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
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