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If he has had only creams then this is inadequate treatment. I would trial a decent dose/course of antibiotics for 10 days first and would not swab before this had been tried Mark On 19/02/2008, Muir, Jackie <[log in to unmask]> wrote: > > I would send him back to his GP for further treatment - with a brief to > mention the work related aspects to the GP for more accurate assessment. > > > As the Doc replied earlier this should be resolved in a matter of days > with appropriate treatment - clearly treatment hasn't cleared it up. Is > it actually what it was thought to be? Only testing will confirm actual > causative organism and then appropriate treatment can be provided. > > The other aspect is looking at the overalls/ contaminants/ hygiene > aspects to make sure the condition isn't being created by or made worse > by something on the overalls or used to clean them? The other thing to > rule out if the work colleagues are giving him stick - is there some > form of horseplay going on in the area - are they contaminating the > overalls with something ? It's possible...... > > Good luck > > Jackie > > > -----Original Message----- > From: [log in to unmask] [mailto:[log in to unmask]] On > Behalf Of Sue Mann (JIC) > Sent: 19 February 2008 15:43 > To: [log in to unmask] > Subject: Re: [OCC-HEALTH] impetigo > > No not been swabbed, was given cream to put on lesions - so should I > send him home or not? > > -----Original Message----- > From: [log in to unmask] [mailto:[log in to unmask]] On > Behalf Of Rita Ogden > Sent: 19 February 2008 15:38 > To: [log in to unmask] > Subject: Re: [OCC-HEALTH] impetigo > > > This is very weird....smacks of recurrent reinfection! Did the GP swab > one of the lesions to establish the appropriate antibiotic therapy? Or > was a broad spectrum antibiotic prescribed in the hope it would "kill > all known germs dead"? Is it very definitely impetigo? > Doesn't seem right that his colleagues are giving him a hard > time....unless there is a real issue of poor personal hygiene! > Rita > > Rita E Ogden > Specialist Practitioner/Clinical Team Leader, > Occupational Health Service, > St. James's University Hospital > Tel: 0113 2065228 > Leeds General Infirmary > Tel: 0113 3923267 > > >>> "Sue Mann (JIC)" <[log in to unmask]> 19/02/2008 15:19 >>> > He has not been off work at all, he only came to see me today as his > work colleagues are giving him a hard time. His initial infection > started in December, but lesions keep appearing as others dry up. > > Sue. > > -----Original Message----- > From: [log in to unmask] > [mailto:[log in to unmask]] On Behalf Of Dr Mark O'Connor > Sent: 19 February 2008 15:04 > To: [log in to unmask] > Subject: Re: [OCC-HEALTH] impetigo > > > Something not quite right with the timescales also here that > should be noted. I would expect that impetigo appropriate treated with > an antibiotic and attention to any commonly associated eczematous > lesions with appropriate steroid based or simple emollient creams > would > effect a cure within days to a week or so. Why has he been off since > December? > > > On 19/02/2008, Glenn Raybone <[log in to unmask]> wrote: > > > In a message dated 19/02/2008 14:45:21 GMT Standard > Time, [log in to unmask] writes: > > Surely impetigo is a close contact type of > spread - therefore as long he does not have close contact eg skin to > skin or skin to infected clothing - he wont be THAT infectious? > As he's an engineer I imagine his overalls gets > pretty mucky/oily on a daily basis so whats his hygiene re change of > overalls like for every day and are his overalls boiled / washed > properly and not shared (Yuk) > > > This is along the lines of what I was thinking > > regards > > Glenn > ~~~~~~~~~~~~~~~ Please remove this footer before > replying. > > OCC-HEALTH ARCHIVES: > http://www.jiscmail.ac.uk/lists/occ-health.html > > FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: > http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH > > OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net > > OCCUPATIONAL HEALTH NURSING EDUCATION > http://www.aohne.org.uk > > > > > > > > > > > > > > > > > > > > > > > -- > -- > Dr Mark O'Connor > Secure On-line pre employment questionnaire and assessments > available. 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