What to do if your child has blister

Each of us has gone through a childhood. Children in this period have lower immunity and are susceptible to various diseases. Especially various skin diseases, such as impetigo in children, commonly known as "pemphigoid", is an acute, contact, contagious skin disease. Infants and children are most susceptible to infection, which is usually caused by Staphylococcus aureus. The main symptom is pustules. The walls of the pustules are as thin as paper and will break at the touch. When they break, water will ooze out and form scabs, which will spread to the surrounding areas. Let us look at its treatment method below.

reason

(1) Children’s skin is delicate and their stratum corneum is incomplete. It is easily damaged during washing, creating opportunities for bacteria to stay and invade.

(2) Children's clothes, collars and buttons are too thick or too hard, causing skin abrasions; or they wear clothes that have been stored for a long time or old, unsterilized clothes.

(3) Pus rashes in children are often seen in those who have contact with caregivers whose nasal cavity is carrying Staphylococcus aureus. If such a situation is found, for example, the mother has bacteria in the nose, the child should be isolated or given nasal drops to eliminate the bacteria. Wearing a mask and washing hands are also necessary.

(4) The wrinkles on children’s skin are prone to moisture and dirt accumulation, which provides an opportunity for bacteria to multiply. Therefore, you must be careful when caring for newborns.

Treatment principles

1. This disease should be treated in isolation. The child’s clothes, pillows, sheets, towels, handkerchiefs, toys and other contaminated items should be disinfected.

2. Generally, it is treated locally with ichthyol paste, Bactroban ointment (2%), etc. If the lesions are extensive or the systemic symptoms are severe, sensitive antibiotics can be used systemically.

Treatment

1. Take 1 gram of chloramphenicol injection and 12 ml of 2% gentian violet, mix the two drugs and set aside. First clean the pus with light salt water or warm water, then apply the affected area with a cotton swab dipped in chloramphenicol gentian violet solution, 3-4 times a day, 3 days as a course of treatment. If the condition is not cured after one course of treatment, another course of treatment can be used.

2. Generally, 75% alcohol should be used to wipe the affected area of ​​the skin for disinfection, and then a cotton swab or a sterilized fine needle should be used to prick the pus scar and absorb the liquid. The liquid will continue to seep out, so be sure to absorb it several times and apply 2% gentian violet solution to prevent the infection area from expanding. Keep the surrounding skin clean by wiping it with alcohol (before each feeding). Pay attention to changing underwear frequently and keep it clean and cared for. If you have impetigo, you should change your underwear every day. If there are many impetigo, you should go to the hospital for diagnosis and treatment.

3. For mild cases, external treatment is generally the main approach. At the beginning of the disease, there are only a few pustules. It is advisable to puncture the epidermis, absorb the liquid with sterile cotton wool, apply 2% gentian violet or neomycin bacitracin ointment; the skin around the affected area should be disinfected with 75% alcohol once every 2-3 hours. For the scabby area, rinse it with 1:1000 potassium permanganate solution first, then peel off the scab and apply some gentian violet. Keep children clean, their clothes clean and their skin clean and dry.

4. Pustule is the most common skin disease in children caused by staphylococcus. Most of them are caused by Staphylococcus aureus and can induce acute glomerulonephritis. Applying chloramphenicol gentian violet solution has obvious therapeutic effect.

5. If there are too many pustules, apply antibiotics (penicillin, erythromycin, gentamicin, etc.) and antihistamines systemically, and apply 2% gentian violet solution or antibiotic ointment topically. Chloramphenicol is a broad-spectrum antibiotic with good efficacy against both Gram-positive and Gram-negative bacteria. Gentian violet has both bactericidal and astringent effects. When the two are mixed, their effects are enhanced and the efficacy is better.

6. For sick children, their clothes, diapers, etc. should be boiled and disinfected once a day, and the bedding should be exposed to the sun. Daily necessities for infants and young children should be disinfected, washed and dried regularly, and a set should be prepared for separate use. Pay attention to bathing the child regularly, changing clothes, and cutting nails to prevent skin damage.

7. Once impetigo is discovered in newborns, they should be isolated and receive medical treatment immediately. Patients with mild symptoms can receive intramuscular injection of penicillin or oral antibiotics. More serious impetigo usually occurs on the head, face, chest, back and limbs. It has pea-sized blisters containing slightly turbid fluid. When the blisters swell to a certain extent, they may burst on their own. This is called pemphigus. During treatment, in addition to applying medication to the affected skin areas, penicillin should be injected intramuscularly and the patient should be given adequate nutrition and water. In this case, you usually need to go to the hospital for treatment, and it will take 1-2 weeks to recover. If not handled promptly or treated improperly, it may develop into neonatal sepsis.