A household has recurrent, spreading impetigo despite repeated courses of topical fusidic acid. What is the most appropriate next step?

Question

Accepted Answer

Arrange a skin swab, consider a nasal swab for suspected carriage, and target decolonisation after results

Answer

Treat every household member empirically with the same oral antibiotic without swabbing the index case

Answer

Combine fusidic acid and mupirocin on all lesions to prevent emergence of topical-antibiotic resistance

Answer

Use a potent topical corticosteroid alone while awaiting spontaneous resolution of the recurrent infection

Answer

Repeat topical fusidic acid for every recurrence without microbiology until all household lesions resolve

Topical fusidic acid repeat — GPhC CRA MCQ