they applied tetracycline ointment and the sore went away. 3 days ago, next to the former sore, exactly the same one appeared, we went to see a doctor and were told that our son had a streptococcal skin infection and was prescribed only tetracycline ointment and not to get it wet. The next day I discovered that two more pimples appeared on my buttock, and in the morning they formed into the same sores. Please tell me, maybe this disease is more serious than the doctor told us? Maybe some kind of medicine is needed to remove this infection from inside the body?

Answer: Hello. If the rashes that you describe can be regressed under the influence of antibacterial ointments, then this is undoubtedly pyoderma, a type of which is streptoderma. In the treatment of recurrent, i.e. for recurring streptoderma, I also use oral antibiotics and immunostimulants. However, their appointment requires a real examination of the child and control. Contact the dermatologist at your place of residence again and the doctor will select drugs of the appropriate profile to stop this process in the required dosage for a given age.

Question:Hello. Our baby is 4 months old. We received the DPT vaccine (the second one), then dry pinkish spots appeared on the child’s shoulder. How to treat?

Answer: Hello. An in-person examination by a doctor is required, most likely topical steroids (Advantan) + emollients (special Emolium cream).

Question:Hello. My child has streptoderma. What can you say about this infection, how to treat it, what are the consequences.

Answer: Hello. This is an infection caused by streptococci. Characterized by the formation of stains and conflicts. The source of infection is a sick person. The infection is transmitted through close contact with a patient, through violation of personal hygiene rules, and in the presence of purulent foci. In order to correctly and competently prescribe treatment, it is very important to examine the baby. Depending on the characteristics of the baby, various medications are prescribed. And, if in one situation they are effective, then in another they can only worsen the condition. For this reason, in conditions of remote communication, I cannot prescribe treatment.

Question:Hello. About ten days ago, my child (4 years old) developed small watery pimples in the nose area, which turned into a weeping pink spot, around which watery pimples appeared again. We were first diagnosed with herpes and prescribed treatment with acyclovir (ointment and tablets). The treatment didn't help. At the next appointment, the pediatrician suspected streptoderma or chickenpox. She didn’t change the treatment, she just said that the newly appeared rashes should be smeared with brilliant green. Now my eldest daughter (7 years old) has started to have the same pimples, but not only on her face, but also in some places on her body. Both children had chickenpox three years ago. Please tell me what is it - herpes, streptodeomia, or did we get chickenpox again, and how should we be treated correctly?

Answer: Hello. Based on your description, it looks like streptoderma, but a herpetic infection cannot be ruled out. Coloring agents will help: FUCORTZIN, METHYLENE BLUE, CASTELLANI PAINT, in as a last resort brilliant green. Apply dyes and acyclovir ointment on top; do not bathe children so as not to spread the infection.

Question:Hello. I was prescribed lincomycin ointment to treat streptoderma; pharmacies say that it has been discontinued. What can replace it?

Answer: Hello. To treat streptoderma, treatment of elements with aniline dyes, as well as the use of antibacterial ointments, is prescribed. Unfortunately, I have no right to give advice on replacement; this is the prerogative of the treating doctor.

One of the most common infectious diseases among preschool children is considered streptoderma. The disease is often confused with pityriasis alba, atopic dermatitis, eczema, herpes, and even a syphilitic rash. Streptoderma can cause a large number of complications; when the first symptoms appear, you should seek help from a specialist as soon as possible.

What is streptoderma?

Streptoderma is a purulent-inflammatory skin disease caused by streptococcus. Most often, the disease develops when streptococcus gets on damaged skin, especially if the protective properties of the skin are reduced.

In most cases, young children are susceptible to the disease due to an incompletely formed immune system, a lack of vitamins in the body, and the inability to constantly monitor personal hygiene.

Dermatitis is a rash in the form of blisters, peeling, discomfort, itching, burning, etc. The reasons may be different, depending on which there are several types of dermatitis, for example, infectious, allergic, atopic, food, etc.

