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Treatment of streptoderma in a child: effective drugs, ointments
Last reviewed: 06.07.2025

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Treatment of streptoderma in children has its own characteristics. Firstly, the disease tends to be longer lasting and recurrent. Secondly, insufficient functional maturity of the immune system and unformed microflora leave their mark on the treatment tactics. Children should be prescribed antibiotics with caution, combining antibacterial drugs with probiotics, which will ensure the maintenance and growth of the natural microflora of the child's body. General tonics are needed to maintain overall endurance and resistance of the body. You should carefully approach the choice of a local remedy, since children are much more likely than adults to experience complications and side effects in the form of allergic reactions of a local and systemic nature, rashes, and edema.
What to do if a child's streptoderma does not go away?
If streptoderma does not go away in a child and you do not know what to do, it is better to consult an immunologist, since such a long-term course of the disease may be associated with structural or functional disorders of the immune system, its lack of formation and immaturity. An immunologist should conduct a comprehensive examination, and only after that can appropriate treatment be selected, if there is a need for it. Immunomodulating, immunostimulating, immunocorrective effects can be prescribed.
A consultation with a dermatologist or dermatovenerologist is also required. The doctor may review the treatment, perhaps there is individual resistance of the microflora to drugs, then it is necessary to prescribe an analogue. Sometimes the reason is insufficient dosage or frequency of drug use. In this case, it is necessary to increase the dosage. In some cases, other drugs and treatment methods are added, a comprehensive treatment regimen is developed based on the current symptoms, pronounced clinical picture and dynamics of the patient's condition. Often, it is necessary to prescribe probiotics that will help restore the normal microbiocenosis in the child. Also, they often resort to complex treatment, which includes an antibiotic, an antifungal agent and an immunomodulator. The need to prescribe an antifungal agent is explained by the fact that fungus often begins to develop at the site of the killed pathogenic bacterial flora. Antibacterial agents are means of treatment and early prevention of fungal infection.
How long does it take to treat streptoderma in children?
It is impossible to give a clear answer to the question of how long streptoderma is treated in children, since the duration of treatment depends on many factors, including the physiological state of the child, the state of his immune system, age, susceptibility to diseases, the severity of the pathological process, and treatment tactics. Treatment usually takes from one week to several months. Often, treatment continues even after the main visible symptoms of the pathology have ceased to bother the child, since only general symptoms may disappear, while the pathological process may proceed latently in the child's body.
Treatment at home
At home, treatment involves strictly following all the doctor's recommendations. In no case should you self-medicate, as this can only worsen the situation or cause complications. Streptoderma is a serious disease of bacterial origin that can progress, form new foci of the bacterial process, spread to other areas of the skin or internal organs. The basis of the treatment of streptoderma is antibiotic therapy. Both local antibiotic-based agents and systemic drugs aimed at affecting the body as a whole are prescribed. In complex treatment, antibiotic therapy is supplemented with antifungal agents. Probiotic drugs aimed at restoring microflora, immunomodulators for immune system disorders are also prescribed.
At home, folk remedies, homeopathic preparations, and herbal decoctions can be used for treatment. Various compresses, applications, baths for treatment, and local remedies for treating the affected area have proven themselves to be effective. Special herbal or general collections are often prepared that strengthen the body, prevent the development of infection, and stimulate the immune system.
Medicines
The treatment of streptoderma is based on antibiotic therapy aimed at eliminating pathogenic microflora and normalizing the general microbiocenosis. Antibiotic treatment should be taken seriously. An important condition is compliance with all doctor's recommendations, strict adherence to the prescribed treatment regimen, since any violation of the selected regimen leads to the fact that the microflora is not completely killed, resulting in spontaneous mutations, and those bacteria that were previously sensitive to the prescribed antibiotic will now be resistant to it. For the same reason, you cannot stop treatment, even if the condition has improved. The improvement in the condition is caused by a decrease in the number of microflora, but not its complete destruction. Complete destruction is possible only after receiving the entire total dose of antibiotic calculated for the course of treatment. Otherwise, after some time, reactivation of the microflora will occur, a relapse will occur. In addition, the microflora mutates and acquires other properties, becomes resistant to previously prescribed drugs.
