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Impetigo treatment choice — GPhC CRA MCQ

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HardInfectionsImpetigo treatment choiceGPhC CRA

A parent asks about a small area of non-bullous impetigo around a child's mouth. The child is well, has no fever and has no widespread lesions. Hygiene measures have not yet been tried. What is the most appropriate alternative?

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Correct answer: E — Hydrogen peroxide 1% cream if treatment is needed

Localised non-bullous impetigo in a well child can often be managed with hygiene advice and topical treatment where needed. Hydrogen peroxide 1% cream is an option for localised disease. Oral antibiotics are reserved for more extensive disease, bullous impetigo or systemic features. Aciclovir and corticosteroids do not treat bacterial impetigo.

Reference: NICE CKS; BNF