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Reasons for the development of streptoderma

Most main reason The development of such a dangerous disease as streptoderma is considered to be infection with streptococci. Even the smallest wound can turn into a breeding ground for streptococcus. If the immune system is poorly developed, as well as if the protective properties of the skin are impaired, once streptococcus gets on the damaged skin, it begins to actively develop.

The main reasons for the development of streptoderma include:

• Improper personal hygiene or lack thereof;
• Skin damage: burns, scratches, insects, cuts;
• Metabolic disorders;
• Reduced immunity;
• Damage to the skin by diseases such as herpes, scabies, atopic dermatitis, etc.;
• Anemia;
• Sudden changes in temperature, especially in winter;
• Frequent stress.

Streptoderma is a highly contagious disease; sometimes there are outbreaks of epidemics, most often in kindergartens and schools. The disease can be contracted not only through direct contact, but also through common objects, for example, toys, personal hygiene products, etc. Streptococci are completely killed after boiling, as well as when treated with antiseptics.

Streptococcus

Streptococci are called opportunistic microorganisms that are in direct contact with humans almost always. Streptococci live on mucous membranes, on the skin and even in the stomach.

Every person, at least once in their entire life, becomes a carrier of these microorganisms; some people are carriers of streptococci throughout their lives. Streptoderma is caused by hemolytic streptococcus, this type microorganisms are very resistant and can live on interior items for months.

Streptococci, in addition to streptoderma, cause a huge number of diseases, for example, such as:

• Angina;
• Bronchitis;
• Meningitis;
• Scarlet fever;
• Abscesses;
• Tonsillitis, etc.

Skin damage

The skin and mucous membranes serve as a barrier and protect the body from pathogenic microorganisms. As soon as the skin loses its protective function, for example, with a cut, the resulting wound becomes infected and the development of streptoderma begins.

Streptococci, which existed quietly and do not cause problems to their owner, when they come into contact with the affected area of ​​the skin, begin to actively reproduce, causing an inflammatory process that can last a long time. It often happens that the development of streptoderma occurs after a small mosquito bite.

IT IS IMPORTANT TO KNOW!

As you know, streptoderma is a contagious disease. The source of infection is often an infected person, and the infection spreads especially quickly among children. It often happens that as soon as one child in kindergarten gets sick, a whole epidemic begins. The patient spreads streptococci while leading a normal lifestyle.

That is why, if any rashes appear on a child’s body, it is necessary to immediately seek help from a specialist in order to avoid the spread of the disease. The duration of the incubation period ranges from 3 to 10 days. It is also worth noting that a completely healthy person can be a carrier of streptococci.

Routes of infection

The route of infection is the method of transmission of an infectious disease healthy person from a patient.

Ways of infection with streptoderma:

• By contact transmission of infection is considered to be through direct contact of the sick person with the damaged skin of the child;
• Contact and household transmission of infection through common household items is considered, these include: dishes, personal hygiene items, toys, etc.
• Airborne transmission of infection is considered to be the transmission of streptococci when coughing or sneezing of a sick person or a healthy carrier of these microorganisms. It is worth noting that airborne transmission is very rare.

Tired of fighting dermatitis?

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• Eliminates rashes and peeling skin in 3-5 days
• Reduces excessive activity skin cells
• After 19-21 days, completely eliminates plaques and traces of them
• Prevents the appearance of new plaques and an increase in their area

Why do relapses occur?

With well-developed immunity and integrity of the skin, the immune system does not allow streptococcus to develop in the child’s body.

In severe cases of streptoderma, relapses may occur, especially if the following predisposing factors contribute to this:

Symptoms and forms of the disease

Once a streptococcal infection enters a child's body, symptoms begin to appear within a few days.