Let's look at the most common antibiotics prescribed to children for streptoderma.
Ointments and creams for streptoderma in children
Streptoderma in children is treated with various external agents. Ointments and creams are most often prescribed. They are easy to use, cause a minimum of side effects, and give maximum results. Anti-inflammatory, antibacterial (antiseptic) ointments have proven themselves well. Of the antiseptic ointments, Levomekol, Aquaderm, and Vishnevsky ointment are most often prescribed. Of the anti-inflammatory agents, preference is given to non-hormonal agents. In the case of disease progression and the ineffectiveness of non-hormonal ointments, hormonal agents are used. Let's consider the ointments and creams that can be used to treat streptoderma in children.
Important! Before starting treatment, you need to consult a doctor. Some medications can be prescribed independently, others - as part of a complex treatment. In any case, the treatment regimen should be developed exclusively by a doctor, based on the clinical picture of the pathology, a set of objective and subjective signs of the disease.
Salicylic ointment. Contains salicylic acid crystals. The ointment can be of different concentrations – from 1 to 10%. It is used to lubricate the affected area, rubbing into the skin around it.
Teymurov's paste. A product containing zinc oxide, boric and salicylic acid crystals, and auxiliary substances. It is used for weeping, non-healing streptodemy with a tendency to recur. It dries the skin and has a disinfectant and deodorizing effect.
White mercury ointment is a rather dangerous but effective remedy used to treat various types of pyoderma and streptoderma.
Lassar paste. Prescribed when conventional antiseptic and anti-inflammatory agents are ineffective. Contains salicylic acid and zinc oxide, which quickly relieve inflammation and have a disinfectant effect. Vaseline and starch restore the skin and prevent the risk of side effects and complications.
Konkov's ointment. It is an antiseptic and anti-inflammatory agent used for various skin diseases of bacterial origin. It contains substances such as ethacridine, fish oil, bee honey, birch tar, distilled water. It should be prescribed with caution to children who are prone to allergic reactions, since honey can cause severe allergies. It is better to try the ointment on a small area of the body before starting treatment.
Wilkinson's ointment. It is a mixture of tar, calcium carbonate, purified sulfur, naphthalan ointment and green soap with water. This ointment has a powerful anti-inflammatory and antiseptic effect. It is used for severe, long-lasting or severe streptoderma, as well as for the prevention of fungal infection.
Naphthalan ointment. It is a complex mixture of hydrocarbons and resins, paraffin with petrolatum. It has a softening effect on the skin, eliminates the inflammatory process and antibacterial infection, relieves itching and pain, resolves seals and scars. For streptoderma, apply a thin layer to the affected area. It is prescribed either as an independent remedy or as part of complex therapy, in combination with other ointments or systemic drugs.
Levomekol has an effect against a wide range of microorganisms, against streptococcus, which is the main causative agent of streptoderma. It is applied under a compress or dry heat. It is recommended to use the ointment at least three times a day. Side effects are extremely rare, the ointment is quite well tolerated by the human body.
- Tetracycline ointment
The active substance is the antibiotic tetracycline. The course lasts from several days to several weeks. It is often prescribed together with other ointments with a moisturizing, softening effect. With the correct selection of the scheme, dosage, the medicine allows you to quickly cure streptoderma, prevent its relapses. The dosage is determined by the doctor, based on the test results. Also, the whole process should be monitored by a doctor. To do this, it is necessary to track the results in dynamics.
- Zinc ointment, salicylic-zinc paste
Dries the skin significantly, has an astringent effect. Apply a thin layer to the affected area. Has an antiseptic and anti-inflammatory effect. Do not exceed the dosage under any circumstances, as it may cause intoxication of the body. Use only as prescribed by a doctor.
- Potassium permanganate
A traditional disinfectant used for various diseases. Potassium permanganate is dark burgundy crystals of potassium permanganate. To prepare a solution for external use, several crystals are dissolved in a small amount of warm water until a slightly pink solution is formed. Then it is used for medicinal baths, washing of affected areas, application under a compress, and in the form of applications. In severe conditions, a 0.1-0.5% solution of potassium permanganate is used to wash the skin and wound surfaces.
