BOIL AND
IMPETIGO
Presented by: Desiree Joy Acuzar (BSN 1-5)
BOIL – BACTERIAL SKIN INFECTION
DEFINITION OF TERMS
BOIL
“Furuncles” skin infection filled
with pus when the bacteria
inflame the hair follicles under
your skin.
CARBUNCLE
Cluster of boils and has several
pustular openings.
FOLLICULITIS
Inflammation of follicles
Staphylococcus Aureus
Commonly
found in the
nose or skin
Can enter a
hair follicle by
scrapes or cuts
Other
infections:
impetigo,
folliculitis,
cellulitis, SSSS
RISK FACTORS
Close contact with an infected person
Acne, eczema, or other causes of breaks in the
skin
Diabetes
Weakened immune system
Inadequate nutrition
Poor hygiene
MODE OF
TRANSMISSION
Direct and close contact
Sharing personal things such as towels
INCUBATION
PERIOD
The lump begins to turn white after 4-7 days as
pus gathers beneath the skin.
It last 4-10 days but most boils recover and
disappear in 2-3 weeks.
SIGNS AND SYMPTOMS
Swelling, redness, pain
Pea-sized bump or greater in size
A white or yellow center or tip
Weeping, oozing, or crusting
Inflamed and tender
Carbuncle: general feeling of ill, fatigue, or a
fever
COMPILCATIONS
MRSA
Sepsis
Meningitis
Cellulitis
Spread to fatal organs
PREVENTION
Avoid close contact with someone
infected with staph bacteria
Use antibacterial soaps and gels to
routinely wash your hands
Bathe regularly
Do not share or reuse washcloths,
towels, and sheets
Good handwashing techniques
Properly dispose of the bandages
or dressings
TREATMENT
Persistent instances need
medical intervention.
Warm, moist compress for 10-20
minutes, 3-4 times daily.
Do not squeeze or prick with a
sharp object to drain the pus
and fluid.
Use antibiotics prescribed by
physician.
Use fresh towels every time you
wash and dry the infected areas.
DIAGNOSTIC TESTS
Physical examination is common to diagnose
skin boils.
Blood tests or pus swabs if necessary.
NURSING RESPONSIBILITIES
Assess the patient’s history, overall health status, and severity of
the boil.
Proper hand hygiene, wearing of PPE such as masks and gloves.
Maintain a clean and sterile environment.
Demonstrate the right techniques in taking care of wound.
Assist and educate
Administer the prescribed medications
IMPETIGO
DEFINITION
Mild skin infection
commonly found in
nose, mouth, arms and
legs of babies and
young children. It is also
called “infantigo”.
Non-bullous & Bullous
CAUSATIVE AGENTS
Group A Streptococcus
Staphylococcus aureus
MODE OF TRANSMISSION
Direct and indirect contact
Very contagious
Open wounds or fresh cuts
INCUBATION PERIOD
Four to ten days after first
encounter with the bacteria
RISK FACTORS
AGE
Infections or injuries that
break the skin
Group settings
Climate
Poor hygiene
Weakened immune system
COMPLICATIONS
Ecthyma
Cellulitis, scarlet
fever, septicemia
Kidney problems
Rheumatic fever
SIGNS AND SYMPTOMS
NON-BULLOUS
Red, itchy sore at the infected area
Golden crust for at least 2cm
Crusty yellow or “honey-colored”
scab over the sore
Appearance of red mark without
scars when dry
Few lesions are present
BULLOUS
Tiny or cluster of blisters that become
moist (1-2cm)
Covered with grainy, golden crust that
spreads at the corners
Fever
Scarring and change to skin’s pigmentation
if untreated.
PREVENTION
No vaccines yet for group A strep
bacterium.
Maintain the cleanliness of
wounds if there is any.
Good handwashing technique.
Use alcohol to clean hands.
Do laundry frequently and do not
share personal things.
Take medications.
Avoid playing contact sports, and
in contact with babies and other
children.
TREATMENT
Topical antibiotics
(Mupirocin, retapamulin,
fusidic acid)
Oral antibiotics
(amoxicillin)
Keep the infection
covered.
Maintain a clean
environment.
Bleach baths
DIAGNOSTIC TESTS
Physical examination. No need for any lab tests.
Nose swab for confirmation.
NURSING RESPONSIBILITIES
Assess the patient’s skin.
Collaborate with other health care professionals.
Educate the client and their guardian.
Administer antibiotics as prescribed.
Always document findings.
THANK YOU FOR LISTENING!
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