Symptoms of streptoderma:

• The appearance of bubbles with a yellowish liquid, after 2 days they begin to increase in size;
• Increased body temperature;
• Intoxication;
• Nausea, vomiting;
• Headache;
• Deterioration in health;
• Inflammation of the lymph nodes.

With proper and timely treatment, the disease usually lasts from 3 to 10 days. The skin can be affected up to 50%, it all depends on the immune system and the form of the disease.

Experts identify the following forms of streptoderma:

• Streptococcal impetigo;
• Bullous impetigo;
• Slit-like impetigo;
• Lichen;
• Tourniol, the most common form of streptoderma in children;
• Streptococcal diaper rash;
• Superficial panaritium.

Photo

The most common form of streptoderma, tourniol, in the photo it looks like an inflamed panaritium, some parents sometimes do not even suspect that their child is developing such a dangerous disease as streptoderma and self-medicate, which only worsens the situation.

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Diagnostics

As soon as you suspect your child has streptoderma, it is recommended to immediately show him to a specialist. With the help of laboratory tests, complaints and visual examination, the doctor will be able to make a diagnosis.

Depending on the form of the disease, medical examinations will be prescribed:

1. Blood test: biochemical and general;
2. Urinalysis: general;
3. Stool analysis: detection of worm eggs.

At the discretion of the specialist, additional medical examinations and tests may be prescribed. Timely treatment depends on the correct diagnosis.

What to differentiate from?

Many different skin diseases are similar to streptoderma, sometimes even the doctor doubts the diagnosis. That is why additional tests and examinations may be prescribed.

Diseases that can be confused with streptoderma:

1. Herpes differs from streptoderma in the longer treatment of the rash. You can look at another article on our website.
2. Pyoderma is characterized by the addition of a staphylococcal infection;
3. Chicken pox differs in the nature of the rash;
4. Syphilitic rash - the rash can cover almost the entire body and is pale pink in color;
5. Allergic rashes turn pale when pressed on.

How and how to treat streptoderma in children?

The correct treatment can be prescribed by a doctor after making an accurate diagnosis. Drug treatment consists of treating the affected areas of the body with various ointments, using antihistamines, antibiotics, multivitamins, and immunomodulators.

Ointments and solutions:

• Salicylic acid solution;
• Tetracycline ointment - applied to the blisters after they burst;
• Antiseptic solutions: Miramistin, Fukortsin, Levomycetin solution;
• : Baneocin, Levomekol, Erythromycin and Lincomycin.

Action of drugs:

• Ointments speed up recovery and alleviate the disease.
• Antihistamines relieve itching.
• Antibiotics aimed at destroying streptococci. It will be very difficult to cope with the disease without them. The only disadvantage of taking antibiotics is the disruption of the intestinal microflora.
• Multivitamins are needed for the rapid restoration of the child’s body after recovery.
• Immunomodulators are aimed at strengthening the child’s immune system, which weakens after illness, and also help the body recover after illness. In some cases, physiotherapy is used for treatment, thanks to which the ulcers heal faster and the treatment becomes more effective.

Hygiene

Hygiene of a patient with streptoderma:

• It is necessary to refrain from washing for several days, as the infection can spread throughout the body.
• The affected areas must be wiped with a cotton swab dipped in chamomile decoction.
• The child must use a separate towel and separate utensils.
• It is recommended to ensure that the child does not scratch the affected areas.
• Toys and interior items must be regularly treated with special antiseptics.

Local preparations

Local preparations include ointments and special solutions that need to be used to treat the affected areas of the skin several times a day. Recovery will come much faster if you include ointments that contain antibiotics in your treatment. They stop the spread of infection and also dry out the rash.

Ointments used for streptoderma

There are many ointments that are prescribed by dermatologists for children with streptoderma.

These include:

Baneocin

Baneocin ointment contains an antibiotic and is used for external use to treat many skin diseases, including streptoderma. This the ointment is completely safe, due to which it is prescribed even to newborn children.