- Streptocide
Streptocide, or as it is also called, streptocide liniment, is a powder used for sprinkling wounds, bedsores, various injuries and skin diseases. It is used externally only. The main indication for the appointment is the presence of a bacterial infection, inflammatory and purulent-septic processes. Usually, children are sprinkled with powder, distributed evenly.
An ointment used for external application to affected areas of the skin. It can also be applied under a bandage. It has minor side effects: itching, burning. Allergic reactions may cause rashes, urticaria, dermatitis.
- Baneocin
It is an ointment or powder that has an antibacterial, anti-inflammatory effect. Most often, ointment is recommended for children. The daily dosage is no more than 1 gram. The ointment is nephrotoxic, that is, it can have an adverse effect on the kidneys and urinary tract. Contraindicated for children with kidney disease. It should be prescribed with caution to children under 5 years of age, it is recommended to consult a nephrologist in advance. Many doctors try to prescribe its analogues to small children under 5 years of age, which are less dangerous.
- Fukortsin
It is an antiseptic. It is a combined agent that has an inhibitory effect on both bacterial and fungal microflora. It is also a preventative for many parasitic diseases caused by protozoa.
- Gioxizone
It is a combined antibacterial agent against epidermal staphylococcus and pyoderma streptococcus, which are the main causative agents of streptoderma in children. The daily dosage is 1 gram. It can be applied directly to the skin or to a sterile gauze bandage. It has a negative effect on hormonal levels and metabolic processes. It can slow down the metabolism in the body and slow down the child's growth. When treating streptoderma on the face, it is recommended to apply the ointment pointwise. The course is 2-4 weeks.
- Akriderm
A combined antibacterial agent belonging to the group of corticosteroids. Akriderm is close to hyoxyzone. This is a fairly strong agent that quickly eliminates infection. A number of specialists are of the opinion that it is better not to use it for children under 10-12 years old. The main side effect is that the drug disrupts metabolic processes, slows down the growth and development of the body. It is worth noting the side effects: dermatitis, eczema, allergic reactions.
It is a product for external use that quickly relieves inflammatory and allergic reactions, softens the skin. It has virtually no side effects. It contains fats, waxes, emulsifiers. It is prescribed to children starting from 4-6 months. It is applied to the skin in a thin layer once a day.
Vitamins
The only vitamin that can be taken with streptoderma is vitamin C, since it stimulates the immune system, increases endurance and resistance of the body. In addition, vitamin C has antioxidant properties, removes free radicals, metabolites, intoxication products and decay products from the body. It has a negative effect on microorganisms, having a bactericidal or bacteriostatic effect on them. Other vitamins are contraindicated for streptoderma. This is due to the fact that they are growth factors and act as a nutrient medium for bacteria, including streptococcus. Accordingly, taking vitamins will only aggravate the situation and will contribute to the growth of pathogenic microflora, an increase in the pathological process. Under certain conditions (after prior consultation with a doctor), children can take vitamin D, since this is one of the main vitamins that provide full immunity, as well as the growth and development of the child, the formation of microflora, immunity, and a system of non-specific resistance. It has been proven that children with vitamin D deficiency are more likely to get sick, have a harder time with infectious processes, have prolonged inflammatory reactions, and have more frequent relapses of diseases. In addition, vitamin D deficiency is associated with the risk of developing rickets.
Folk remedies
As for folk treatment, it is considered as an auxiliary treatment, which can be very effective in the fight against streptoderma. But before you start using any methods of folk treatment, you need to consult a doctor. It is recommended to include folk remedies in the complex treatment, alternating with medications. Let's consider the main recipes.
- Recipe No. 1.
A decoction intended for oral administration is recommended. The daily dose is 50 grams per day. The composition includes: nettle leaves, crushed marigold flowers, chamomile (about a tablespoon of each component) per glass of hot water. It is recommended to drink the remedy before meals, then eat, then drink about 10-15 minutes after eating. This remedy effectively removes bacterial and inflammatory processes, stimulates the immune system, has antiviral and antifungal agents.
- Recipe No. 2.
Add a tablespoon of corn silk, violet flowers, and raspberry leaves to a glass of preheated kvass (dark, bread). Mix everything thoroughly, cover tightly with a lid, and let sit for 30-40 minutes. Drink a tablespoon 2-4 times a day. Normalizes microflora, eliminates infectious and inflammatory processes, and increases local and systemic immunity.
