Impetigo (Krentenbaard): Symptoms, Treatment, and When to See a Doctor in Curaçao

Impetigo, also known as krentenbaard in Dutch, is a common bacterial skin infection. It mainly affects infants and young children, but adults can also develop it.

The infection is caused by Staphylococcus aureus or Streptococcus pyogenes. These bacteria are often present on the skin without causing problems. However, when the skin is damaged — for example by abrasions, insect bites, or scratched eczema — the bacteria can enter and cause impetigo.

Typical symptoms include:

• Small reddish sores that do not heal

• Blisters filled with fluid

• Honey-colored crusts on the skin

The spots are most commonly seen around the mouth and nose. Pain symptoms are usually mild, but in warm and humid climates like Curaçao, impetigo can spread more easily and quickly.

Is impetigo contagious?

Yes, impetigo is contagious as long as the sores are open or wet. Transmission occurs through direct contact, but also via contaminated objects such as towels, clothing, or bedding. This is the reason outbreaks sometimes occur in schools and daycare centers.

You are no longer contagious once the wounds have dried and healed. Until then, it is advised to avoid swimming pools. Swimming in the sea is allowed.

Treatment of impetigo

Good hygiene is essential when dealing with impetigo:

• Do not scratch or touch the sores

• Keep fingernails short

• Wash your hands frequently with soap and water

• Use a clean towel every day and do not share personal items

In most cases, impetigo heals within one to three weeks without leaving scars. To speed up recovery and reduce the chance of spreading, a doctor may prescribe an antibiotic cream, usually fusidic acid.

If the infection is more widespread or if you are feeling unwell, oral antibiotics may be necessary.

At MedPoint Curaçao, our doctors can evaluate your situation. We also offer teleconsultations, where you can send pictures of the affected skin for professional advice or follow-up during treatment.