Baneocin perfectly fights various microorganisms, which promotes rapid recovery and mild progression of the disease. The ointment can be purchased at any pharmacy and is available without a doctor's prescription.

Erythromycin ointment

Erythromycin ointment also, like many ointments aimed at treating streptoderma, it contains antibiotics. It is used for infectious skin lesions, suitable for various ulcers, and is actively used for the treatment of streptoderma in young children. It is available without a doctor's prescription, and besides, it has a fairly low cost.

Levomekol ointment creates an antibacterial effect, used for external use. Provides rapid healing; it is not for nothing that it is called the favorite ointment of surgeons. Levomekol cleanses the affected areas of the skin from infection and prevents the disease from spreading further. At the moment, the ointment is very popular due to its proven effectiveness. Dispensed without a doctor's prescription.

Antibiotics by mouth

Antibiotics when treating a disease such as streptoderma, they are prescribed exclusively by a specialist if local therapy is not enough. It is worth noting that all antibiotics have contraindications and side effects, which is why a course of antibiotics is carefully selected for children.

Antibacterial drugs speed up recovery. Most often, antibiotics of the penicillin group are used to treat this disease. The course of antibiotic therapy usually lasts about 5 days; if there is no effect, then it is necessary to change the antibiotic.

Antibiotics:

• Baneocin;
• Amoxicillin;
• Ciplofloxacin;
• Erythromycin;
• Augmentin.

Children are more often prescribed antibiotics in the form of a special suspension; in severe cases of the disease, the drug is administered intramuscularly. During antibacterial therapy, drugs are prescribed to restore intestinal microflora, since antibiotics destroy it. Plus, a course of antibiotics helps to avoid complications.

Diagnosis, relapse, complications and prevention of streptoderma in children and adults - video

Diet and hygiene rules in the treatment and prevention of streptoderma (recommendations of a dermatologist) - video

Most Frequently Asked Questions

• What to do if streptoderma does not go away for a long time or occurs again?

Diagnosis of streptoderma

Streptoderma is a variety pyoderma. And streptococcal pyoderma requires timely diagnosis, since without timely treatment there is always a risk of streptococcal infection spreading to large areas of the skin, as well as to other organs and tissues.

The main thing is not to engage in self-diagnosis and self-medication. If you have any skin rashes, you should contact your pediatrician, family doctor or dermatologist.

Ointments for streptoderma

For streptoderma, after using antiseptics, ointments, pastes, and compresses containing antiseptic and antibacterial components are used. Unlike antiseptic solutions, ointments penetrate into the deeper layers of the skin, and antibiotics not only stop the growth and reproduction of bacteria, but also destroy microbes, that is, they have a bactericidal effect. The choice of ointment necessary for the treatment of streptoderma, especially with antibacterial components, is carried out by a medical specialist.
The most effective ointments and creams for streptoderma:

1. Ointments with antiseptic, anti-inflammatory and drying effects:

• Resorcinol paste;
• Tsindol mash or suspension (main active ingredient is zinc);
• Salicylic-zinc paste;
• Sulfuric ointment.

2. Antibiotic ointments:

• Streptocide ointment;
• Hyoxysone ointment;
• Fucidin (Fusiderm) cream;
• Bactroban ointment;
• Syntomycin liniment;
• Tetracycline ointment;
• Erythromycin and gentamicin ointment.

Important! Acyclovir (Gerpevir) ointment is prescribed for herpetic rashes, and is absolutely ineffective in the treatment of streptoderma, despite the fact that the rashes for these two diseases are very similar.

Ointments are applied in a thin layer 3-4 times a day. It is more effective to use ointments in the form of a compress. To do this, apply ointment to a sterile gauze pad, apply it to the areas of the rash and fix it with a bandage or adhesive tape. The compress is left for 30-60 minutes, repeated twice a day.

