Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version

DESCRIPTION

Pimples (pustules or whiteheads) are small blisters filled with pus. They are caused by staph bacteria (unlike acne). They occur most commonly in areas of friction (for example, from tight clothing or rubbing). Pimples are a very mild skin infection and never leave scars.

SIMILAR CONDITIONS

Acne

Boils

Fingernail Infection

Impetigo

HOME CARE

1. Treatment

   The best inexpensive agent for killing the staphylococci that are causing the pimples is a 1:120 bleach solution. Make it by mixing 1 tablespoon of bleach in 2 quarts of water. Clean any part of the skin that has old or new pimples with this solution (or with soap and water) for 10 minutes, three times a day for 2 or 3 days.

   Open any pimples that have come to a head using a needle sterilized by alcohol or flame, and then throw the needle away. The pus should run out without squeezing. Wipe the pus away with a tissue. Then apply an antibiotic ointment (such as Betadine or bacitracin) three times a day until they are gone.

2. Prevention

   To prevent spread, ask your child not to touch the pimples or rub his skin. Cut his fingernails short. His hands should be washed frequently. Give him a shower once a day with an antibacterial soap (Dial or Safeguard). Be sure your child does not share his washcloth and towel with anyone. Wash your child's clothes, sheets, and towels with Lysol or bleach to remove staph bacteria from them.

3. Common mistakes

   A common mistake is to cover pimples with a Band-Aid. This can cause them to spread. The application of petroleum jelly or any ointment not containing antibiotics can also make them much worse.

CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:

• Your child is less than 4 weeks old and has pimples. Note: If your child has erythema toxicum (small white lumps surrounded by 1/2-inch red blotches), you do not need to call the doctor.
• Your child starts acting very sick.

CALL YOUR CHILD'S PHYSICIAN WITHIN 24 HOURS IF:

• New pimples develop after 24 hours of treatment.
• The pimples are not completely gone in 3 days.
• You have other questions or concerns.