- Recipe No. 3.
Mix pure purified sulfur with ground crickets in a 1:1 ratio, dissolve in a shot of vodka (approximate proportions are 5 grams of powder per 50 grams of vodka). Mix thoroughly, give the child 2-5 drops to drink 1-3 times a day, depending on the severity of the pathological process. It is recommended to give a double dose at night, dissolving in a glass of warm tea with honey. Then go to bed, covered with a warm blanket, sleep until the morning. The course of treatment is from 14 to 28 days.
- Recipe No. 4.
The herb of knotweed and powder obtained from ground eggshell are mixed together in a ratio of 1:2, then poured with a glass of fish oil (previously brought to a boil), brought to a boil, set aside. Infuse for at least 2-3 hours. Apply directly to the areas affected by streptoderma 3 to 5 times a day.
Herbal treatment
There are many herbs that can be used to quickly get rid of streptoderma. Despite the fact that at first glance, herbs are safe and harmless, you need to take numerous precautions. First, you should always tell your doctor about taking herbs, since many of them may not be compatible with drug therapy. Second, you need to be careful when choosing a dosage so as not to cause an overdose and intoxication. It should be taken into account that many herbs have a cumulative effect and begin to affect the body only after they have accumulated in the body. Let's consider the most effective herbs and how to use them.
- Recipe No. 1.
Children with streptoderma are often prescribed decoctions of medicinal herbs that can be taken internally and also used for external treatment of affected skin areas. The simplest decoction is a decoction of medicinal chamomile. It has antiseptic and anti-inflammatory properties, which allows it to be widely used in the treatment of pyoderma of various origins. Preparing a decoction of chamomile is quite simple: add a tablespoon of chamomile flowers to a glass of boiling water. Mix everything thoroughly, cover tightly with a lid, and leave for 30-40 minutes. Drink a tablespoon 2-4 times a day. You can lubricate the areas affected by streptoderma up to 5-6 times a day.
- Recipe No. 2.
Rapeseed powder (chopped roots and stems) is dissolved in a shot of vodka (approximate proportions are 5 grams of rapeseed powder per 50 grams of vodka). Mix thoroughly and apply a thin layer to the affected areas. It is not recommended to drink it internally.
- Recipe No. 3.
Acacia flowers and leaves are mixed together in a ratio of 1:2, then poured with a glass of boiling water, brought to a boil, and set aside. Infuse for at least 2-3 hours. Drink in 2 approaches - in the morning, then 3-4 hours later.
- Recipe No. 4.
A local bath for the affected areas of the skin has proven itself quite well. It can be done only if the body temperature is not elevated and is within the physiological norm, and also if there are no severe rashes, exacerbations, acute pain, itching and burning. Otherwise, it is better to refuse the bath, since the condition can only worsen. Preparing a bath is quite simple: a decoction is prepared separately (about 40-50 grams of lavender flowers and leaves are poured with boiling water, infused until the water becomes warm and comfortable). Then a small basin is filled with the resulting decoction, and the affected area is placed there. To enhance the effect and soften the decoction, add 3-4 tablespoons of table or sea salt. It is better to use sea salt. Take a bath for 10-15 minutes, after which it is necessary to provide the warmed area with dry heat.
- Recipe No. 5.
It is recommended to use sunflower or olive oil as a base, heat it to a temperature of about 50 degrees. After that, add a tablespoon of calendula flowers and seeds to the hot product. Infuse in a dark place for 1-2 days, after which the product can be used as an ointment, applying a thin layer to the skin. The course of treatment is at least 15 days.
Homeopathy
In vain homeopathy is considered a safe and harmless remedy. The use of homeopathy always requires a thoughtful approach, careful selection of the treatment regimen, dosage, and method of preparation of the remedy. Therefore, you cannot prescribe homeopathic remedies to yourself. You must consult a specialist who will select the optimal treatment regimen. This is the main precaution that will help avoid numerous side effects. Let's consider some recipes.
- Recipe No. 1.