Usually the effectiveness of the ointment is assessed on the 4-5th day. If no positive dynamics are observed, then the ointment should be replaced with a product with another active ingredient. If at this point there is a test for sensitivity to antibiotics, then treatment is adjusted according to these data.

In some situations, topical products containing hormones (glucocorticosteroids) are used. This can be two ointments (hormonal and antibacterial) or one combined. Hormonal medications can only be prescribed by a dermatologist; these can be short or long courses, depending on the severity of the dermatitis.

Indications for the use of hormone-containing ointments:

• combination of streptoderma with atopic, allergic dermatitis, eczema;
• allergic reaction to antiseptics and antibacterial ointments;
• chronic course of streptoderma;
• streptococcal ecthyma.

The most effective hormone-containing ointments for the treatment of streptoderma:

• Akriderm, Celestoderm B, Cutivate - contain only the hormone;
• Pimafucort;
• Lorinden S and others.

Important! Hormonal drugs are not used to treat skin on the face and genital area, as well as large areas of skin. Many hormone-containing ointments are contraindicated for children.

How long does it take to treat streptoderma?

The course of local treatment for streptoderma depends on the severity of the disease and timely initiation of treatment. Skin treatment continues until complete healing. With adequate and timely therapy, recovery can occur within 7-14 days. If treatment is started later than a week from the appearance of the first signs, it may take up to 3-4 weeks or more.

Antibiotics for streptoderma

For the treatment of streptoderma, the prescription of antibiotics orally or by injection is not mandatory. Whether antibacterial therapy is needed or not is decided only by a dermatologist.

Indications for the use of antibiotic therapy for streptoderma:

• deep streptoderma (ecthyma);
• multiple skin lesions (diffuse streptoderma);
• the presence of immunodeficiency (old age, previous chicken pox, influenza and other acute viral infections, HIV, primary immunodeficiencies, oncological pathologies, etc.);
• the first signs of a developing complication;
• severe intoxication, prolonged fever, enlargement of regional lymph nodes more than 1 cm.

What antibiotics are used for streptoderma?

The most effective against beta-hemolytic streptococci are antibacterial drugs from the penicillin group. Therefore, treatment begins with them. If there is no therapeutic effect within 3-5 days, then the antibiotic must be replaced, since an infection often occurs that is not affected by some antibacterial drugs. To adequately select an antibacterial drug, use the results of an antibiogram (examination of a smear of purulent discharge).

Antibiotics are usually prescribed in the form of tablets or suspensions, but in severe cases the drug can be administered intramuscularly or even intravenously.

Antibacterial drugs used to treat streptoderma:

Antibiotic group	Name of drugs	Recommended doses for adults and children over 12 years of age	Recommended doses for children under 12 years of age	A course of treatment
Penicillins Important! Drugs penicillin series quite often cause allergic reactions, in this case macrolides and, with caution, cephalosporins are recommended.	Ospamox Gramox	500 mg 3 times a day.	Children under 2 years of age: 20 mg/kg in 3 doses. Children 2-12 years old: 125-250 mg 3 times a day.	7-10 days
	Amoxicillin with clavulanic acid: Klamosar Bactoclav	250-300 mg 2-3 times a day. Dose calculations are based on amoxicillin.	Suspension: 20-45 mg/kg/day in 2-3 doses.	5-10 days
Macrolides	Fromilid Claricin	250-500 mg 2 times a day.	For children - suspension (Fromilid): 7.5 mg/kg 2 times a day.	7-14 days
	Azimed Azicine Azitrox Zitrox	500 mg 1 time per day.	5-10 mg/kg 1 time per day.	5 days
	Rovamycin	2-3 million IU 2-3 times a day.	150-300 thousand IU/kg/day in 2-3 doses.	10-14 days
Cephalosporins	Cefuroxime Zinnat	250 mg 2 times a day.	10 mg/kg/day in 2 doses.	7-10 days
	Cefixime Cefix Suprax	200 mg 2 times a day.	8 mg/kg/day in 2 doses.	7-10 days
	Cefodox	200 mg 2 times a day.	10 mg/kg/day in 2 doses.	7-10 days
Fluoroquinolones		250 mg 2 times a day.	Contraindicated in children under 15 years of age, used only for health reasons.	7-14 days

How to treat dry streptoderma?

