Impetigo laboratory findings: Difference between revisions

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{{‪Impetigo‬}}
{{‪Impetigo‬}}


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==Overview==
Impetigo is primarily diagnosed clinically. Some laboratory tests can also be used to confirm the involved [[pathogen]] and to focus the treatment on that [[pathogen]] in particular. These include [[gram stain]] and culture and senstivity.<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596  }} </ref><ref name="pmid26612370">{{cite journal| author=Ibrahim F, Khan T, Pujalte GG| title=Bacterial Skin Infections. | journal=Prim Care | year= 2015 | volume= 42 | issue= 4 | pages= 485-99 | pmid=26612370 | doi=10.1016/j.pop.2015.08.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26612370 }} </ref>
 
==Laboratory Findings==
Impetigo is usually diagnosed [[Clinical|clinically]]. Some laboratory tests can also be used to confirm the involved [[pathogen]] and to focus the treatment on that pathogen in particular. Various laboratory tests that are used in the [[diagnosis]] of impetigo, include:<ref name="pmid27458596">{{cite journal| author=Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R et al.| title=Staphylococcal bullous impetigo in a neonate. | journal=World J Clin Cases | year= 2016 | volume= 4 | issue= 7 | pages= 191-4 | pmid=27458596 | doi=10.12998/wjcc.v4.i7.191 | pmc=4945591 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27458596  }} </ref><ref name="pmid20349679">{{cite journal| author=Geria AN, Schwartz RA| title=Impetigo update: new challenges in the era of methicillin resistance. | journal=Cutis | year= 2010 | volume= 85 | issue= 2 | pages= 65-70 | pmid=20349679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20349679  }} </ref>
*'''Gram stain'''
**[[Pus]] cells
**Intracellular [[cocci]] (gram positive)
*'''Culture and sesntivity'''<ref name="Culture for Impetigo">{{Pereira, Luciana Baptista. "Impetigo-review." Anais brasileiros de dermatologia 89.2 (2014): 293-299.}}</ref>
**Culture grows specific [[pathogen]]
**Detects [[MRSA]]
*'''Anti-DNA-ase B Test'''<ref name="pmid11173202">{{cite journal| author=Oumeish I, Oumeish OY, Bataineh O| title=Acute bacterial skin infections in children. | journal=Clin Dermatol | year= 2000 | volume= 18 | issue= 6 | pages= 667-78 | pmid=11173202 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11173202 }} </ref>
**Serological anti-DNA-ase B test can be performed to show past [[Group A streptococcal infection|group A streptococcal  infections]].
*'''Biopsy'''<ref name="pmid20349679">{{cite journal| author=Geria AN, Schwartz RA| title=Impetigo update: new challenges in the era of methicillin resistance. | journal=Cutis | year= 2010 | volume= 85 | issue= 2 | pages= 65-70 | pmid=20349679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20349679 }} </ref>
**It is rarely done in case of recurrence of impetigo.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 22:21, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

Impetigo is primarily diagnosed clinically. Some laboratory tests can also be used to confirm the involved pathogen and to focus the treatment on that pathogen in particular. These include gram stain and culture and senstivity.[1][2]

Laboratory Findings

Impetigo is usually diagnosed clinically. Some laboratory tests can also be used to confirm the involved pathogen and to focus the treatment on that pathogen in particular. Various laboratory tests that are used in the diagnosis of impetigo, include:[1][3]

  • Gram stain
    • Pus cells
    • Intracellular cocci (gram positive)
  • Culture and sesntivity[4]
  • Anti-DNA-ase B Test[5]
  • Biopsy[3]
    • It is rarely done in case of recurrence of impetigo.

References

  1. 1.0 1.1 Duggal SD, Bharara T, Jena PP, Kumar A, Sharma A, Gur R; et al. (2016). "Staphylococcal bullous impetigo in a neonate". World J Clin Cases. 4 (7): 191–4. doi:10.12998/wjcc.v4.i7.191. PMC 4945591. PMID 27458596.
  2. Ibrahim F, Khan T, Pujalte GG (2015). "Bacterial Skin Infections". Prim Care. 42 (4): 485–99. doi:10.1016/j.pop.2015.08.001. PMID 26612370.
  3. 3.0 3.1 Geria AN, Schwartz RA (2010). "Impetigo update: new challenges in the era of methicillin resistance". Cutis. 85 (2): 65–70. PMID 20349679.
  4. Template:Pereira, Luciana Baptista. "Impetigo-review." Anais brasileiros de dermatologia 89.2 (2014): 293-299.
  5. Oumeish I, Oumeish OY, Bataineh O (2000). "Acute bacterial skin infections in children". Clin Dermatol. 18 (6): 667–78. PMID 11173202.


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