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Expert Q&A:
Why does my 21-month-old keep getting a staph infectioWhy does my 21-month-old keep getting a staph infection?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


Why does my 21-month-old keep getting a staph infectioWhy does my 21-month-old keep getting a staph infection?

Answer


Staphylococcal ("staph") infection of the skin may affect a child in several different ways. In the diaper area, either bullous impetigo or folliculitis usually appears. Bullous impetigo causes small blisters that rupture quickly, usually producing raw, red areas with a small remnant of the blister roof around the edge. Folliculitis is an infection in the hair follicles that produces small red bumps with pustules ("whiteheads"), most commonly on the buttocks and backs of the thighs, but sometimes in the genital area. Both disorders are responsive to antibiotics, which can be given topically (in a cream) or orally, depending on the severity of the infection.

Some children who get repeated diaper area infections with this bacterium may be carriers, meaning they carry the bacteria (usually without problems occurring) in certain areas, such as the mouth, nose, and anus. If this is the case, your doctor or a specialist can make appropriate recommendations.
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