Many people believe that dry streptoderma (lichen simplex) can not be treated, you just need to carry out general strengthening measures (vitamins, immunostimulants). But in fact, dry streptoderma is treated in the same way as other forms of the disease: antiseptics, antibacterial ointments. Usually a course of therapy is prescribed for 7-10 days. After such treatment, lichen-like spots remain on the skin, which will go away on their own in 1-3 months.

Ultraviolet irradiation (sunbathing without abuse or physiotherapy) is especially effective in restoring skin in cases of simple lichen.

Photo: dry streptoderma.

Treatment of streptoderma at home. Traditional methods

In nature, there are a huge number of herbs that have antiseptic and anti-inflammatory properties for the skin. However, with streptoderma, the use of only herbal remedies is often ineffective or treatment is delayed for an indefinite period. But as an addition to traditional therapy methods traditional treatment significantly speeds up recovery time.

If you decide not to see a doctor, you can undergo treatment according to the following scheme:

• Antiseptics;
• Antibiotic ointments;
• Lotions from herbal decoctions;
• Eating plenty of vitamins, you can use a multivitamin pharmaceutical drugs, folk remedies to increase immunity, biologically active additives(dietary supplements).

In what case is it necessary to urgently consult a doctor?

• Despite the therapy, the number of rashes increases;
• Severe intoxication (increased body temperature to high levels, headache, severe weakness);
• Deterioration of general condition;
• Children under 1 year of age;
• The presence of diabetes mellitus, HIV and other diseases that aggravate the course of streptoderma;
• The presence of concomitant skin diseases (eczema, atopic or allergic dermatitis);
• The occurrence of an allergic reaction to any of the drugs used for treatment.

Most effective means traditional medicine are lotions with herbal decoctions. For such lotions, the decoction is suitable for use for no more than 24 hours. Gauze bandages are generously moistened in the decoction and applied to the affected areas of the skin for 15-20 minutes, the procedure is repeated at least 2-3 times a day.

What herbs (lotions) are effective for streptoderma for children and adults?

• nut leaves;
• pine resin;
• powder (powder) of dry oak leaves or acorns;
• sprinkles with freshly ground black pepper, etc.

Important! Many sources offer remedies for the treatment of streptoderma, which include honey. But streptococci grow well on sweets nutrient media, such a “sweet tooth”. In addition, honey often causes irritation and allergic reactions on the skin. Therefore, such treatment can aggravate the course of streptoderma. The most effective beekeeping product is propolis, a natural antibiotic that can be used externally and internally.

Folk remedies to boost immunity:
1. Rose hip decoction: 4 tbsp. l. Infuse the fruits in a thermos in 500 ml of boiling water for 5-10 hours. Take 50 ml before meals 2 times a day.
2. Dried fruits with honey and nuts. Take dried apricots, raisins, prunes, dates and other favorite dried fruits, walnuts, lemon zest, and pour honey over it all. Take 1 tbsp. l. on an empty stomach.
3. Cranberry juice with honey. Take 500.0 grams of fresh cranberries and mash them into a puree. Strain the cranberry puree, pour 1 liter of boiling water over the remaining pulp, leave for 30 minutes, strain. Add cranberry juice and 1 tbsp to the resulting infusion. l. honey Take 200 ml 1-2 times a day 30 minutes before meals.
4. Black tea with currants, raspberries, lemon, honey and ginger is not just very tasty, but also very healthy, simply a storehouse of vitamins, microelements, phytoncides and essential oils.
5. Aloe juice: extract juice from aloe leaves, take 1 tsp. 1-2 times a day 20 minutes before meals.
6. Regular use honey, lemon, onion, garlic, radish and herbs.
7. One grapefruit a day is a very good helper for the immune system.
8. Propolis. Add 1/2 tsp to 200.0 ml of heated milk. propolis. When it dissolves, drink before bed.
9. Propolis tincture. Pour vodka over the grated propolis and leave for 2 weeks in a dark place. Take 5 drops 1-2 times a day, adding to tea, juice or compote. 10. Echinacea tincture (ready pharmaceutical form) – 30 drops in the morning on an empty stomach, first diluted in a small volume of water.