To eliminate the accompanying bacterial infection, which is often observed in children against the background of streptoderma, it is recommended to drink at least 50 ml of tea with honey every hour, and also to gargle with a warm sage decoction (you cannot drink sage, as it can cause an ulcer). Externally, a solution of boric acid or borax is used to treat the skin 4-5 times a day. At night, it is recommended to apply a 2% silver solution to the skin.
- Recipe No. 2.
Take equal parts of purified sand and clay. Take about 2-3 tablespoons of each component, add 300 ml of boiling water, mix, leave for at least 1.5-2 hours. Apply a thin layer to the affected areas of the skin.
- Recipe No. 3.
As a base, take about 250-300 ml of sprouted wheat oil. Then add about a tablespoon of the following components: calendula flowers, aloe juice, dry tansy flowers. Mix, insist for at least an hour. Drink a tablespoon twice a day.
- Recipe No. 4.
Lemon or citrus juice (100 ml), 20 ml of fresh aloe juice are added to vaseline oil mixed with honey in a 1:1 ratio, and a tablespoon of crushed leaves and roots of eyebright are poured in. Boil for 5-10 minutes, and used to lubricate the affected areas of the skin with a thin layer.
- Recipe No. 5.
Add a decoction of sweet clover (100 ml) to slightly warmed glycerin (50 ml), add a tablespoon of crushed chamomile flowers and castor seeds. Boil for 5-10 minutes, drink 50 ml before bed.
Diet for streptoderma in children
With streptoderma, you should follow the same diet that is prescribed for infectious diseases. First, you need to limit protein foods, since they act as a nutrient substrate for bacterial microflora. Second, you need to limit vitamins, with the exception of vitamins C and D. It is recommended to eat carbohydrate foods. It is also better to limit fatty foods, since they create a significant burden on the body. Dairy and fermented milk products are also better to limit or completely exclude.
The optimal menu for children with streptoderma is boiled potatoes, various types of porridge (buckwheat, rice, millet, wheat). Pearl barley is the most useful. It is also necessary to prepare first courses - soups, borscht. Meat and fish should be lean. Vegetables and fruits can be consumed in moderation.
As for drinks, it is better to use tea with lemon, aloe juice or honey, dried fruit compotes, juices and nectars from sea buckthorn, pomegranate, viburnum, raspberry, cloudberry, cranberry. You can drink lemon juice. Nutrition should be fractional - it is better to eat a little, but partly, up to 5-6 times a day.
Is it possible to go for a walk if children have streptoderma?
In case of streptoderma, it is better to quarantine the child until recovery occurs. Firstly, streptoderma is a disease of bacterial origin, which in one way or another poses a certain risk to others. Secondly, streptoderma develops in children with reduced immunity, and, as a rule, against the background of concomitant diseases. Answering the question: is it possible to walk with streptoderma in children, you must first understand what kind of walk the child will have. So, if the mother wants to take the child to a noisy company of children, or just to a place where there are a lot of people, it is better to refuse such walks until complete recovery. If in warm sunny weather the mother takes the child for a walk in the forest, to the river, in the field, where there is nature and practically no people, such a walk can be beneficial for the child. If the weather is damp, rainy, or cold and windy, such a walk will not bring any benefit to the child, and it should be abandoned. In severe frost, you can go for a walk, but not for long, and be sure to make sure that the child does not get too cold.
Prevention
Prevention consists of strict hygiene, proper care of the skin and its appendages (hair, nails). It is necessary to promptly identify and stop foci of infection, inflammatory processes, maintain a sufficient level of immunity. Children should not have a vitamin deficiency, there should be no lack of minerals. Nutrition should be balanced and complete. It is important to undergo preventive examinations, tests. You can not overcool. It is always necessary to completely cure any infections, inflammatory processes. A mandatory condition for prevention is maintaining normal microflora, especially skin microflora. It is necessary to prevent the progression of streptococcal infection, since it is the causative agent of streptoderma.
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Forecast
If you start treating streptoderma in a child in a timely manner and strictly follow all the doctor's recommendations, the prognosis is usually favorable. Usually, streptoderma can be treated with local and systemic agents, antibiotic therapy. But in advanced cases, serious complications may develop, including peritonitis, bacteremia, and sepsis.