Impetigo

Impetigo

PHE Impetigo

CKS

For extensive, severe, or bullous impetigo, use oral antibiotics. 

Reserve topical antibiotics for very localised lesions to reduce the risk of resistance.

Reserve mupirocin for MRSA.

Topical Fusidic acid 2%

Apply thinly TDS

7 days

Flucloxacillin

500mg QDS

Child

1 month to 1 year: 62.5mg to 125mg QDS

2 to 9 years: 125mg to 250mg QDS

10 to 17 years: 250mg to 500 mg QDS

5 days

If penicillin allergic:

Clarithromycin

500mg BD 

Child

1 month to 11 years:

Under 8 kg - 7.5mg/kg BD

8 to 11 kg - 62.5mg BD

12 to 19 kg: 125mg BD

20 to 29 kg - 187.5mg BD

30 to 40 kg - 250mg BD

 

12 to 17 years: 250mg to 500mg BD

5 days