Question

A 6-year-old Aboriginal boy from a remote community presents with multiple crusted skin sores on his legs. You diagnose impetigo. According to remote area guidelines, what is the most appropriate first-line antibiotic strategy to reduce risk of complications including rheumatic fever?

Accepted Answer

Oral benzathine benzylpenicillin single intramuscular dose or appropriate oral systemic antibiotic course

Answer

Topical mupirocin to individual lesions only

Answer

No antibiotics; advise keeping the skin clean only

Answer

Topical corticosteroid cream

Answer

Systemic corticosteroids and antihistamines

Practice question

A 6-year-old Aboriginal boy from a remote community presents with multiple crusted skin sores on his legs. You diagnose impetigo. According to remote area guidelines, what is the most appropriate first-line antibiotic strategy to reduce risk of complications including rheumatic fever?