Treatment of streptoderma: ointments or tablets, antibiotics, antiseptics. Treatment at home, traditional methods. How long does treatment last - video

Drugs for streptoderma: antiseptics, antiviral, hormonal, antibiotics - video

Treatment of streptoderma in children: antiseptics, antibiotics (Baneocin ointment), antihistamines, hygiene - video

Consequences and complications of the disease

With timely treatment, streptoderma usually progresses favorably and recovery occurs. But if hygiene standards are not followed, rashes are scratched, or the state of immunity does not allow one to cope with the infection, then various complications may develop.

Complications of streptoderma can be divided into consequences from the skin and from other organs. Most often complications arise from the skin. When streptococcal infection spreads to other organs and tissues, general complications arise, but, fortunately, this happens quite rarely, and in most cases it is severe.

Complications of streptoderma from the skin:

1. Chronic course of streptoderma – if streptoderma lasts more than 1 month and a relapse occurs soon after recovery, then we are talking about the chronicity of the process. It is impossible to completely cure chronic streptoderma, but stable remission can be achieved.

2. Formation of rough scars on the skin. Scars on the skin of irregular shape always remain when the germinal layer of the dermis is damaged, that is, after deep streptoderma (ecthyma). Over time, the scars lighten and decrease in size. If desired, deep laser skin resurfacing can be performed to eliminate and reduce scars.

3. Microbial eczema may develop in people with chronic streptoderma. It occurs in response to chronic infectious inflammation of the skin and prolonged use of external antiseptics and antibiotics.

4. Accession Fungal infection of the skin can occur as a result of long-term use of antibiotics. Mycoses require long-term antifungal treatment.

5. Drip (drop-shaped) psoriasis is rarely found in people after a long course of streptoderma. Manifests small rashes all over the body (except for the feet and palms) in pink and red shades of droplet form. Requires urgent long-term and complex treatment.

Photo: guttate psoriasis.

6. Skin atrophy – can develop with a combination of streptoderma and atopic dermatitis, as well as with long-term use of hormonal ointments. Manifested by thinning of the skin, the appearance of skin sagging, loss of elasticity, decreased turgor and the formation of fever, severe headaches;
4. Rheumatism. It is believed that any streptococcal infection can trigger the onset of an autoimmune pathology - rheumatism. Rheumatism affects many organs, especially the heart and joints. Requires long-term hormonal and antibacterial treatment and is usually chronic.

Stains after streptoderma, how to remove?

After streptoderma, spots remain that can be noticeable for at least another month. They can be red, pink, purple or brown. Spots form on the site of damaged skin and persist until full recovery epidermis.

To speed up the disappearance of red spots after streptoderma, skin care is necessary:
1. Daily evening cleansing of the skin, regular use of a scrub.
2. Regular moisturizing of the skin.
3. Nourishing masks and creams.
4. Sunbathing or physical therapy using ultraviolet rays.

Disease prevention

• Pay attention to even the smallest wounds, treat them promptly with antiseptic agents;
• do not scratch your skin when skin diseases, insect bites and other injuries;
• keep your body clean: regularly wash your hands with soap and take a shower;
• a healthy lifestyle and proper nutrition mean strong immunity;
• regular medical examinations and timely treatment of various diseases;
• adequate treatment of atopic dermatitis;
• isolation of patients with streptoderma, scarlet fever, and purulent tonsillitis.

