Bunda Farhan n mamanya Rara,
Ini aku ada Q-A n artikel ttg cacar monyet/ impetigo dr milis sehat..

Uci mamaKavin
--------------------------
 From: "Mirna S. Muska"

 Tentang anak saya, Dok, kemarin dsa nya curiga anak saya kena IMPETIGO
dan  bukan cacar air karena meskipun rashnya sekujur tubuh tetapi yg
melenting  kumpul hanya di bagian tertentu saja (di bagian paha). Di
bagian lain ada sedikit-sedikit, malah di badan hampir tidak ada. Rash 
di
tubuh muncul krn tertular dari sumbernya di bagian paha itu, itu
terlihat
dari bagian punggung yang tidak ada rash dan bagian perut yg cukup ada
rash (krn dia
 pastinya lebih sering garuk2x perut dibanding punggung).

 Pengobatannya dikasih Antibiotika (anak saya 3 th 2 bulan, berat 22
kg):
 Lincomycin 250gr
 CTM 1.5 mg
 ==> dijadikan puyer sebanyak 15 bungkus, diminum sehari 3 x dan
dihabiskan.

 Dsa saya itu bilang bhw penyakitnya sangat menular dan wajar terjadi
di
balita yg sudah bergaul dg dunia luar. Tetapi penyakitnya tidak
berbahaya, dg AB bisa sembuh dalam 1 hr. Sekarang (2 hari sth dikasih
AB)melentingnya sudah tidak menyebar lagi dan yg sebelumnya sudah
kering
(saya juga kasih
 obat merah Teh Ta Yao Gin untuk mengeringkan melentingnya). Dsa nya
bilang  dia juga sudah boleh sekolah.

 Bagaimana Dok pendapat Dokter mengenai pengobatan ini ?
-------------------
 Respon Dr Wati :

Dear Mirna
Maaf baru sempat balas sekarang dan inipun saya mesti pergi hiks hiks

Kalau cacar monyet atau impetigo itu biasanya lebar2 dan seperti gosong
alias merah bahkan tepinya merah tua lalu setelah 1 -2 hari seperti
bekas
terbakar gosong.

Diameternya kira2 1 cm atau sedikit lebih besar dari itu. Biasanya
bergerombol terbatas di area kecil tubuh jumlah nya biasanya 1 atau 2.

Nah kalau deskripsinya Mirna kok menurut saya tdk cocok dengan impetigo
Saya tdk lihat sih memang tapi impetigo itu benar2 seperti luka
kesundut
rokok

Saya rasanya lebih memilih erupsi cacar air yg gak keluar semua karena
anakmu sudah punya daya tahan tubuh

jadi kalau saya, paling mandi airnya pakai dettol sedikiit, dan gak
kasih
antibiotikanya

wati
-----------------------

Semoga membantu ya. Mohon maaf gak bisa banyak inputan.
Saya juga posting artikel dari AAP ttg impetigo ini.

Lulu
=================
http://www.medem.com/medlb/article_detaillb.cfm?article_ID=
ZZZTXPXDEEC&sub_cat=24

Impetigo

Impetigo is a contagious bacterial skin infection that often appears
around the nose, mouth and ears. Most commonly, it is caused by either 
the
streptococcus, which also is responsible for "strep" throat and scarlet
fever, or the staphylococcus, or "staph," bacteria.

If staph bacteria are to blame, the infection may cause blisters filled
with clear fluid. These can break easily, leaving a raw glistening area
that soon forms a scab with a honey-colored crust. By contrast, the
strep
bacteria usually are not associated with blisters, but they do cause
crusts over larger sores and ulcers.

Treatment of Impetigo

Until your child can see the doctor, clean the rash well with soap and
water. You may use a mild medicated soap, but don't rely on
over-the-counter medications without consulting your pediatrician.

Impetigo needs to be treated with antibiotics, but your pediatrician
may
wish to first determine which bacteria are causing the rash in order to
know what specific medication to prescribe. To identify the bacteria,
the
doctor may break a blister or lift the crust and take a sample of the
material there. If this shows the cause is strep bacteria, some form of
penicillin probably will be prescribed, but if the rash is due to a
staph
infection, a different antibiotic may be used. In either case, make
sure
your child takes the medication for the full prescribed course or the
impetigo could return.

One other important point to keep in mind: Impetigo is contagious until
the rash clears or until at least two days of antibiotics have been
given
and there is evidence of improvement. Therefore, your child should
avoid
close contact with other children during this period and you should
avoid
touching the rash. If you or other family members do come in contact
with
it, wash the exposed site thoroughly with soap and water. Also, keep
the
infected child's washcloths and towels separate from those of other
family
members.

Preventing Impetigo

The bacteria that cause impetigo thrive in breaks in the skin, so the
best
ways to prevent this rash are to keep your child's fingernails clipped 
and
clean, and teach him not to scratch minor skin irritations. When he
does
have a scrape, cleanse it with soap and water and apply an antibiotic
cream or ointment. Also, be careful not to use washcloths or towels
that
have been used by someone else who has an active skin infection.

When impetigo is caused by strep bacteria, a rare but serious
complication
called glomerulonephritis can develop. This disease injures the kidney 
and
may cause passage of blood in the urine and high blood pressure.

Excerpted from Caring for Baby and Young Child: Birth to Age 5, Bantam 
1999

© Copyright 2000 American Academy of Pediatrics



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