Impetigo

Question 1

What is the incubation period for impetigo?

Answer 1

4 to 10 days

Question 2

What are the typical features of impetigo?

Answer 2

Golden crusted lesions typically found around the mouth
Very contagious
Can also be boulous -> rupture and give a silvery rime

Question 3

What is the recommended treatment for limited/local impetigo?

Answer 3

Non-bullous = hydrogen peroxide 1% cream OR topical antibiotics (fusidic acid or mupirocin)

Bullous - oral flucloxacillin

Question 4

What treatment is recommended for extensive non-bullous impetigo?

Answer 4

Oral flucloxacillin
Oral erythromycin if penicillin allergic

Question 5

What is the rule regarding impetigo and school exclusion?

Answer 5

Until lesions are crusted and healed
Or
48hrs after starting antibiotic therapy

Question 6

What is the typical prognosis of impetigo?

Answer 6

Self limiting within 7-21 days
Faster is appropriate skin hygeine and wound care.
Can reoccur