Use of Benzathine Pencillin in Impectigo in Children

Insights

Benzathine penicillin injection effectively treated impetigo in children, achieving 92.3% success. Sulfamoxole tablets were less effective, with a 64% success rate in treating this common bacterial skin infection.

Area of Science:

  • Pediatrics
  • Dermatology
  • Microbiology

Background:

  • Impetigo is a common bacterial skin infection in children.
  • Staphylococcus aureus and Streptococcus pyogenes are the primary causative agents of impetigo.
  • Understanding the antibiotic susceptibility patterns is crucial for effective treatment.

Purpose of the Study:

  • To investigate the bacteriology of impetigo in children.
  • To evaluate the efficacy of benzathine penicillin and sulfamoxole in treating impetigo.

Main Methods:

  • Bacteriological investigation of 150 children with impetigo.
  • Isolation and identification of Staphylococcus aureus and Streptococcus pyogenes.
  • Assessment of antibiotic susceptibility to penicillin.
  • Clinical evaluation of treatment outcomes for benzathine penicillin and sulfamoxole.

Main Results:

  • Staphylococcus aureus was the predominant organism (92 children), followed by Streptococcus pyogenes (39 children), with 19 children having mixed infections.
  • Penicillin sensitivity was observed in 44% of Staphylococcus aureus and 82% of Streptococcus pyogenes isolates.
  • Benzathine penicillin demonstrated high efficacy (92.3%), regardless of isolate penicillin sensitivity.
  • Sulfamoxole was effective in 64% of cases.

Conclusions:

  • Benzathine penicillin is a highly effective treatment for childhood impetigo.
  • Empirical treatment with benzathine penicillin can be considered due to its high success rate.
  • Sulfamoxole shows moderate efficacy in treating impetigo.

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