CKS
For extensive, severe, or bullous impetigo, use oral antibiotics.
Reserve topical antibiotics for very localised lesions & avoid repeated courses to reduce the risk of resistance.
If localised:
Fusidic acid 2% cream
topically 3 to 4 x daily
5 days
Only if MRSA:
Mupirocin 2% ointment
topically 3 x daily
If widespread:
oral Flucloxacillin
500mg 4 x daily
7 days
If penicillin allergic:
oral Clarithromycin
500mg 2 x daily
For extensive, severe, or bullous impetigo, use oral antibiotics.
Reserve topical antibiotics for very localised lesions & avoid repeated courses to reduce the risk of resistance.