Bolaji Ranti S, Dabade Tushar S, Gustafson Cheryl J, Davis Scott A, Krowchuk Daniel P, Feldman Steven R
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1071, USA.
J Drugs Dermatol. 2012 Apr;11(4):489-94.
Impetigo is a highly contagious, superficial skin disease that is frequently seen in children. While data support the use of topical antibiotics for treatment, the medications actually prescribed in practice are not well documented.
To determine the prescribing pattern of dermatologists and nondermatologists when treating impetigo and the demographics of the patients treated.
National Ambulatory Medical Care Survey data on office visits for impetigo were analyzed from 1997 to 2007. Patient demographics and the treatments for impetigo were recorded.
During this 10-year period, dermatologists managed an estimated 274,815 impetigo visits and nondermatologists an estimated 3,722,462 visits. Both dermatologists and nondermatologists most frequently prescribed oral antibiotics to treat impetigo. Topical antibiotics were second most common, and a variety of combination treatments were used.
Oral antibiotics are the most common class of medications used to treat impetigo. There is an opportunity for physicians to take advantage of the equally efficacious topical antibiotics for treating impetigo. A shift towards topical antibiotics would likely decrease morbidity (resulting from adverse effects) associated with use of oral agents.
脓疱病是一种高度传染性的浅表性皮肤病，常见于儿童。虽然有数据支持使用外用抗生素进行治疗，但实际临床中所开具的药物尚无充分记录。
确定皮肤科医生和非皮肤科医生在治疗脓疱病时的处方模式以及所治疗患者的人口统计学特征。
分析了1997年至2007年全国门诊医疗护理调查中有关脓疱病门诊就诊的数据。记录了患者的人口统计学特征和脓疱病的治疗方法。
在这10年期间，皮肤科医生诊治的脓疱病患者估计有274,815人次，非皮肤科医生诊治的估计有3,722,462人次。皮肤科医生和非皮肤科医生治疗脓疱病最常用的药物均为口服抗生素。外用抗生素次之，还使用了多种联合治疗方法。
口服抗生素是治疗脓疱病最常用的药物类别。医生有机会利用同样有效的外用抗生素来治疗脓疱病。转向使用外用抗生素可能会降低与口服药物使用相关的发病率（由不良反应导致）。