Diagnosis, relapse, complications and prevention of streptoderma in children and adults - video

Diet and hygiene rules in the treatment and prevention of streptoderma (recommendations of a dermatologist) - video

Most Frequently Asked Questions

Is streptoderma contagious or not?

Streptoderma is a contagious disease and is a highly contagious infection. This is evidenced by frequent outbreaks of streptoderma in children's groups. As soon as one child gets sick, at least one more will definitely get sick.

How is streptoderma transmitted?

You can get streptoderma from a sick person through contact and everyday life through direct skin contact, through dirty hands and various objects (toys, dishes, towels, clothes, etc.). The infection can also be transmitted by airborne dust , that is, dust containing beta-hemolytic streptococcus can settle on dirty hands and wounds, but it is more difficult to become infected this way than through direct contact with a sick person and his things.

It is possible to transmit streptococcal infection by airborne droplets - when droplets of sputum and saliva of a patient with scarlet fever or purulent tonsillitis get on one's own skin or the skin of another person.

How contagious is streptoderma?

Streptoderma is contagious even in incubation period, immediately after infection and as long as there are blisters, blisters and yellow crusts on the skin, that is, until full recovery. This explains the widespread spread of streptococcal infection and outbreaks of streptoderma in children's groups and families.

Quarantine for streptoderma. If a child with streptoderma is identified in a children's group, then this group or class is quarantined for a period of 10 days. During this time, final disinfection is carried out in the premises: treatment of all surfaces, toys, bed linen, curtains, carpets, and so on.

Sick children are isolated at home until complete recovery. If a sick child lives in a sanatorium, in an orphanage or in a boarding school, then he is transferred to an isolation ward or infectious diseases department.

What to do if streptoderma does not go away for a long time or occurs again?

With timely and correct treatment, streptoderma is usually well cured, and recovery occurs within a week. But there are situations when streptoderma drags on for several weeks, or even months.

Reasons for ineffective treatment of streptoderma:

• A chronic course of streptoderma developed. In this case, long-term treatment is required by a dermatologist and family doctor (or pediatrician) using hormonal drugs and immunomodulators, as well as treatment of concomitant diseases.
• Lack of treatment or use of counterfeit drugs (fakes). In order to avoid purchasing dummy drugs, all medications must be purchased only from official certified pharmacies.
• Failure to comply with personal hygiene rules, bathing, scratching rashes leads to the appearance of new foci of rash.
• Use of antibiotics (both externally and internally), which have no effect on the pathogen . If streptoderma does not go away for a long time, then it is simply necessary to find out the sensitivity of bacteria to antibacterial drugs(unfortunately, we rarely perform an antibiogram). Only properly selected antibiotics can cope with infectious diseases.
• Weakened immunity as a result of concomitant diseases or previous viral and other infectious diseases. When the body's defenses are reduced, it is difficult to cure any infectious pathology, even when using the most “powerful” antibiotics.
• This is not streptoderma. Some skin diseases are very similar to streptoderma, which can lead to incorrect diagnosis and, accordingly, inadequate treatment. Therefore, do not self-medicate, but seek help from experienced specialists.
• Repeated development of streptoderma (relapse) usually indicates reduced immunity. In this case, you just need to see a doctor, undergo a full examination and eliminate the causes of the body’s poor resistance to infections.

Is it possible to swim with streptoderma?

During treatment of streptoderma, it is necessary to refrain from swimming for at least 3-5 days. Excess moisture promotes the growth and reproduction of microorganisms, and with the flow of water, the infection spreads to other areas of the skin. Before use, you should consult a specialist.

Streptoderma - the nature of the skin disease, how it begins, causes and predisposing factors, types, forms and stages, symptoms in children and adults (photos of rashes on the face, limbs, etc.)